基于经验的共同设计流程的推动因素和障碍,以在爱尔兰增强社区护理中开发服务改进:一种定性研究
Fay O'Donoghue1, Máire T O'Donnell2, Tomás P Griffin2,3
1Department of Psychology, University of Limerick, Limerick, Ireland.
概括
在爱尔兰的增强社区护理 (ECC) 计划中,成功实施基于经验的共同设计 (EBCD) 在很大程度上依赖于熟练的促进者. 平衡促进者的优势,同时给予服务用户和员工的观点同等权重,是有效的共同设计的关键.
科学领域:
- 改善医疗保健的改善
- 协同设计的合作设计.
- 患者和公众参与.
背景情况:
- 基于经验的共同设计 (EBCD) 是一种通过整合用户和提供者的经验来增强医疗保健服务的协作方法.
- 通过共享见解,EBCD促进了服务适应.
研究的目的:
- 在爱尔兰的增强社区护理 (ECC) 计划中确定实施EBCD的推动因素和障碍.
- 了解在国家医疗保健计划中成功采用EBCD的因素.
主要方法:
- 在两个地点,与17名服务用户和员工一起进行了加快的EBCD过程.
- 每个地点举行了四次共同设计工作组会议.
- 从工作组的成绩单和采访的专题分析确定了支持者和障碍.
主要成果:
- 关键的推动因素包括熟练的促进者,灵活的方法和引人入胜的活动.
- 障碍包括促进者的角色,平衡经验分享和感知到的系统约束.
- 六个主题出现,突出了促进者和小组动态的关键影响.
结论:
- 促进者在成功实施EBCD中发挥着关键作用.
- 有效的EBCD需要平衡促进者的专业知识,并公平考虑服务用户和员工的观点.
- 确保EBCD项目的开放对话对于推动有意义的服务改进至关重要.
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