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患者安全与医疗质量人人有责:评估继续职业发展计划超出满意度的影响。

Patient Safety and Quality of Care are Everybody's Business: Evaluating the Impact of a Continuing Professional Development Program beyond Satisfaction.

作者信息

Luconi Francesca, Boillat Miriam, Mak Suzanne, Chartrand Daniel, Korah Nadine, Daly Mark, Teferra Meron, Gutberg Jennifer

机构信息

McGill University.

University of Toronto.

出版信息

MedEdPublish (2016). 2019 Mar 11;8:46. doi: 10.15694/mep.2019.000046.1. eCollection 2019.

Abstract

This article was migrated. The article was marked as recommended. Background Research integrating Continuing Professional Development (CPD) with patient safety (PS) and quality improvement (QI) is still in its infancy despite advocacy by leaders in the field. Objectives This theory-driven study explored the feasibility to implement and evaluate the impact of a CPD intervention focused on teaching and practicing PS and QI at the levels of satisfaction, usefulness, knowledge, confidence, intention to change behaviour and reported changes in practice. Methods Three workshops targeting healthcare professionals were delivered live between 2014 and 2016. Data was collected longitudinally through four questionnaires and analyzed with descriptive statistics and triangulation of sources. Thematic analysis of qualitative data was guided by the Theoretical Domains Framework. Results Sixty-seven healthcare professionals participated in the study. Across workshops, satisfaction was high and a significant increase in knowledge and confidence were reported immediately post-intervention. Intention to change behavior was high across workshops. and ' were consistently rated as the most influential factors in participants' intention to change behavior while ' was consistently rated as the least influential. At the workshops, participants anticipated improving communication, increasing their knowledge on PS-QI, applying content learned and building teamwork. Commonly anticipated barriers to implementation included lack of resources, environmental stressors, and the organizational climate/culture. These barriers were confirmed six-month post where participants reported partially implementing 78% (18/23) anticipated goals. Conclusions This study showed the feasibility to develop and implement an effective CPD intervention supporting healthcare professionals' knowledge, confidence, and reported change in teaching and practicing PS-QI.

摘要

本文已迁移。该文章被标记为推荐文章。背景 尽管该领域的领导者大力倡导,但将继续职业发展(CPD)与患者安全(PS)及质量改进(QI)相结合的研究仍处于起步阶段。目的 这项理论驱动的研究探讨了实施和评估一项CPD干预措施的可行性,该干预措施侧重于在满意度、实用性、知识、信心、行为改变意图以及实践中报告的变化等层面教授和实践PS及QI。方法 在2014年至2016年期间为医疗保健专业人员举办了三场现场研讨会。通过四份问卷纵向收集数据,并采用描述性统计和来源三角测量法进行分析。定性数据的主题分析以理论领域框架为指导。结果 67名医疗保健专业人员参与了该研究。在各个研讨会中,满意度较高,干预后立即报告知识和信心有显著提高。各研讨会中行为改变的意图都很高。“ ”和“ ”一直被评为参与者行为改变意图中最具影响力的因素,而“ ”一直被评为最不具影响力的因素。在研讨会上,参与者期望改善沟通、增加对PS - QI的了解、应用所学内容并建立团队合作。常见的实施障碍包括资源短缺、环境压力因素以及组织氛围/文化。这些障碍在六个月后得到证实,参与者报告部分实现了78%(18/23)的预期目标。结论 本研究表明,开发和实施一项有效的CPD干预措施以支持医疗保健专业人员在教授和实践PS - QI方面的知识、信心及报告的变化是可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e46/10712615/1ca8b740602a/mep-8-19791-g0000.jpg

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