调整:一项混合方法研究,评估临床医生对基于测量的护理培训的看法及其与培训后使用技能的关联
Elizabeth A Penix-Smith1, Kristina M Clarke-Walper1, Katie L Nugent1
1Center for Military Psychiatry and Neurosciences, Walter Reed Army Institute of Research.
Psychotherapy (Chicago, Ill.)
|March 2, 2026
概括
临床医师培训的看法强烈预测基于测量的护理 (MBC) 吸收. 虽然症状测量措施得到了一致的使用,但联盟措施滞后,突出了需要整合临床医生的反,以更好地实施MBC.
科学领域:
- 临床心理学 临床心理学
- 医疗保健实施科学 医疗保健实施科学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 基于测量的护理 (MBC) 对于有效的治疗至关重要,但临床医生对其培训和实施的看法仍未得到充分研究.
- 了解临床医生的看法对于推进MBC培训和采用至关重要.
- 目前的研究缺乏关于临床医生的观点如何影响实践中MBC吸收的洞察力.
研究的目的:
- 评估临床医生对MBC培训的看法.
- 评估培训后的MBC使用情况,重点关注症状和联盟措施.
- 确定MBC吸收的预测因素,将培训经验与持续实践联系起来.
主要方法:
- 一项混合方法研究,涉及调查 (N=366) 和国防部环境中的临床医生的定性分析.
- 立即和培训后1个月收集的定量数据.
- 使用贝叶斯逻辑回归和反射主题分析.
主要成果:
- 大多数临床医生认为MBC培训是相关的和有用的,报告使用症状和联盟措施的高度信心.
- 持续使用症状措施 (65.9%) 显著超过联盟措施 (26.2%).
- 更高的培训相关性,有用性和感知到的学习促进了MBC的使用,而纪律和导向并没有预测吸收.
结论:
- 临床医师培训的看法与MBC的采用直接相关,强调需要纳入前线观点.
- 在应用环境中一致使用联盟措施方面存在一个显著的差距.
- 结果为优化MBC培训和实施策略提供了关键的见解.
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