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Behaviour change, the itchy spot of healthcare quality improvement: How can psychology theory and skills help to scratch the itch?
Health Psychology Open Pub Date : 2023-09-21 , DOI: 10.1177/20551029231198938
Charlotte Emma Hilton 1
Affiliation  

Despite the clear utility and transferability, National Health Service (NHS) quality improvement initiatives have yet to benefit fully from what is already known within health psychology. Thus far, evidence from established, seminal behaviour change theory and practice have been ignored in favour of newly developed models and frameworks. Further, whilst there is a growing interest in what is commonly referred to as 'human factors' of change and improvement, there is scant transferability of known psychologically informed implementation skills into routine NHS Improvement practice. The science and practice of healthcare improvement is growing, and the behaviour change aspect is critical to sustainable outcomes. Therefore, this paper offers practical guidance on how seminal psychological behaviour change theory and motivational interviewing (a person-centred skills-based approach specifically developed to support people through change) can be combined to better address individual and organisational change within a healthcare improvement context.

中文翻译:

行为改变,医疗质量改善的痛点:心理学理论和技能如何帮助止痒?

尽管具有明确的实用性和可转移性,但国家医疗服务体系 (NHS) 的质量改进举措尚未充分受益于健康心理学领域已知的知识。到目前为止,来自已建立的、具有影响力的行为改变理论和实践的证据已被忽视,而有利于新开发的模型和框架。此外,虽然人们对通常所说的改变和改进的“人为因素”越来越感兴趣,但已知的心理知情实施技能很少可转移到常规 NHS 改进实践中。医疗保健改善的科学和实践正在不断发展,行为改变对于可持续结果至关重要。因此,本文提供了关于如何将开创性的心理行为改变理论和动机访谈(一种以人为中心、基于技能的方法,专门为支持人们通过改变而开发的方法)结合起来,以更好地解决医疗保健改善背景下的个人和组织变革的实用指导。
更新日期:2023-09-21
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