探索员工对非计划性出院和VA物质使用障碍住宿计划中的相关伤害的信念:一种定性研究
Natalie B Riblet1,2, Susan Stevens1,2, Lauren Kenneally1
1Veterans Affairs Medical Center, White River Junction, VT, USA.
Substance use & addiction journal
|May 13, 2025
概括
工作人员的信念在防止从物质使用障碍 (SUD) 住院计划中意外放弃方面有所不同. 低率网站有利于减少危害,而高率网站使用委员会,建议各种方法来照顾病人.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 成 药物 药物 药物 药物
- 心理健康服务 心理健康服务
背景情况:
- 从药物使用障碍 (SUD) 住院计划中无计划放弃是常见的,并且与复发和自杀等不良结果有关.
- 在退伍军人事务部 (VA) SUD住宅计划中,计划外放率存在显著差异.
- 在VA SUD设置中影响计划外排放的编程因素尚不清楚.
研究的目的:
- 探索员工对预防VA SUD住宅计划中计划外放的信念.
- 确定与不同率的计划外放电相关的潜在计划级因素.
主要方法:
- 一项定性研究,涉及10个VA SUD住宅站点的员工进行半结构面试 (按低[<10%]和高[≥30%]的无计划放电率分层).
- 面试以计划行为理论为指导.
- 数据分析采用了定向内容和诱导方法来确定区分高和低率网站的主题.
主要成果:
- 在非计划性排放的运行和文档中观察到很高的变化.
- 低速率站点的员工主要支持减少危害的策略,以管理导致意外出院的行为.
- 高利率网站的员工更频繁地利用正式的董事会或委员会来解决这些行为.
结论:
- 对于SUD住宅计划,建议对计划外排放的定义和文档进行标准化.
- 进一步调查减少意外排放的危害降低策略和基于理事会的方法的有效性是有必要的.
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