成功实施IDEAS的有差异的条件:为职业治疗从业者提供耻辱减轻培训,并由职业治疗从业者提供
Sally Wasmuth1, Dawn Bravata2, Edward Miech3
1Sally Wasmuth, PhD, OTR, is Associate Professor, Occupational Therapy, Indiana University, Indianapolis, and Research Scientist, Roudebush VA Center for Health Information & Communication, Indianapolis, IN; swasmuth@iu.edu.
概括
认同发展进化与共享 (IDEAS) 计划的成功实施取决于高质量的培训材料和强大的外部促进. 这些因素对于职业治疗师来说至关重要,以有效地减少提供者耻辱,并促进医疗保健公平.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 职业疗法 职业疗法 职业疗法
- 实施科学 实施科学
背景情况:
- 认同发展,进化和共享 (IDEAS) 是一种以证据为基础的职业治疗干预措施,旨在减少提供者耻辱,提高医疗保健公平性.
- 有效实施IDEAS对于其在促进公平和包容性医疗保健实践方面的成功至关重要.
- 确定影响IDEAS实施的关键因素对于优化其影响至关重要.
研究的目的:
- 确定在职业治疗环境中成功实施IDEAS干预的关键条件.
- 检查实施促进者与IDEAS在减少提供者耻辱感方面的有效性之间的关系.
主要方法:
- 这项研究涉及九个职业治疗临床场所,从58名参与者 (包括辅导员,员工和管理人员) 收集了数据.
- 数据来源包括采访 (使用实施研究综合框架),验证尺度 (AIM,IAM,FIM) 和接受和行动问卷-Stigma.
- 采用巧合分析,确定直接影响实施成功和干预有效性的关键差异化因素.
主要成果:
- 确定了成功实施IDEAS的两个主要差异化因素:干预的设计和包装质量,以及外部促进的影响.
- 当场地要么具有强大的设计质量和包装,要么设计质量较低与强大的外部促进相结合时,就能实现成功的实施.
- 对IDEAS计划的积极看法和对工作场所的接受文化也与更好的干预结果有关.
结论:
- 除了选择有效的干预措施外,职业治疗从业者对实施因素的仔细考虑对于改善临床实践和客户结果至关重要.
- 优化干预措施的设计和包装,以及提供强大的外部便利,可以显著提高成功采用基于证据的实践,如IDEAS.
- 这些发现强调了实施科学在弥合基于证据的干预措施和现实世界医疗保健环境之间的差距,以实现健康公平的重要性.
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