在莱索托使用混合方法和覆盖范围,有效性,采用,实施和维护 (RE-AIM) 框架的"解决问题以改善健康"培训的实施效率
Doris Akolbire1, Lora L Sabin2, Paballo P Lethunya3,4
1Boston University School of Public Health, 715 Albany St, Boston, MA, 02118, USA. ddameyaw3@gmail.com.
解决问题以改善健康护理 (PSBHN) 计划改善了护士的知识,但对莱索托的解决问题的有效性影响很小. 项目实施不足,表明需要进一步研究以加强农村环境中的医疗保健.
科学领域:
- 医疗保健管理的管理
- 护理教育 护理教育
- 全球健康 全球健康
背景情况:
- 由于资源集中在城市中心,农村地区面临医疗保健差异.
- 解决问题以改善健康 (PSBH) 计划培训医疗保健人员,以优化服务不足地区的资源.
- 本研究评估了莱索托PSBH护理 (PSBHN) 的有效性.
研究的目的:
- 评估PSBH-护理 (PSBHN) 倡议的实施效率.
- 评估护士在培训后解决问题的效率的变化.
- 探索学习技能在质量改进项目的应用.
主要方法:
- 一项混合方法研究,采用单一组测试前测试后测试设计,以RE-AIM框架为指导.
- 从2021年11月到2022年6月,护士 (n=89) 在PSBHN接受了培训.
- 问题解决库存 (PSI) 和质量改进项目评估在培训前后进行.
主要成果:
- 解决问题的有效性在训练后3-6个月表现出非显著的改善.
- 护士报告说,他们的知识,信心,沟通技巧和解决问题的方法得到了增强.
- 较高的项目质量评分与项目启动率 (35.0%) 的增加相关.
结论:
- PSBHN提高了护士的知识,但对解决问题的有效性影响有限.
- 观察到,在项目实施中,学习技能的应用不足.
- PSBHN 显示了资源有限的设置的潜力,但需要进一步的研究来提高项目完成率.
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