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验证和应用一个工具来评估自我信心做改进
Annette Richardson1, Jon Rees2
1Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle Upon Tyne, UK annette.richardson4@nhs.net.
BMJ open quality
|March 14, 2025
概括
一个新的验证工具测量了医疗保健工作者对改进活动的自信. 培训显著提高了信心,较长的项目显示出更大的收益,为提高质量提供了资源分配的信息.
科学领域:
- 医疗保健管理的管理
- 劳动力发展 劳动力发展
- 提高质量 提高科学 提高质量
背景情况:
- 提高医疗保健工作人员的能力对于改善服务至关重要.
- 质量改进 (QI) 培训的有效性可以通过自我信心的变化来衡量.
- 评估自信是评估QA倡议的一个关键指标.
研究的目的:
- 验证一个工具来评估在执行改进任务时的自信.
- 测量在智商训练之前和之后,自我信心的变化.
- 为了确定不同质量指数训练时间对自信的影响.
主要方法:
- 一个在线的10项,4点级别评估了训练前和训练后的自信.
- 探索性因子分析和克伦巴赫α (0.93) 证实了工具可靠性和构造有效性.
- 配对威尔科克森试验和元分析,以疗程持续时间作为调节者分析了变化.
主要成果:
- 在训练后观察到自我信心显著增加 (p<0.001,d=1.27).
- 经过验证的工具显示出高可靠性,并测量了一个单一的底层结构.
- 较短的培训计划与较长的培训计划相比,导致自信的增加明显较小.
结论:
- 现在可以使用一个经过验证的工具来评估对医疗保健改进能力的自信.
- 这个工具可以在不同时间段测量QI培训的影响.
- 调查结果可以指导关于员工时间分配用于质量改进培训的决策.
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