头脑书写预演：一种吸引利益相关者并识别实施前障碍的新型焦点小组方法。
Brainwriting Premortem: A Novel Focus Group Method to Engage Stakeholders and Identify Preimplementation Barriers.
作者信息
Gilmartin Heather, Lawrence Emily, Leonard Chelsea, McCreight Marina, Kelley Lynette, Lippmann Brandi, Coy Andrew, Burke Robert E
机构信息
Denver/Seattle Center of Innovation for Veteran-Centered and Value Driven Care, VA Eastern Colorado Healthcare System, Denver (Drs Gilmartin and Leonard, Mss Lawrence, McCreight, Kelley, and Lippmann, and Mr Coy); Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora (Dr Gilmartin); and Center for Health Equity Research and Promotion (CHERP), Corporal Crescenz VA Medical Center Philadelphia, Pennsylvania; and Hospital Medicine Section, Division of General Internal Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania (Dr Burke).
出版信息
J Nurs Care Qual. 2019 Apr/Jun;34(2):94-100. doi: 10.1097/NCQ.0000000000000360.
BACKGROUND
Many health care interventions encounter implementation challenges because of inadequate stakeholder engagement and identification of barriers. The brainwriting premortem technique is the silent sharing of written ideas about why an intervention failed. The method can engage stakeholders and identify barriers more efficiently than traditional brainstorming focus groups.
PURPOSE
We evaluated the method during a transition of care intervention in the Veterans Health Administration (VA). Clinicians from 10 VA facilities participated in 10 brainwriting premortem sessions.
METHODS
Using descriptive and content analytic methods, we assessed the quantity and quality of ideas generated, facilitator experience, and participant psychological safety.
RESULTS
In total, 217 unique ideas were generated. Many were deemed high quality. The written data were immediately available for analysis, allowing rapid feedback and real-time decision making. Participants reported high satisfaction and psychological safety.
CONCLUSION
The brainwriting premortem approach is a novel, efficient alternative to brainstorming focus groups that can rapidly inform program implementation at minimal cost.
背景
由于利益相关者参与不足和障碍识别不充分，许多医疗保健干预措施在实施过程中面临挑战。预演脑写作技术是对干预措施失败原因进行书面想法的无声分享。该方法比传统的头脑风暴焦点小组能更有效地让利益相关者参与并识别障碍。
目的
我们在退伍军人健康管理局（VA）的护理过渡干预期间评估了该方法。来自10个VA机构的临床医生参加了10次预演脑写作会议。
方法
我们使用描述性和内容分析方法，评估了产生的想法的数量和质量、主持人的经验以及参与者的心理安全感。
结果
总共产生了217个独特的想法。许多想法被认为质量很高。书面数据可立即用于分析，从而实现快速反馈和实时决策。参与者报告了高度的满意度和心理安全感。
结论
预演脑写作方法是一种新颖、高效的替代头脑风暴焦点小组的方法，它可以以最低的成本迅速为项目实施提供信息。
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