应用行为变化理论来制定护士发起的紧急部门协议的实施策略
Julie Gawthorne1,2, Andrea McCloughen1, Justine Branch2
1Faculty of Medicine and Health, The University of Sydney Susan Wakil School of Nursing and Midwifery, Camperdown, New South Wales, Australia.
Journal of advanced nursing
|September 3, 2025
概括
这项研究开发了一种基于理论的策略,以改善急诊室的护士启动的协议. 关键策略包括教育和临床冠军,增强自主性和减少护理延迟.
科学领域:
- 实施科学
- 护理工作
- 行为变化理论
背景情况:
- 由于患者需求增加和资源有限,急诊室面临巨大压力,导致等待时间延长.
- 护士发起的方案提高了效率和护理,但由于缺乏行为变化理论的整合,
- 现有的实施策略往往忽视了影响临床医生的复杂因素.
研究的目的:
- 制定一种基于行为变化理论的实施策略,以提高护士在急诊室内采取的方案.
- 解决理解和应用行为科学的差距,以实施护士发起的协议.
主要方法:
- 一个基于框架的干预设计使用了行为变化轮和理论领域框架.
- 识别了使用协议的障碍和促进因素,并将它们与干预功能和行为改变技术进行了映射.
- 应用了APEASE标准以优化拟议战略的可行性.
主要成果:
- 使用COM-B框架确定了9个障碍和10个推动因素,并将它们映射到理论领域框架中.
- 选择了8种干预功能,导致24种行为改变技术和23种交付方式.
- 关键策略包括教育,临床冠军,文档变更,审计和反以及领导层参与,所有这些都被利益相关者确认是可行的.
结论:
- 在紧急情况下成功实施护士发起的协议, 基于理论的,具体的策略至关重要.
- 这种方法为克服障碍和改善医疗保健成果提供了实用且可复制的框架.
- 未来的研究应该集中在测试这些战略的长期影响和跨不同医疗环境的可扩展性.
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