使用行为变化轮来开发一种干预措施,以改善关于中风病房康复的对话
Louisa-Jane Burton1,2, Anne Forster1,2, Judith Johnson3,4
1Academic Unit for Ageing & Stroke Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, United Kingdom.
PloS one
|January 8, 2025
概括
为中风恢复制定更好的沟通策略至关重要. 这项研究使用了行为变化轮 (BCW) 来创建干预措施,并纳入员工反,以改善关于患者康复的讨论.
科学领域:
- 神经科学是一个神经科学.
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
背景情况:
- 对患者和家人来说,关于中风恢复的有效沟通至关重要.
- 卒中病房工作人员经常发现关于康复的讨论,尤其是传递坏消息,具有挑战性.
- 这项研究启动了开发一种干预措施,以加强这些关键的对话.
研究的目的:
- 开发一种新的复杂干预措施,旨在改善关于中风病房康复的沟通.
- 识别有效恢复沟通和相关行为改变技术的障碍.
主要方法:
- 使用行为变化轮 (BCW) 框架,以先前的定性数据为基础.
- 与中风专业人员进行了在线调查,以收集有关干预组件的观点.
- 确定了干预的障碍,干预功能和行为改变技术 (BCT).
主要成果:
- 目标行为被确定为工作人员向患者和护理人员提供康复信息.
- 六个主要障碍被优先考虑:缺乏信心,沟通技巧,对福利的了解,时间/格式,隐私以及缺乏书面信息.
- 通过使用12种临床可行的BCT在培训,授权,说服和环境重组功能中制定了一项干预策略.
结论:
- 该BCW方法促进了改善中风恢复对话的干预措施的初步开发.
- 通过专业调查,纳入利益相关者的观点.
- 需要进一步的研究来开发干预材料并评估对工作人员和患者结果的有效性.
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