对加拿大质量改进协作的多站点案例研究评估的研究协议,以改善社区卫生服务中的婴儿友好实践
Sarah E Turner1, Jennifer E Enns2, Emma Seager3
1Manitoba Centre for Health Policy, University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada Nathan.Nickel@umanitoba.ca sarah.turner@umanitoba.ca.
BMJ open
|December 10, 2025
概括
本研究开发和评估了一项质量改善协作,以加强加拿大社区卫生机构的婴儿友好倡议 (BFI) 十步计划. 目标是改善家庭的母乳养支持和结果.
科学领域:
- 公共卫生 公共卫生
- 改善医疗保健质量 改善医疗保健质量
- 孕产妇和儿童的健康
背景情况:
- 许多加拿大家庭面临着挑战,尽管启动率很高,但在六个月内完全母乳养仍然存在挑战.
- 为支持母乳养而设立的婴儿友好倡议 (BFI) 十步计划在社区环境中受欢迎程度较低.
- 需要在社区卫生服务中优化BFI的实施策略.
研究的目的:
- 开发和评估一个质量改善协作 (CBFI-C) 以在社区卫生环境中实施BFI十步.
- 确定有效的策略,以支持在加拿大各地的不同社区环境中采用BFI十步.
- 最终改善母乳养的开始和持续率.
主要方法:
- 利用医疗保健信息突破系列研究所 (IHI-BTS) 模型,结合虚拟学习课程和行动周期.
- 在加拿大各地参与了25个社区卫生服务.
- 采用多站点案例研究方法,收集综合护理指标数据和来自网络研讨会,重点小组和研讨会的定性数据.
主要成果:
- 该研究协议概述了评估社区婴儿友好倡议协作 (CBFI-C) 的方法.
- 数据收集包括护理指标,母乳养结果和参与者的定性反.
- 该评估旨在了解CBFI-C模型如何促进BFI十步实施.
结论:
- 这些发现将为有效的质量改进策略提供信息,以加强BFI在社区卫生环境中的采用.
- 结果将通过报告,出版物和演讲传播,以告知政策和实践.
- 预计在社区环境中成功实施BFI十步计划将改善加拿大家庭的母乳养结果.
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