什么是正确的? 一个混合方法研究的积极反数据在全医院范围的死亡率审查调查
Isaac S Chua1,2,3, Roaa M Khinkar4, Matthew Wien5
1Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA. ICHUA@bwh.harvard.edu.
Journal of general internal medicine
|September 19, 2023
概括
分析医疗保健工作者的积极反揭示了一些关键主题,比如特殊的病人护理和团队合作. 这种系统的方法可以培养积极的工作文化,提高幸福感.
科学领域:
- 医疗保健管理的管理
- 组织心理学 组织心理学
- 医学教育 医学教育
背景情况:
- 有毒的工作环境有助于医疗保健工作人员的倦怠和疲劳.
- 在医疗保健组织中培养礼貌和 collegiality 的系统策略尚未得到充分理解.
研究的目的:
- 分析来自死亡率审查调查的同行对同行积极反.
- 识别主题和认可动态,可以告知积极的组织文化变化.
主要方法:
- 融合混合方法研究设计.
- 数据来自四家医院的388名医生,212名注册护士,64名高级实践提供者和1名呼吸治疗师.
- 在死亡率审查调查中提供了可选的积极反.
主要成果:
- 三个主要主题出现了:非凡的患者/以家庭为中心的护理,自我占有/掌握,以及同情的同行支持/团队合作.
- 某些专业更注重患者护理 (例如,医学,外科手术),而急诊医学则强调自我控制/掌握.
- 注册护士比其他临床医生提供了更多的多方向反.
结论:
- 积极反分析提供了对医疗保健团队合作和价值观的见解,特别是在终身护理中.
- 系统地收集和分享积极的反是可行的.
- 这种做法有可能促进积极的文化变化,改善医疗保健工作者的福祉.
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