Brainwriting Premortem: A Novel Focus Group Method to Engage Stakeholders and Identify Preimplementation Barriers.

Brainwriting Premortem: A Novel Focus Group Method to Engage Stakeholders and Identify Preimplementation Barriers.
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Braining Trawing Premortem:一种新型的焦点小组方法,可吸引利益相关者并确定预先实现障碍。

DOI:
10.1097/ncq.0000000000000360
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发表时间:
2019
影响因子:
1.2
通讯作者:
Burke RE
Burke RE
中科院分区:
医学4区
文献类型:
--
作者:
Gilmartin H;Lawrence E;Leonard C;McCreight M;Kelley L;Lippmann B;Coy A;Burke RE

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补充数字内容在文本中可用。由于利益攸关方参与不足和对障碍的识别不足,许多卫生保健干预措施在实施过程中遇到了挑战。事前脑写技术是一种无声地分享关于干预失败原因的书面想法。这种方法可以让利益相关者参与进来,并比传统的头脑风暴焦点小组更有效地识别障碍。我们在退伍军人健康管理局(VA)的护理干预过渡期间评估了该方法。来自10个VA设施的临床医生参加了10个脑写死前会议。使用描述性和内容分析的方法,我们评估了产生的想法的数量和质量,主持人的经验,和参与者的心理安全。总共产生了217个独特的想法。许多人被认为是高质量的。书面数据可立即用于分析,从而实现快速反馈和实时决策。参与者报告了高满意度和心理安全感。预先分析的方法是一种新颖的,有效的替代头脑风暴焦点小组,可以以最小的成本迅速通知程序的执行。
Supplemental Digital Content is Available in the Text. Many health care interventions encounter implementation challenges because of inadequate stakeholder engagement and identification of barriers. The brainwriting premortem technique is the silent sharing of written ideas about why an intervention failed. The method can engage stakeholders and identify barriers more efficiently than traditional brainstorming focus groups. We evaluated the method during a transition of care intervention in the Veterans Health Administration (VA). Clinicians from 10 VA facilities participated in 10 brainwriting premortem sessions. Using descriptive and content analytic methods, we assessed the quantity and quality of ideas generated, facilitator experience, and participant psychological safety. In total, 217 unique ideas were generated. Many were deemed high quality. The written data were immediately available for analysis, allowing rapid feedback and real-time decision making. Participants reported high satisfaction and psychological safety. The brainwriting premortem approach is a novel, efficient alternative to brainstorming focus groups that can rapidly inform program implementation at minimal cost.