针对审计产生的围产期护理改进的量身定制实施战略的评估
Ien van der Woerdt-Eltink1,2, Andrea Drost3, Gera Welker4
1Obstetrics and Gynecology, University Medical Centre Groningen, Groningen, Netherlands iwoerdt@gmail.com.
该ACTion方法提高了产周护理专业人员的知识和技能,从而成功实现了审计驱动的改进目标. 这种方法提高了护理质量和在孕产妇和产周环境中的专业间合作.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 围产儿医学 围产儿医学
- 实施科学 实施科学
背景情况:
- 围产期审计确定了需要改进的领域,但实施往往是具有挑战性的.
- 作为一个七步计划-执行-检查-行动的循环,ACTion方法是为了促进针对性地实施护理改进而开发的.
- 这项研究评估了ACTion方法在荷兰围产合作小组 (PCG) 的有效性.
研究的目的:
- 评估ACTion方法在实施审计驱动改进目标方面的有效性.
- 评估ACTion方法对产周护理专业人员的知识,技能和动机的影响.
- 确定影响改进目标实施的因素.
主要方法:
- 综合评估采用混合方法设计.
- 使用统计方法对参与者的知识,技能和动机进行定量分析.
- 通过采访对影响因素进行定性诱导主题分析.
主要成果:
- 在所有11个PCG中组成了多学科ACtion团队,86%的成员完成了培训.
- 观察到知识和技能的显著改善 (平均得分从2.53增加到3.70,p<0.001).
- 在98个改进目标中,有47%被完全实现,主动的关键人员和持续的指导至关重要;时间和承诺被确定为障碍.
结论:
- 该ACTion方法提供了一个有价值的框架,用于实施审计驱动的改善在孕产妇和产周护理.
- 本地定制的交互式方法增强了专业间的合作和理解.
- 有效实施需要持续的支持和解决资源限制.
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