跨专业团队协作:关于在劳动和交付单位调整中央政策以适应当地条件的定性研究
Nicole Pinto1, Carmen Soltys2, Raad Fadaak1
1School of Public Policy at the University of Calgary, Calgary, AB.
概括
在COVID-19期间,劳工和分娩工作人员使用跨专业主义来调整医院政策. 单位领导人强调团队合作,以应对挑战并维护护护理标准.
科学领域:
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
- 专业间医疗保健 专业间医疗保健
背景情况:
- 随着COVID-19的流行,医疗保健提供面临了前所未有的挑战.
- 医院政策需要调整,以保持患者护理和员工安全.
- 劳动,分娩和产科服务 (LD-OBS) 单位面临着独特的运营需求.
研究的目的:
- 探索在COVID-19大流行期间Foothills医疗中心 (FMC) 的LD-OBS单位工作人员的经验.
- 检查单位领导如何调整和实施医院政策.
- 了解专业间合作如何影响在重症监护机构的政策实施.
主要方法:
- 与LD-OBS单位工作人员进行了12次半结构化的定性访谈.
- 雇佣的雪球和有目的的抽样用于关键信息人选择.
- 采用了采访成绩单的诱导编码,由作者团队达成的主题共识.
主要成果:
- 工作人员通过"跨专业主义"的镜头来解释和调整COVID-19政策.
- 政策调整的关键时刻包括单位重新配置,患者分拣/转路和个人防护设备 (PPE) 政策挑战.
- LD-OBS领导人积极促进专业间的合作和团队合作.
结论:
- 跨专业主义应该被认为是政策制定和实施的核心价值.
- 医疗保健当局和单位可以利用专业间的工作来有效地调整政策.
- 从大流行中吸取的教训可以在危机和常规条件下为政策适应提供信息.
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