计划基础设施在维护退伍军人护理协调计划中的作用:定性研究
Lexus Ujano-De Motta1,2, Marina McCreight1,2, Lauren McKown1,2
1Author Affiliations: United States Department of Veterans Affairs (VA), VA Eastern Colorado Health Care System, Denver-Seattle Center of Innovation (COIN), Aurora, Colorado (Mrs Ujano-De Motta, Mrs McCreight, Dr McKown, Mrs Morgan, Dr Daus, Mrs. Sjoberg, Mr Klocko, Dr Leonard, Dr.Jones); Division of General Internal Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado (Dr Daus); Division of Health Care Policy and Research, University of Colorado Anschutz Medical Campus, Aurora, Colorado (Dr Leonard), and.
转变护士计划的维持依赖于计划基础设施. 关键因素包括护士角色,领导支持,财务和社会工作整合,以有效协调护理.
科学领域:
- 医疗保健管理的管理
- 护理研究 护理研究
- 计划实施方案实施方案
背景情况:
- 计划基础设施对于护理协调倡议的长期成功至关重要.
- 在临床环境中现有的程序基础架构模型尚未得到充分理解.
研究的目的:
- 探索一线护士对维持基于证据的转型护士计划的看法.
- 从实施者的角度来看,确定方案维持的促进者和障碍.
主要方法:
- 与7名护士实施者进行了半结构化采访.
- 利用代的,以团队为基础的内容分析 (演和归纳) 来进行数据解释.
主要成果:
- 确定了四个关键的项目基础设施因素:双重护士角色,领导支持,财务方面和社会工作合作.
- 护士双重角色的细微差别显著影响了该计划的可持续性.
结论:
- 过渡护士计划的可持续性受到其基础设施组件的相互作用的影响.
- 关于护士角色配置的领导决策对于计划的维持至关重要.
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