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在质量改进中创伤知情的领导力:我们从在流行病中实践中学到的东西
Bethlyn Vergo Houlihan1, Elizabeth Ethier1, Rubina Veerakone1
1Boston University School of Social Work, Center for Innovation in Social Work & Health, Boston, Massachusetts.
Pediatrics
|January 2, 2024
概括
随着COVID-19大流行,医疗复杂的儿童的护理受到干扰,影响了家庭和临床医生. 一种基于创伤的方法有助于在这种动荡中保持进步和性.
科学领域:
- 医疗保健管理的管理
- 公共卫生 公共卫生
- 儿科护理 儿科护理
背景情况:
- 随着COVID-19的蔓延,医疗保健服务出现了严重的中断,尤其是对弱势群体来说.
- 合作改进和创新网络推进医疗复杂性儿童护理项目在2020年面临前所未有的挑战.
- 干扰包括诊所关闭,快速转向远程医疗,以及参与者心理压力增加.
研究的目的:
- 了解各州团队在疫情期间改善对有医疗复杂性的儿童的护理的实地经验.
- 通过创伤信息框架综合定性和描述性发现.
- 确定对未来紧急情况的经验教训,影响儿科护理的改善.
主要方法:
- 对参与国家团队进行了关键告密者采访和调查.
- 利用其他流程措施来收集全面的数据.
- 应用了创伤知情原则框架来分析发现并指导项目领导.
主要成果:
- 国家团队在持续改善护理的努力中面临着重大挑战,同时也面临着与流行病相关的干扰.
- 临床医生,家庭和儿童经历了高度的焦虑,孤立和疲劳.
- 创伤知情的领导力方法在预防倦怠和培养性方面发挥了重要作用.
结论:
- 应用创伤信息原则对于在危机期间维持儿科护理改进计划的进展至关重要.
- 从这次经验中吸取的教训可以为管理影响医疗保健服务的未来紧急情况的策略提供信息.
- 加强临床医生和家庭领袖的弹性对于脆弱的儿科患者群体至关重要.
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