对模拟在服务改进政策制定中的作用进行定性评估。
A qualitative evaluation of the role of simulation in policy development for service improvement.
作者信息
Blanks Thomas, Woodier Nicholas, Baxendale Bryn, Fores Mark, Fullerton Lynn
机构信息
Trent Simulation and Clinical Skills Centre, Medical Centre, Nottingham, UK.
Nottingham University Hospitals NHS Trust, Trent Simulation & Clinical Skills Centre, QMC Campus, Nottingham, UK.
出版信息
BMJ Simul Technol Enhanc Learn. 2017 Dec 9;4(1):19-22. doi: 10.1136/bmjstel-2017-000219. eCollection 2018.
OBJECTIVE
To evaluate the efficacy of simulation-based techniques to prospectively assess developing polices prior to implementation.
METHODS
A self-selected sample of nursing staff from a local, acute hospital reviewed a draft intravenous drug administration policy before simulating drug administration of either an infusion or direct injection. The participants completed a postsimulation questionnaire regarding the new policy and simulation, took part in a semistructured interview and were observed during the simulation with their consent.
RESULTS
10 staff attended the simulation. The emergent themes identified a wide range of factors relating to the everyday usability and practicalities of the policy. There were issues surrounding inconsistent language between different clinical teams and training requirements for the new policy.
CONCLUSION
Simulation, using simple scenarios, allows the safe evaluation of new policies before publication to ensure they are appropriate for front-line use. It engages staff in user-centred design in their own healthcare system.
目的
评估基于模拟的技术在实施前对制定中的政策进行前瞻性评估的效果。
方法
从当地一家急症医院自行选取的护士样本，在模拟静脉给药（输注或直接注射）之前审查了一份静脉给药政策草案。参与者完成了一份关于新政策和模拟的模拟后调查问卷，参加了半结构化访谈，并在获得他们同意的情况下在模拟过程中接受观察。
结果
10名工作人员参加了模拟。新出现的主题确定了与该政策的日常可用性和实用性相关的广泛因素。不同临床团队之间存在语言不一致以及新政策培训要求等问题。
结论
使用简单场景进行模拟，可以在新政策发布前进行安全评估，以确保其适合一线使用。它让工作人员参与到他们自己医疗系统中以用户为中心的设计。
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