如何为护士设计有效的审计和反馈干预措施:基于定性和定量证据的一组假设。

IF 1.8 4区 医学 Q2 NURSING Journal of Nursing Administration Pub Date : 2024-07-01 DOI:10.1097/NNA.0000000000001452
Emilie Dufour, Arnaud Duhoux
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引用次数: 0

摘要

目的提出有关审计和反馈的实用假设,以支持对护士的有效性:背景:审计和反馈干预措施主要是针对医生进行的研究;然而,护士多年来一直在实践这些流程。由于护士的角色、权力和护理活动的配置不同,护士的反应可能与医生和其他医疗学科不同:临床表现反馈干预理论的比较分析采用了以下护理方面的具体经验数据:1)混合方法的系统综述;2)对初级护理护士团队进行的审计和反馈试点研究:研究人员假设,在以下情况下,审计和反馈干预会更有效:结果:研究人员假设,在以下情况下,审计和反馈干预措施更有效:1)反馈强调其与护理关系方面的关系;2)在团队层面衡量和报告指标;3)提供反馈的方式强调对护士实践的益处,如减少工作量的潜力:这些提出的假设为研究人员和管理人员提供了具体指导,以有效利用审计和反馈作为护士质量改进策略。
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How to Design Effective Audit and Feedback Interventions With Nurses: A Set of Hypotheses Based on Qualitative and Quantitative Evidence.

Objective: To propose practical hypotheses on audit and feedback that support the effectiveness with nurses.

Background: Audit and feedback interventions have been mainly studied with physicians; however, the processes have been practiced by nurses for years. Nurses' response may differ from that of physicians and other healthcare disciplines because of their roles, power, and the configuration of nursing activities.

Methods: A comparative analysis of the Clinical Performance Feedback Intervention Theory was conducted using nursing-specific empirical data from: 1) a mixed-methods systematic review and 2) a pilot study of audit and feedback with a team of primary care nurses.

Results: Researchers hypothesize that audit and feedback interventions are more effective when: 1) feedback emphasizes how it relates to the relational aspect of nursing; 2) indicators are measured and reported at team level; and 3) feedback is provided in a way that highlights benefits to nurses' practice, such as the potential to reduce workload.

Conclusion: These proposed hypotheses provide concrete guidance to researchers and managers for an effective use of audit and feedback as a quality improvement strategy with nurses.

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来源期刊
CiteScore
2.90
自引率
10.00%
发文量
0
审稿时长
6-12 weeks
期刊介绍: ​JONA™ is the authoritative source of information on developments and advances in patient care leadership. Content is geared to nurse executives, directors of nursing, and nurse managers in hospital, community health, and ambulatory care environments. Practical, innovative, and solution-oriented articles provide the tools and data needed to excel in executive practice in changing healthcare systems: leadership development; human, material, and financial resource management and relationships; systems, business, and financial strategies. All articles are peer-reviewed, selected and developed with the guidance of a distinguished group of editorial advisors.
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