一种基于证据的方法来规划从专业脑损伤康复医院出院的计划:使用PRECEDE-PROCEED模型进行混合方法研究
Liana S Cahill1, Lauren J Christie2, Danielle Sansonetti3
1School of Allied Health, Australian Catholic University, Melbourne, Vic, Australia; and Allied Health, Alfred Health, Melbourne, Vic, Australia.
概括
改善成年人获得性脑损伤 (ABI) 的住院康复治疗,需要解决诸如计划不一致和沟通缺口等障碍. 合作解决方案侧重于明确的途径,增强家庭参与,以及更好的资金获取.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 从住院康复转向社区生活的过渡对获得性脑损伤 (ABI) 的成年人来说带来了重大挑战.
- 基于证据的放电实践对于成功的社区重新融入至关重要.
- 障碍往往阻碍有效的排放规划和执行在ABI康复设置.
研究的目的:
- 调查在住院ABI康复中基于证据的出院实践的障碍.
- 与医疗保健专业人员和外部利益相关者合作设计实施解决方案.
- 增强ABI成年人过渡到社区生活的出院过程.
主要方法:
- 在理论问题分析中使用 PRECEDE-PROCEED 模型.
- 通过审计,调查和重点小组对数据进行了三角分析.
- 参与了47名医疗保健专业人员和14名外部利益相关者在住院ABI康复.
主要成果:
- 确定了预处理障碍:计划不一致和员工知识有限.
- 确定了促成障碍:适应和融资方面的挑战.
- 确定了加强障碍:沟通问题,以及不同的家庭和护理参与.
- 关键的促进者包括明确的沟通,情绪调整支持和早期获得资金.
结论:
- 基于理论的协作方法对识别排放障碍是有效的.
- 建议的解决方案包括标准化的排放路径和检查清单.
- 强调需要明确会议目标,增加家庭和护理人员的参与,以优化出院流程.
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