了解主要创伤服务的经验,上下文因素和实施结果:一种定性研究
Frances Williamson1, Jessica Killey2, David Rodwell3
1Trauma Service, Royal Brisbane and Women's Hospital, Herston, QLD 4029, Australia; Faculty of Medicine, The University of Queensland, Herston, QLD 4006, Australia; Jamieson Trauma Institute, Metro North Health, Herston, QLD 4029, Australia.
优化创伤护理团队需要解决系统性障碍并促进协作. 关键策略包括重组服务,利益相关者参与,并倡导资源以改善以患者为中心的护理服务.
科学领域:
- 创伤护理 创伤护理
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
背景情况:
- 最佳的创伤护理依赖于跨学科的团队,但团队组成和护理模式各不相同.
- 了解上下文因素对于优化创伤服务模型至关重要.
研究的目的:
- 探索影响创伤服务模式优化的因素.
- 提出解决已识别的障碍和促进者的战略.
- 了解创伤服务模型的实施结果.
主要方法:
- 采用了混合的定性诱导和演设计.
- 用解释性描述和实施研究综合框架 (CFIR 2.0) 分析了与工作人员和患者的采访.
- 实施策略与实施变革专家建议 (ERIC) 领域进行了映射.
主要成果:
- 十二名工作人员和六名患者的采访揭示了"与人联系",整体患者护理,团队凝聚力和系统集成的主题.
- 创伤服务改善了连续性和以患者为中心的护理,但面临着来自医院态度,领导力变化和员工短缺的挑战.
- 患者对服务的看法是积极的,而工作人员对接受性和可持续性有不同的看法;确定了14个实施策略.
结论:
- 最佳的创伤护理强调人与人之间的联系,整体的患者护理,并利用个人和集体的优势.
- 调查结果为设计或重新设计创伤服务提供了见解,以减轻风险并确保有效提供.
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