开发GreenIF:在医疗机构中确定基于自然的干预措施的实施因素的框架
Rosanne Steensma1, Nicole van den Bogerd1, Karin Dijkstra2
1Faculty of Behavioural and Movement Sciences, Department of Clinical, Neuro- & Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
基于自然的干预措施 (NBIs) 可以改善医疗机构的健康和福祉. 这项研究开发了绿色实施框架 (GreenIF),以指导NBIs的成功设计和实施,最大限度地提高其效益.
科学领域:
- 医疗保健设计 医疗保健设计
- 环境心理学 环境心理学
- 实施科学 实施科学
背景情况:
- 基于自然的干预措施 (NBIs) 显示出改善医疗保健中患者和工作人员福祉的希望.
- 在医疗保健环境中有效实施NBIs受到关键影响因素知识的缺乏所阻碍.
- 由于NBI的利用不足,因此需要对NBI在医疗环境中整合的结构性指导.
研究的目的:
- 制定一个全面的框架,以确定NBI的关键实施因素.
- 创建适用于各种医疗保健机构的工具,包括医院,老年护理机构和康复中心.
- 解决关于成功设计和实施NBIs在医疗保健方面的知识短缺问题.
主要方法:
- 一个两轮的德尔菲研究,第一轮有33名专家参加,第二轮有21名专家参加.
- 专家们收集了有关潜在实施因素的意见,并通过文献和实施研究综合框架 (CFIR) 进行了补充.
- 在对NBI实施至关重要的因素上达成共识,导致制定新的框架.
主要成果:
- 确定了一套最初的99个实施因素,重点关注与设计相关的元素.
- 在专家审查和共识之后,98个因素被保留为NBI实施的重要因素.
- 开发了绿色实施框架 (GreenIF),巩固了这些关键因素.
结论:
- 绿色实施框架 (GreenIF) 提供了一种结构化的方法,用于确定在医疗保健中成功实施NBI的因素.
- 该框架可以指导医疗保健机构设计和实施NBIs,以提高其利用率和效益.
- 绿色投资基金为最大限度地提高自然对医疗保健机构健康和福祉的积极影响提供了宝贵的资源.
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