Chorney Jill, Johnson Emberly Debbie, Jeffrey Jennifer, Hundert Amos, Pakkanlilar Onur, Abidi Sabina, Bagnell Alexa, Brennan Maureen, Campbell Leslie Anne, Clark Sharon, Bradley Kristina, Ross Olivia
Department of Psychiatry, Dalhousie University, Halifax, NS, Canada.
Mental Health and Addictions Program, IWK Health, Halifax, NS, Canada.
JMIR Form Res. 2023 Feb 6;7:e39334. doi: 10.2196/39334.
Mental health and addictions (MHA) care is complex and individualized and requires coordination across providers and areas of care. Knowledge management is an essential facilitator and common challenge in MHA services.
This paper aimed to describe the development of a knowledge management system (KMS) and the associated processes in 1 MHA program. We also aimed to examine the uptake and use, satisfaction, and feedback on implementation among a group of pilot testers.
This project was conducted as a continuous quality-improvement initiative. Integrated stakeholder engagement was used to scope the content and design the information architecture to be implemented using a commercially available knowledge management platform. A group of 30 clinical and administrative staff were trained and tested with the KMS over a period of 10 weeks. Feedback was collected via surveys and focus groups. System analytics were used to characterize engagement. The content, design, and full-scale implementation planning of the KMS were refined based on the results.
Satisfaction with accessing the content increased from baseline to after the pilot. Most testers indicated that they would recommend the KMS to a colleague, and satisfaction with KMS functionalities was high. A median of 7 testers was active each week, and testers were active for a median of 4 days over the course of the pilot. Focus group themes included the following: the KMS was a solution to problems for staff members, functionality of the KMS was important, quality content matters, training was helpful and could be improved, and KMS access was required to be easy and barrier free.
Knowledge management is an ongoing need in MHA services, and KMSs hold promise in addressing this need. Testers in 1 MHA program found a KMS that is easy to use and would recommend it to colleagues. Opportunities to improve implementation and increase uptake were identified. Future research is needed to understand the impact of KMSs on quality of care and organizational efficiency.
心理健康与成瘾（MHA）护理复杂且具个性化，需要各提供者及护理领域间的协调。知识管理是MHA服务中的关键促进因素及常见挑战。
本文旨在描述一个知识管理系统（KMS）在一个MHA项目中的开发及相关流程。我们还旨在研究一组试点测试者对该系统的采用与使用情况、满意度及对实施的反馈。
本项目作为一项持续质量改进举措开展。通过整合利益相关者参与来确定内容范围，并设计将使用市售知识管理平台实施的信息架构。一组30名临床和行政人员在10周内接受了KMS培训并进行测试。通过调查和焦点小组收集反馈。使用系统分析来描述参与情况。根据结果对KMS的内容、设计和全面实施计划进行完善。
从基线到试点结束后，对内容获取的满意度有所提高。大多数测试者表示会向同事推荐KMS，对KMS功能的满意度较高。每周活跃的测试者中位数为7人，在试点过程中，测试者活跃天数的中位数为4天。焦点小组的主题包括：KMS是解决工作人员问题的方案、KMS的功能很重要、高质量的内容很关键、培训有帮助且可改进、KMS访问需要简便且无障碍。
知识管理在MHA服务中是持续需求，KMS有望满足这一需求。一个MHA项目中的测试者发现了一个易于使用的KMS，并会向同事推荐。确定了改进实施和提高采用率的机会。需要未来的研究来了解KMS对护理质量和组织效率的影响。
