在使用实施科学综合框架的丹麦一般实践中实施15方法的决定因素
Peter Næsborg Schøler1,2,3, Jens Søndergaard4, Sanne Rasmussen4
1Unit for Clinical Alcohol Research, Research Unit of Psychiatry, Department of Clinical Research, University of Southern Denmark, Odense, Denmark. pscholer@health.sdu.dk.
在丹麦的一般实践中,对酒精问题的15种方法的实施是可行的. 解决专业能力和患者动机等障碍是成功整合和治疗的关键.
科学领域:
- 实施科学 实施科学
- 初级护理研究初级护理研究
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 过度饮酒是一个全球性的健康问题,在初级保健机构中经常被忽视.
- 15方法提供了一个结构化的方法,用于机会性查和治疗与酒精有关的问题.
- 激励面试和查,简要干预和转诊治疗框架是15方法的基础.
研究的目的:
- 评估医疗保健专业人员对丹麦一般实践中15方法实施决定因素的看法.
- 使用实施研究综合框架 (CFIR) 将这些决定因素分类.
主要方法:
- 这是一项定性研究,涉及12个诊所的28名全科医生和护士.
- 在CFIR框架的指导下进行半结构面试.
- 有针对性的内容分析,以识别和评估实施的决定因素.
主要成果:
- 促进者包括15种方法的适应性,证据基础和兼容性.
- 参与实践的障碍是结构特征和当地条件.
- 患者动机和医疗保健专业人员进行干预的能力之间存在关键紧张关系.
结论:
- 15个方法在丹麦的一般实践中是可行的,但需要解决已识别的障碍.
- 需要量身定制的,多方面的实施策略,以提高医疗保健专业人员的能力和机会.
- 解决跨实践的上下文差异对于成功的干预提供至关重要.
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