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共同学习与发展以提升养老院护理质量,赏识性探询是关键吗?

Learning and Developing Together for Improving the Quality of Care in a Nursing Home, Is Appreciative Inquiry the Key?

作者信息

Van Graas Regula, Gobbens Robbert J

机构信息

Faculty of Health, Sports, and Well-Being, Inholland University of Applied Sciences, De Boelelaan 1109, 1081 HV Amsterdam, The Netherlands.

Zonnehuisgroep Amstelland, 1186 AA Amstelveen, The Netherlands.

出版信息

Healthcare (Basel). 2023 Jun 24;11(13):1840. doi: 10.3390/healthcare11131840.

Abstract

To investigate the impact of Appreciative Inquiry (AI) on learning and developing together for improving the quality of care in a nursing home, and to explore experiences following the four phases of the AI cycle, an AI was performed as part of participative action research. Interviews, group discussions, creative methods of storytelling, and reflections were used in the AI sessions. Staff members were interviewed to evaluate the AI process. All of the interviews were recorded and transcribed. Data were analyzed thematically using Maxqda and were discussed by the interviewers until consensus was reached. The sessions resulted in ten action proposals to improve healthcare. One proposal was worked out in agreements on cooperation. The evaluation revealed that the sessions have given a boost to the team spirit, and involvement at the location leading to more cooperation and communication during the shifts. The evaluation indicated that it is important to convert the action plans of the sessions into actions, which are then evaluated. AI was advised as a way of learning where everyone is involved, and mutual agreements are made. This study has shown that AI can be a valuable way to support learning and development to promote the quality of care in a nursing home.

摘要

为了调查赏识性探询(AI)对养老院共同学习与发展以提高护理质量的影响,并探索在AI循环的四个阶段后的体验,开展了一项AI作为参与式行动研究的一部分。在AI环节中采用了访谈、小组讨论、创造性的讲故事方法以及反思。对工作人员进行访谈以评估AI过程。所有访谈均进行了录音和转录。使用Maxqda对数据进行主题分析,并由访谈者进行讨论,直至达成共识。这些环节产生了十项改善医疗保健的行动建议。其中一项建议形成了合作协议。评估显示,这些环节增强了团队精神,并促使场所内的人员积极参与,从而在轮班期间实现了更多的合作与沟通。评估表明,将环节中的行动计划转化为行动然后进行评估很重要。建议将AI作为一种让每个人都参与其中并达成相互协议的学习方式。本研究表明,AI可以成为支持学习与发展以提升养老院护理质量的一种有价值的方式。

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