启用初级护理实践的系统功能,以促进团队动态转变为以团队为基础的护理:定性比较分析 (QCA)
Lingrui Liu1, Alyna T Chien2,3, Sara J Singer4,5
1Center for Evidence and Practice Improvement, Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services, Rockville, MD 20857, USA.
Healthcare (Basel, Switzerland)
|July 29, 2023
概括
有效的以团队为基础的初级保健需要特定的系统功能,而不仅仅是健康信息技术. 在管理测试结果,选,过渡和协作障碍方面表现出色的实践证明了更强大的团队动态.
科学领域:
- 主要护理转型的变革
- 医疗保健服务研究 医疗服务研究
- 基于团队的护理模式
背景情况:
- 基于团队的初级保健对全人护理,健康公平和减少提供者倦怠至关重要.
- 实施有效的以团队为基础的护理需要了解组织系统功能的作用.
- 现有的研究缺乏对特定系统功能的彻底理解,使得初级保健中的团队合作成为可能.
研究的目的:
- 在初级保健实践中确定系统功能组合,以最好地实现有效的团队合作.
- 探索如何运营流程和健康信息技术有助于团队的功能.
- 确定维持强大的以团队为基础的初级保健所必需的系统特征.
主要方法:
- 在19个初级保健实践的数据上使用了定性比较分析 (QCA).
- 在哈佛学术创新协作 (AIC) 中分析了交叉案例模式.
- 专注于识别与强大的团队动态相关联的系统功能组合.
主要成果:
- 具有强大的团队动态的实践在操作护理过程中表现出强项:管理异常测试结果,癌症查,高优先级患者的药物管理和护理过渡.
- 医疗信息技术 (HIT) 的功能很重要,但本身就不足以取得成功的结果.
- 支持紧急/复杂疾病识别和克服协作障碍的特定系统功能是关键.
结论:
- 有效的以团队为基础的初级保健是通过结合强大的运营流程和支持性的健康信息技术来促进的.
- 系统功能,使团队能够管理复杂的患者需求和机构间合作是必不可少的.
- 对优化基于团队的初级保健系统配置进行进一步的研究是有必要的.
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