取消低价值家庭护理服务的实施:一个效果和过程评估
Milou Cremers1, Lisette Schoonhoven2,3, Leti van Bodegom-Vos4
1Department of Internal Medicine, Section Nursing Science, Erasmus MC, University Medical Center Rotterdam, Dr. Molewaterplein 40, Rotterdam, 3015 GD, the Netherlands.
Implementation science communications
|October 2, 2025
概括
使用撤销大使的量身定制策略显著减少了低价值的家庭护理. 让客户参与并提供保证是成功的关键,增强医疗保健的独立性和可持续性.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 提高质量 提高质量
背景情况:
- 随着家庭护理需求的增加,需要减少低价值护理,以获得可持续的医疗保健.
- 低价值护理包括无效,低效,不受欢迎或有害的做法.
- 这项研究评估了一种减少低价值家庭护理的策略.
研究的目的:
- 评估量身定制的,多方面的撤销战略对减少低价值的家庭护理服务的影响.
- 确定有效的撤销实施策略和影响因素.
- 评价退出执行大使的作用.
主要方法:
- 有前后研究的前性,多中心,融合的并行混合方法设计.
- 使用了覆盖范围-有效性-采用-实施-维护 (RE-AIM) 框架.
- 通过客户记录和通过与医疗保健专业人员的采访,通过质量评估护理减少.
主要成果:
- 低价值护理的显著减少:每周130小时的淋浴/洗/穿衣,每周54小时的压缩帮忙,每周8小时的带更换.
- 关键策略包括客户/亲属参与,信息会议和专业间合作.
- 放心和逐步的方法促进了采用;大使们是有承诺的,但发现作用很强烈.
结论:
- 部署反实施大使和定制战略有效地减少了低价值的家庭护理.
- 客户和相对参与,以及放心,证明有利于撤销实施.
- 该研究强调了在家庭护理环境中提高效率和客户独立性的成功方法.
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