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首页> 外文期刊>Journal of the American Medical Directors Association >The potential of communities of practice to promote evidence-informed practice within nursing homes.
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The potential of communities of practice to promote evidence-informed practice within nursing homes.

机译:实践社区在疗养院内促进循证实践的潜力。

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摘要

Health care providers are increasingly seeking new technologies to improve quality and cost effectiveness. In nursing homes, quality involves clinical excellence and creating a culture of care that provides an enriched living experience desired by older people and their families. The concepts of evidence-informed practice and partnerships in caring are thus central to the achievement of the nursing home improvement agenda, in addition to the satisfaction of regulatory requirements. Improvement per se is an imprecise science and the challenge of prioritizing nursing home development strategies is compounded by regulatory imperatives, material and manpower resource issues including workforce stability and commercial competition. Practice development and more recently quality improvement and its rapid derivatives have generated an arr.ay of approaches, none of which stand out as superior in terms of their demonstrable impact on practice or patient outcomes. As Berlowitz et al acknowledge, there are few robust studies investigating the impact of quality improvement in nursing homes. With growing international interest in communities of practice (CoPs), it is timely that we explore the potential for CoPs to advance cultural change in nursing homes in order to drive sustainable improvements. This article examines the merits of an empirically derived CoP model for use in care homes and in the strategic expansion of knowledge management and knowledge translation in Scotland.
机译:卫生保健提供者越来越多地寻求新技术来提高质量和成本效益。在养老院中,质量涉及卓越的临床表现,并创造一种护理文化,从而为老年人及其家人提供丰富的生活体验。因此,除了满足法规要求之外,循证知情实践和护理中的伙伴关系的概念对于实现疗养院改善议程至关重要。改进本身并不是一门精确的科学,而优先考虑养老院发展战略的挑战还伴随着监管要求,包括劳动力稳定和商业竞争在内的物质和人力资源问题。实践的发展以及最近的质量改进及其快速派生产生了各种各样的方法,就其对实践或患者结果的明显影响而言,没有一种方法能脱颖而出。正如Berlowitz等人所承认的那样,很少有强有力的研究来研究质量改善对疗养院的影响。随着国际上对实践社区(CoPs)的兴趣日益浓厚,我们适时探索CoPs推动养老院文化变革以推动可持续发展的潜力。本文探讨了经验派生的CoP模型的优点,该模型可用于苏格兰的敬老院以及知识管理和知识翻译的战略扩展。

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