促进医疗保健专业人员适应能力的因素与医院标准化:一个范围审查
Foteini Tsandila-Kalakou1, Siri Wiig2, Karina Aase2
1Centre for Resilience in Healthcare SHARE, Faculty of Health Sciences, University of Stavanger, N-4036, Stavanger, Norway. foteini.tsandilakalakou@uis.no.
医疗保健专业人员 医疗保健专业人员
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 组织行为 组织行为
背景情况:
- 对影响医疗保健专业人员适应医院标准化的因素的理解有限.
- 现有的研究重点是一般的适应能力,而不是具体的标准化.
研究的目的:
- 识别和绘制有关医院标准化的医疗保健专业人员适应能力的因素.
- 综合当前关于医疗保健专业人员适应标准化实践的证据.
主要方法:
- 采用了一种全面的范围审查方法.
- 搜索了六个学术数据库和灰色文学,截至2021年9月.
- 包括对影响适应临床指南和程序的因素的定量和定性研究.
主要成果:
- 57项研究揭示了影响适应的八种因素:心理,认知,动机,知识/经验,专业角色,风险管理,患者/家庭和工作关系.
- 个人和团体/社会因素都决定了对标准化工作的遵守.
- 背景因素包括指南系统,文化规范,领导力,环境,时间和工作量.
结论:
- 医疗保健专业人员对标准化的适应受到个人,社会和上下文因素的复杂相互作用的影响.
- 医院应该利用这些知识来制定有针对性的教育和激励策略,以提高标准化.
- 需要进一步研究患者和家庭因素对适应能力的影响.
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