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Utilisation of strategic communication to create willingness to change work practices among primary care staff: a long-term follow-up study

机译：利用策略性沟通来创造改变基层医疗人员工作方式的意愿：一项长期的后续研究

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Aim To evaluate the long-term utilisation of strategic communication as a factor of importance when changing work practices among primary care staff.Background In many health care organisations, there is a gap between theory and practice. This gap hinders the provision of optimal evidence-based practice and, in the long term, is unfavourable for patient care. One way of overcoming this barrier is systematically structured communication between the scientific theoretical platform and clinical practice.Methods This longitudinal evaluative study was conducted among a primary care staff cohort. Strategic communication was considered to be the intervention platform and included a network of ambassadors who acted as a component of the implementation. Measurements occurred 7 and 12 years after formation of the cohort. A questionnaire was used to obtain information from participants. In total, 846 employees (70%) agreed to take part in the study. After 12 years, the 352 individuals (60%) who had remained in the organisation were identified and followed up. Descriptive statistics and multivariate analysis were used to analyse the data.Findings Continuous information contributed to significant improvements over time with respect to new ideas and the intention to change work practices. There was a statistically significant synergistic effect on the new way of thinking, that is, willingness to change work practices. During the final two years, the network of ambassadors had created a distinctive image for itself in the sense that primary care staff members were aware of it and its activities. This awareness was associated with a positive change with regard to new ways of thinking. More years of practice was inversely associated with willingness to change work practices. Strategic communication may lead to a scientific platform that promotes high-quality patient care by means of new methods and research findings.
机译：目的评估长期使用战略沟通作为改变基层医疗人员工作方式时的重要因素。背景技术在许多医疗保健组织中，理论与实践之间存在差距。这种差距阻碍了提供最佳的循证医学实践，从长远来看，不利于患者护理。克服这一障碍的一种方法是在科学理论平台和临床实践之间进行系统地结构化的交流。方法这项纵向评估研究是在基层医疗人员队列中进行的。战略交流被认为是干预平台，并包括作为实施组成部分的大使网络。队列形成后7年和12年进行测量。使用调查表从参与者那里获取信息。共有846名员工（70％）同意参加该研究。 12年后，确定并跟踪了留在组织中的352个人（60％）。描述性统计和多元分析被用来分析数据。结果持续的信息随着时间的推移在新思想和改变工作习惯的意图方面做出了重大改进。在新的思维方式上，即在愿意改变工作习惯方面，具有统计学上显着的协同效应。在最后两年中，大使网络已经为自己树立了独特的形象，因为初级保健工作人员已经意识到了它及其活动。这种认识与新思维方式的积极变化有关。多年的实践与改变工作习惯的意愿成反比。战略沟通可能会导致一个科学平台，该平台通过新方法和研究结果来促进高质量的患者护理。

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