方法和流程,以开发和提供一个理论知情的教育计划,以持续的行为改变在紧急护理的方法和流程
Julie Considine1,2, Belinda Kennedy3, Margaret Murphy3,4
1School of Nursing and Midwifery and Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.
PloS one
|June 6, 2025
概括
一个以理论为基础的教育计划成功支持在澳大利亚紧急部门实施HIRAID®框架. 这种方法为复杂的医疗保健环境中的行为改变举措提供了一个模型.
科学领域:
- 护理教育 护理教育
- 改善医疗保健质量 改善医疗保健质量
- 在医疗保健中的行为科学.
背景情况:
- HIRAID® (包括感染风险,红旗,评估,干预,诊断,沟通和重新评估在内的历史) 是一个基于证据的框架,旨在提高紧急护理的安全性,质量和患者体验.
- 该框架在29个澳大利亚急诊部的修改后的阶梯集群随机对照试验中实施.
研究的目的:
- 描述基于理论的教育计划的开发和交付,旨在促进HIRAID®实施的行为变化.
- 概述创建和传播教育干预的方法和流程相关方面.
主要方法:
- 该计划的开发整合了现有的HIRAID®研究,行为变化轮和理论领域框架,以确定实施障碍和推动因素.
- 应用了包括建设性对齐,倒向设计,脚手架学习,布鲁姆分类学和主动/协作学习在内的教育理论.
- 澳大利亚的安全,质量,临床治理和急诊护理标准,以及来自670名护士的行为诊断数据,为该计划的设计提供了信息.
主要成果:
- HIRAID®教育计划包括提供者和导师课程,通过"培训培训师"模式提供.
- 在2021年2月至2023年3月期间,15个讲师课程培训了162名参与者.
- 到2023年11月,超过1300名急诊护士完成了HIRAID®提供者课程.
结论:
- 一个以理论为基础的教育策略使得能够创建一个结构化的程序,适合复杂的急诊室环境.
- 这种方法为寻求在具有挑战性的临床环境中推动行为改变的研究人员提供了可复制的蓝图.
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