为实施基础的基于证据的护理服务量身定制的多方面的战略:一项评估研究
Signe Eekholm1,2, Karin Samuelson1, Gerd Ahlström1
1Department of Health Sciences, Faculty of Medicine, Lund University, Sölvegatan 19, P.O. Box 117, SE-221 00 Lund, Sweden.
Nursing reports (Pavia, Italy)
|December 27, 2024
概括
一个量身定制的战略通过解决多个层面的障碍,改善了基于证据的护理服务. 组织需求仍然存在挑战,需要进一步研究以获得更广泛的应用.
科学领域:
- 护理科学 护理科学
- 医疗保健管理的管理
- 实施科学 实施科学
背景情况:
- 持续存在的挑战阻碍了医院的基于证据的护理服务,影响了患者的安全.
- 实施研究表明,针对上下文因素的定制策略可以优化临床实践.
- 这项研究评估了一种通过解决行为和环境障碍来提高护理质量的策略.
研究的目的:
- 评估定制实施战略的可行性,以改善基础的基于证据的护理护理.
- 确定在医院环境中实施基于证据的护理实践的障碍和促进者.
- 评估战略对采用,可接受性,适当性,忠实性,可行性,透性,可持续性和成本的影响.
主要方法:
- 应用Proctor的实施评估的概念模型.
- 利用多样化的数据收集:观察,采访 (非正式和重点小组),注册和电子健康记录审计.
- 专注于个人,团队和管理层,以解决护理质量的决定因素.
主要成果:
- 该战略在采用,可接受性,适当性和可行性方面取得了成功,有效地针对复杂的决定因素.
- 成功实现了基于证据的基本护理护理.
- 由于竞争的组织需求和时间限制,忠实性,可行性和可持续性面临挑战.
结论:
- 这一多方面的战略有效地解决了多个层面的环境和行为决定因素,促进了基于证据的护理服务实施.
- 需要进一步的研究和更大的研究来评估该策略的可转移性和对患者结果的影响.
- 这些发现强调了定制实施策略在改善临床实践方面的潜力.
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