以办公室为基础的策略对治疗结果的影响,以及在非营利性门诊诊所采用以测量为基础的护理进行精神科治疗。

IF 0.2 Q4 NURSING Journal of Doctoral Nursing Practice Pub Date : 2023-06-27 DOI:10.1891/JDNP-2021-0042
Deirdre O Rea, Jeannie Garber
{"title":"以办公室为基础的策略对治疗结果的影响,以及在非营利性门诊诊所采用以测量为基础的护理进行精神科治疗。","authors":"Deirdre O Rea,&nbsp;Jeannie Garber","doi":"10.1891/JDNP-2021-0042","DOIUrl":null,"url":null,"abstract":"<p><p><b>Background:</b> Measurement-based care (MBC) is a method for demonstrating performance outcomes but is rarely used in behavioral health settings despite it being an evidence-based practice. As psychiatry moves to value-based care and payment for performance, the adoption of MBC will be essential. <b>Objective:</b> The purpose of the study was to test proactive reporting of patient self-reported measurement tool results to providers on treatment outcomes to promote the adoption of MBC. <b>Methods:</b> The study entailed a mixed methods design with a pre-/post-test quantitative measurement of scores on the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 and a semistructured qualitative interview with providers following data collection. <b>Results:</b> Results showed, during the intervention period, statistically significant decreases in anxiety scores for all patients. Depression symptom decreases trended toward significance for female patients. After initial disregard for scores, all providers found a benefit to continued use of MBC. <b>Conclusions:</b> Identification and removal of barriers can assist in the adoption of evidence-based practices in healthcare. <b>Implications for Nursing:</b> Successful change can be accomplished with minor adjustments to an already-established workflow and a team approach to the process.</p>","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Effect of an Office-Based Strategy on Treatment Outcome and Adoption of Measurement-Based Care Into Psychiatric Treatment at a Nonprofit, Outpatient Clinic.\",\"authors\":\"Deirdre O Rea,&nbsp;Jeannie Garber\",\"doi\":\"10.1891/JDNP-2021-0042\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><b>Background:</b> Measurement-based care (MBC) is a method for demonstrating performance outcomes but is rarely used in behavioral health settings despite it being an evidence-based practice. As psychiatry moves to value-based care and payment for performance, the adoption of MBC will be essential. <b>Objective:</b> The purpose of the study was to test proactive reporting of patient self-reported measurement tool results to providers on treatment outcomes to promote the adoption of MBC. <b>Methods:</b> The study entailed a mixed methods design with a pre-/post-test quantitative measurement of scores on the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 and a semistructured qualitative interview with providers following data collection. <b>Results:</b> Results showed, during the intervention period, statistically significant decreases in anxiety scores for all patients. Depression symptom decreases trended toward significance for female patients. After initial disregard for scores, all providers found a benefit to continued use of MBC. <b>Conclusions:</b> Identification and removal of barriers can assist in the adoption of evidence-based practices in healthcare. <b>Implications for Nursing:</b> Successful change can be accomplished with minor adjustments to an already-established workflow and a team approach to the process.</p>\",\"PeriodicalId\":40310,\"journal\":{\"name\":\"Journal of Doctoral Nursing Practice\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.2000,\"publicationDate\":\"2023-06-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Doctoral Nursing Practice\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1891/JDNP-2021-0042\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Doctoral Nursing Practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1891/JDNP-2021-0042","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0

摘要

背景:基于测量的护理(MBC)是一种证明绩效结果的方法,但很少在行为健康环境中使用,尽管它是一种基于证据的实践。随着精神病学转向基于价值的护理和绩效付费,采用MBC将是必不可少的。目的:本研究的目的是测试患者主动报告治疗结果的自我报告测量工具结果,以促进MBC的采用。方法:本研究采用混合方法设计,对患者健康问卷-9 (PHQ-9)和广泛性焦虑障碍-7的分数进行测试前/测试后定量测量,并在数据收集后对提供者进行半结构化定性访谈。结果:结果显示,在干预期间,所有患者的焦虑得分均有统计学意义的下降。女性患者抑郁症状有明显减少的趋势。在最初无视分数之后,所有的提供者都发现继续使用MBC是有益的。结论:识别和消除障碍有助于在医疗保健中采用循证实践。对护理的启示:成功的改变可以通过对已经建立的工作流程和团队方法进行微调来完成。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
The Effect of an Office-Based Strategy on Treatment Outcome and Adoption of Measurement-Based Care Into Psychiatric Treatment at a Nonprofit, Outpatient Clinic.

Background: Measurement-based care (MBC) is a method for demonstrating performance outcomes but is rarely used in behavioral health settings despite it being an evidence-based practice. As psychiatry moves to value-based care and payment for performance, the adoption of MBC will be essential. Objective: The purpose of the study was to test proactive reporting of patient self-reported measurement tool results to providers on treatment outcomes to promote the adoption of MBC. Methods: The study entailed a mixed methods design with a pre-/post-test quantitative measurement of scores on the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 and a semistructured qualitative interview with providers following data collection. Results: Results showed, during the intervention period, statistically significant decreases in anxiety scores for all patients. Depression symptom decreases trended toward significance for female patients. After initial disregard for scores, all providers found a benefit to continued use of MBC. Conclusions: Identification and removal of barriers can assist in the adoption of evidence-based practices in healthcare. Implications for Nursing: Successful change can be accomplished with minor adjustments to an already-established workflow and a team approach to the process.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
0.60
自引率
0.00%
发文量
45
期刊最新文献
Barriers to Healthcare for Transgender Individuals. Improving Diabetic Care Through Education and Innovation. Letter to the Editor: EBPQI Is Not Research. Leveraging Doctor of Nursing Practice Scholarship to Meet Organizational Leaders' Expectations. Integration of Palliative Care Screening Tools for End-Stage Liver Patients to Improve End-of-Life Care
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1