Winter Sara, Crocker Sara, Rolls Tricia, Curtin Deanne, Haratsis Jessica, Szollosi Irene
The Prince Charles Hospital, Australia.
University of Queensland, Australia.
J Health Psychol. 2025 Apr;30(5):989-1003. doi: 10.1177/13591053241267272. Epub 2024 Aug 5.
A 'Direct to Psychology Insomnia' pathway was developed for implementation within a multidisciplinary sleep disorders service in a tertiary hospital in Brisbane, Australia. The project was informed by implementation science principles and methodology to re-design the model of care (MoC). A consensus group workshop using the Nominal Group Technique (NGT) with 12 multidisciplinary staff was undertaken to develop the new MoC. The workshop explored inclusion and exclusion criteria for a Direct to Psychology pathway including patient flow and enablers. The team endorsed a MoC that was acceptable to stakeholders and addressed service-level imperatives. The findings highlighted that patient inclusion or exclusion should be overseen by the Sleep Physician team and an Advanced Psychologist with behavioural sleep medicine expertise. Continuum of care for patients referred via primary care providers was considered. Barriers and risks to the MoC changes were identified which informed the refinement of the MoC.
在澳大利亚布里斯班的一家三级医院的多学科睡眠障碍服务机构中，开发了一条“直接转诊至心理科治疗失眠”的路径，以便实施。该项目依据实施科学的原则和方法对护理模式（MoC）进行重新设计。举办了一次共识小组研讨会，采用名义群体技术（NGT），与12名多学科工作人员共同制定新的护理模式。该研讨会探讨了直接转诊至心理科路径的纳入和排除标准，包括患者流程和促成因素。团队认可了一个利益相关者可接受且满足服务层面要求的护理模式。研究结果强调，患者的纳入或排除应由睡眠医生团队以及一名具备行为睡眠医学专业知识的高级心理学家进行监督。还考虑了通过初级保健提供者转诊的患者的连续护理问题。确定了护理模式变更的障碍和风险，这些信息为护理模式的完善提供了依据。
