Tregunno Deborah, Gordon Sandra, Gardiner-Harding Peter
RN, PhD, Associate Professor, School of Nursing, York University.
RN, MN, Assistant Professor, School of Nursing, Mount Royal University, Calgary, AB.
Nurs Leadersh (Tor Ont). 2010 Sep;23(3):56-68. doi: 10.12927/cjnl.2010.21942.
Measuring patient outcomes to assess quality and to support evidence-based decision-making has gained momentum over the last two decades. In Ontario, the Health Outcomes for Better Information and Care (HOBIC) initiative has become a part of the province's Information Management Strategy as a way to demonstrate the impact of nursing care on health outcomes. In fall 2006, HOBIC implementation began in early adopter sites with the goal of sharing lessons learned with other healthcare providers and organizations. This action learning study was undertaken in one of the early adopter sites to gain a greater understanding of the factors that support, or fail to support, the integration of HOBIC into professional practice. Participants reported a lack of confidence using HOBIC that they attributed to scarce resources for ongoing education and support. Together, we developed a simulation workshop aimed at enhancing communication skills to achieve more meaningful nurse-patient interaction during the HOBIC assessment. This paper focuses Canadian nurse leaders' attention on the reality that implementing HOBIC is far from straightforward. The real challenge in HOBIC implementation is not mastery of the technology per se, but support for nurses and their ability to adapt daily practice in order to maximize its functionality.
在过去二十年中，衡量患者预后以评估质量并支持基于证据的决策制定已成为一种趋势。在安大略省，“改善信息与护理健康结局”（HOBIC）倡议已成为该省信息管理战略的一部分，以此来展示护理对健康结局的影响。2006年秋季，HOBIC在早期采用地点开始实施，目的是与其他医疗保健提供者和组织分享经验教训。这项行动学习研究在其中一个早期采用地点进行，以更深入地了解支持或不支持将HOBIC融入专业实践的因素。参与者报告称，他们使用HOBIC缺乏信心，将其归因于持续教育和支持的资源稀缺。我们共同开发了一个模拟研讨会，旨在提高沟通技巧，以便在HOBIC评估期间实现更有意义的护患互动。本文将加拿大护士领导者的注意力集中在一个现实情况上，即实施HOBIC远非易事。HOBIC实施中的真正挑战并非掌握技术本身，而是对护士的支持以及他们调整日常实践以最大限度发挥其功能的能力。
