实施接受手术的老年人 (POPS) 服务的术后护理:多地点定性实施研究的发现
Justin Waring1,2, Graham P Martin2, Peter Hartley2
1Health Services Management Centre, University of Birmingham, Birmingham, UK.
Age and ageing
|August 11, 2023
概括
实施外科手术 (POPS) 服务的老年人的外科手术护理需要临床领导人积极确保支持,吸引专业人员,建立证据,有效沟通,并利用分布式领导力,在各种医疗保健环境中成功采用.
科学领域:
- 老年医学 老年医学
- 手术护理 手术护理
- 医疗保健管理的管理
背景情况:
- 在英格兰和威尔士国家卫生服务中,接受手术的老年人的外科护理 (POPS) 服务模式越来越多地被采用.
- 实施的挑战包括缺乏管理/财务支持和专业的担忧.
研究的目的:
- 收集关于临床领导者在各种环境中实施POPS的策略的证据.
- 为未来的POPS服务实施制定可通用的建议.
主要方法:
- 在六个拥有已建立POPS服务的NHS医院进行了定性采访研究.
- 与26名参与POPS领导和实施的参与者进行半结构化采访.
- 在2022年11月至2023年5月期间收集的数据.
主要成果:
- POPS领导者使用五种相互关联的活动:获得支持,专业参与,证据建设,沟通和分布式领导.
- 这些活动解决了诸如缺乏资金和对变革的抵制等障碍.
- 领导者专注于向利益相关者展示临床和运营上的好处.
结论:
- 通过领导活动的结合,可以在不同的组织环境中实现有效的POPS实施.
- 成功的策略需要适应当地障碍和驱动因素,以及共享学习.
- 领导活动对于促进和协调POPS实施和扩展至关重要.
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