在儿童和青少年心理健康服务机构实施分阶段护理的标准制定:多方法,基于德尔菲的研究协议
Bryan Young1, Sarah Mughal1,2, AnnMarie Churchill3,4
1Douglas Mental Health University Institute, Verdun, Quebec, Canada.
BMJ open
|December 26, 2024
概括
加拿大青少年心理健康系统可以通过阶段性护理 (SC) 标准来改善护理. 这项研究开发了共同创建的标准,以有效实施SC,增强整个加拿大的青少年心理健康服务.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 医疗保健服务研究 医疗服务研究
- 心理健康政策 心理健康政策
背景情况:
- 加拿大青年心理健康 (YMH) 系统面临治疗缺口.
- 阶段性护理 (SC) 是一种通过简化护理途径来解决这一差距的模式.
- 开发强大的,共同创建的标准对于有效的SC实施至关重要.
研究的目的:
- 建立在加拿大儿童和青年健康环境中实施SC的标准.
- 引导连接YMH系统的开发.
- 确保标准与各种利益相关者共同创建,包括生活经验专家.
主要方法:
- 召开一个由65个人组成的学习联盟 (LA).
- 使用了e-Delphi研究的共识方法在3-4轮.
- 将指导原则转化为标准草案,运行并将其应用于三个测试生态系统.
主要成果:
- 通过代反和修订,在最终标准的特定条款项目上达成共识.
- 分析和编码参与者的评论以完善标准.
- 将标准草案应用于三个不同的服务环境.
结论:
- 开发的标准将支持在加拿大YMH服务中实施SC.
- 这项工作将指导创建一个强大的,连接的心理健康交付系统,为年轻人.
- 最终标准将传播给政府机构,健康规划者和学术平台.
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