使用代码设计来支持在欧洲实施助产单位的实施
Laura Batinelli1, Christine McCourt1, Manila Bonciani2
1Centre for Maternal and Child Health Research, School of Health Sciences, City St George's, University of London, 1 Myddelton Street, London EC1R 1UW, United Kingdom.
实施助产科单位 (MUs) 是一种安全且具有成本效益的产妇护理模式. 涉及专业人员和服务用户的代码设计方法成功支持意大利过渡到新的MU.
科学领域:
- 产妇护理模式 产妇护理模式
- 医疗保健 实施 科学 科学
- 以患者为中心的护理
背景情况:
- 助产单位 (MUs) 提供安全,经济高效的产妇护理,改善产后结果和满意度.
- 欧洲国家越来越关注MU的实施,这些国家寻求更好地利用医疗保健资源.
- 有限的研究存在于实施助产单位的实际方面.
研究的目的:
- 观察和支持意大利新助产单位的实施过程.
- 共同设计一个实施计划,从一个产科领导的单位过渡到一个集成的模型与一个MU.
- 让各种各样的利益相关者参与开发一种新的产妇护理模式.
主要方法:
- 采用了四个阶段的参与行动研究 (PAR) 项目.
- 使用了代码设计原则,涉及产妇专业人员,管理人员和服务用户.
- 在线聚焦小组和电子调查促进了利益相关者的参与.
主要成果:
- 确定了实施的十个关键主题,包括团队愿景,多学科合作和助产士领导的护理.
- 对低风险妇女产后护理指南和有效的风险评估是优先考虑的.
- 服务用户对拟议的举措和MU模型表示强烈支持.
结论:
- 这项研究开创了使用代码设计和PAR与MU实施的全面利益相关者小组的先驱.
- 合作的代码设计方法对于实施过程来说非常有价值.
- 结果和方法可适应,并可能对国际环境有益.
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