系统地分析44项干预中使用的行为改变技术,以减少医疗保健工作人员之间的不专业行为
Justin Aunger1,2, Bianca Ungureanu1,2, Jill Maben3
1NIHR Midlands Patient Safety Research Collaboration, University of Birmingham, Birmingham, United Kingdom.
Translational behavioral medicine
|October 15, 2025
概括
这项研究确定了针对非专业行为 (UB) 的医疗干预行为改变技术 (BCT). 应用BCT本体学可以提高报告和处理员工行为干预措施的有效性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 行为科学 行为科学
- 实施科学 实施科学
背景情况:
- 行为和实施科学框架对于设计有效的组织干预至关重要.
- 解决不专业行为 (UBs) 的干预措施,如医疗保健工作人员之间的粗鲁和欺凌,往往缺乏强大的设计框架.
- UBs对患者安全和员工福祉产生负面影响.
研究的目的:
- 确定针对医疗保健工作人员的非专业行为 (UBs) 的干预措施的积极组成部分.
- 应用行为改变技术 (BCT) 实体学来分类和理解这些干预措施.
- 基于之前对UB干预措施的现实主义审查.
主要方法:
- 更新了系统的文献搜索 (MEDLINE,Embase,CINAHL,Google Scholar) 时间至2024年7月.
- 提取干预描述并使用针对BCT本体学 (2024年5月版本,284个BCT) 的定向内容分析来编码它们.
- 包括前期审查和新搜索中的44项干预措施的47份报告.
主要成果:
- 干预措施被分为单次会议,多次会议,联合会议,专业问责制和结构化文化变革.
- 复杂的干预使用了更多的BCT;特定类型专注于提高意识,角色扮演,后果或以目标为导向的技术.
- 对负面结果的有限报告妨碍了了解哪些BCT是最有效的.
结论:
- BCT本体学适用于医疗保健中的组织行为变化.
- 复杂的干预措施包括基于结果和以目标为导向的BCT,但有效性需要更好的评估.
- 未来的干预措施应该采用BCT本体论,以改善报告和证明有效性.
相关概念视频
Healthcare Associated Infections II: Preventive Measures
3.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
3.6K
Behavior Modification
544
Behavioral approaches have often been criticized for ignoring mental processes and focusing solely on observable behavior. However, these approaches provide an optimistic perspective for individuals seeking to change their behaviors. Rather than concentrating on intrinsic personality traits, behavioral approaches suggest that even longstanding habits can be modified by changing the reward contingencies that maintain them.
A real-world application of operant conditioning principles is applied...
A real-world application of operant conditioning principles is applied...
544
Stress Prevention and Stress Management Techniques VI
239
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
239
Community Based Intervention
273
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
273
Operant Conditioning Intervention
454
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
454
Methods Of Healthcare Delivery System
4.0K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
4.0K

