影响跨专业实施创伤信息化护理在急诊室的因素
Annie Lewis-O'Connor1,2, Rose Olson3, Samara Grossman4
1Division of Women's Health, Department of Medicine Brigham and Women's Hospital Boston Massachusetts USA.
概括
在急诊室实施创伤信息化护理 (TIC) 需要解决工作人员的信念和态度. 影响ICT实施的关键因素包括意识,感知影响和偏见减少策略,以改善患者和工作人员的治疗结果.
科学领域:
- 紧急医疗 紧急医疗
- 创伤护理 创伤护理
- 医疗保健 行为 科学 科学
背景情况:
- 创伤信息化护理 (TIC) 在高压环境中至关重要,例如一级急诊室 (ED).
- 了解跨专业人员的观点是成功实施ICT的关键.
- 现有的研究往往忽略了影响创伤中心急救人员的具体因素.
研究的目的:
- 确定影响跨专业工作人员关于在城市ED创伤中心实施ICT决策的因素.
- 探索员工的意识,感知影响和与ICT相关的偏见的经验.
- 发现旨在改善ICT采用和解决员工二次创伤的干预措施的潜在目标.
主要方法:
- 使用半结构面试和定量调查进行的定性研究.
- 采访以理论领域框架 (TDF) 为指导,以分析卫生专业人员的行为.
- 对城市创伤中心的ED工作人员进行的转录采访进行主题分析.
主要成果:
- 关键主题包括员工对ICT原则的认识,对患者和员工的影响,以及偏见的经验.
- 参与者建议改进,例如加强员工培训,专注患者时间和偏见缓解策略.
- 显著多数 (85.7%) 认为提议的ICT实施策略 (计划,调查,移交) 是可行的.
结论:
- 专业间工作人员的信念和态度显著影响ED创伤环境中ICT的实施.
- 确定因素为个人,团队和组织干预提供了目标.
- 解决这些因素可以改善患者护理,并减轻ED工作人员的二次创伤.
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