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运用欣赏式探询优化农村基层医疗机构临床骨干人员人本关怀培训项目

Using Appreciative Inquiry to Optimize a Person-Centered Care Training Program for Clinical Champions in Rural Critical Access Hospitals.

出版信息

J Gerontol Nurs. 2021 Aug;47(8):7-12. doi: 10.3928/00989134-20210706-01. Epub 2021 Aug 1.

DOI:10.3928/00989134-20210706-01
PMID:34309449
Abstract

Person-centered care (PCC) involves shared decision-making between the individual and provider and is widely recognized as the gold standard of care. However, not all organizations have successfully implemented PCC, especially those in rural settings with limited resources. Implementation strategies, such as clinical champions, are key to PCC uptake. The purpose of the current article is to illustrate how Appreciative Inquiry, a strengths-based framework for transformational change, can be used to optimize a successful PCC champion training program. Appreciative Inquiry employs the quality improvement processes of (a) define, (b) discover, (c) dream, (d) design, and (e) deliver/destiny. Using Appreciative Inquiry, we were able to identify three new long-term goals and add supporting features to an existing champion training program. The methods developed herein could be implemented by researchers and evidence-based practice councils to improve the care of older adults in any care setting to make it more person-centered. [(8), 7-12.].

摘要

以患者为中心的护理(PCC)涉及患者和医务人员之间的共同决策,被广泛认为是护理的金标准。然而,并非所有组织都成功实施了 PCC,特别是在资源有限的农村地区。实施策略,如临床拥护者,是 PCC 采用的关键。本文的目的是说明如何利用欣赏式探询(一种用于变革的基于优势的框架)来优化成功的 PCC 拥护者培训计划。欣赏式探询采用了质量改进流程:(a)定义、(b)发现、(c)梦想、(d)设计和 (e)交付/命运。使用欣赏式探询,我们能够确定三个新的长期目标,并为现有的拥护者培训计划添加支持功能。本文中开发的方法可以由研究人员和循证实践委员会实施,以改善任何护理环境中老年人的护理,使其更加以患者为中心。[(8), 7-12.]。

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