变革管理的实用工具:对安全手术组织准备工具的横截面心理测量评估
Tuna C Hayirli1, John G Meara1,2,3, Egide Abahuje4,5,6
1Program in Global Surgery and Social Change, Harvard Medical School.
International journal of surgery (London, England)
|December 5, 2023
概括
评估组织对外科安全倡议的准备对于成功至关重要,特别是在低收入国家. 安全手术组织准备工具 (SSORT) 有效地测量了沟通和团队学习等关键因素,以预测成功的变革实施.
科学领域:
- 医疗保健管理的管理
- 组织行为 组织行为
- 患者安全 患者安全
背景情况:
- 加强卫生系统需要计划安全和质量改善计划,以提供公平的护理.
- 组织行为研究表明,由于缺乏组织准备,变革举措往往会失败.
- 这尤其适用于低收入和中等收入国家的外科安全和质量改善.
研究的目的:
- 通过心理测量来评估安全手术组织准备工具 (SSORT) 的构造有效性和内部一致性.
- 为变革领导者提供有关设施基础设施的见解,以支持学习和变革的准备.
主要方法:
- 七个手术和麻醉安全倡议的合作形成了一个大样本 (n=1706) 用于分析.
- 探索性因素分析 (EFA) 和确认性因素分析 (CFA) 基于来自医疗保健工作者的调查数据进行.
- 用克朗巴赫的α系数来评估因子内部的一致性.
主要成果:
- 在16个与变化准备相关的建议因素中,EFA确定了9个.
- CFA证实对9因素模型 (28项调查项目) 非常适合.
- 确定因素包括适当性,对变化的抵抗,团队有效性,团队学习方向,团队价值,关于变化的沟通,学习环境,可持续发展愿景和设施容量.
结论:
- 沟通,团队学习和支持性环境是手术安全项目的变化准备能力的可衡量的组成部分.
- 这些因素对于在低收入和中等收入国家成功实施至关重要.
- 未来的研究应该将这些准备因素与以患者为中心的结果联系起来.
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