评估项目层面康复促进的现场访问协议：来自退伍军人健康管理局的一个实例。
A site visit protocol for assessing recovery promotion at the program level: An example from the Veterans Health Administration.
机构信息
Center for Healthcare Organization and Implementation Research (CHOIR).
Social and Community Reintegration Research Program (SoCRR), Bedford VA Medical Center.
出版信息
Psychiatr Rehabil J. 2019 Sep;42(3):323-328. doi: 10.1037/prj0000369. Epub 2019 Jun 24.
OBJECTIVE
A site visit protocol was developed to assess recovery promotion in the organizational climate and culture of programs for veterans with serious mental illnesses.
METHOD
The protocol was pilot-tested in 4 programs: 2 that had scored high on the pilot version of a staff survey measure of program-level recovery promotion and 2 that had scored low. Two-person teams conducted onsite visits and assigned global and organizational domain ratings. Interrater agreement was assessed by examining adjacent agreement and computing weighted kappa.
RESULTS
The on-site protocol had good interrater agreement and discriminated between sites that scored high and low on the staff survey.
CONCLUSIONS AND IMPLICATIONS FOR PRACTICE
This site visit protocol and procedure shows promise for evaluating recovery promotion in milieu-based programs. After further refinement of this tool, adaptations could be developed for accreditation protocols or for program self-assessment and quality improvement efforts. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
目的
制定了一个现场考察协议，以评估退伍军人严重精神疾病项目的组织氛围和文化中的康复促进情况。
方法
该协议在 4 个项目中进行了试点测试：2 个项目在员工调查衡量计划层面康复促进的试点版本中得分较高，2 个项目得分较低。两人小组进行现场访问并分配全球和组织领域的评级。通过检查相邻协议和计算加权kappa 来评估评分者间的一致性。
结果
现场协议具有良好的评分者间一致性，并能区分员工调查得分高和低的地点。
结论和对实践的影响
这种现场考察协议和程序有望评估基于环境的项目中的康复促进情况。在进一步完善这一工具后，可以为认证协议或项目自我评估和质量改进工作开发适应性。
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