一个以人为中心的结果措施为基础的质量改进计划的过程评估在中国大陆的医院息护理中
Yunyun Dai1,2, Jinfeng Ding3, Yongyi Chen4
1Faculty of Science, Medicine and Health, University of Wollongong, 239 Squires Way, Wollongong, NSW, 2522, Australia.
概括
中国的息护理临床医生成功地整合了息护理结果协作 (PCOC) 模型,显示出强烈的坚持. 可持续性的教训包括将PCOC模型与工作流程结合起来,并加强临床医生的支持.
科学领域:
- 息护理研究 息护理研究
- 改善医疗保健质量 改善医疗保健质量
- 实施科学 实施科学
背景情况:
- 息治疗对于改善严重疾病患者的生活质量至关重要.
- 息护理成果协作 (PCOC) 模型为标准化护理和质量改进提供了一个框架.
- 了解临床医生的经验是成功整合模型的关键.
研究的目的:
- 探索中国息护理临床医生整合PCOC模型的经验.
- 确定影响PCOC模型成功实施和可持续性的因素.
- 为未来在类似环境中采用PCOC模型吸取教训.
主要方法:
- 一个解释性的混合方法研究,将半结构面试和临床文档分析结合起来.
- 规范化过程理论 (NPT) 指导了定性数据分析.
- 定性数据使用了诱导和演的内容分析;定量数据以频率和百分比形式呈现.
主要成果:
- 超过一半的临床医生在六个月内报告了成功的PCOC模型集成.
- 观察到强烈的临床执法:所有住院患者被评估,75%的临床医生参与.
- NPT构造揭示了关键的成功因素:感知价值,有效评估,支持网络和工作流程对齐.
结论:
- 在基于PCOMs的质量改进计划实施中,建议采用"自上而下"然后"自下而上"的方法.
- 可持续性取决于展示价值,调整工作流程,避免增加工作量.
- 优先考虑临床医生的知识,自我效能,以及在新兴的息护理环境中的多学科合作.
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