员工在公共护理环境中大规模实施的经验:内容分析的新混合方法方法
My Säfström1, Ulrika Löfkvist2,3
1Primary care and health, Uppsala County Council, Uppsala, Sweden.
BMC health services research
|January 18, 2024
概括
医疗保健工作人员面临着实施挑战,经历不同. 成功因素包括足够的时间,支持和明确的领导力,这对于有效改变残疾人护理环境至关重要.
科学领域:
- 医疗保健管理的管理
- 组织变革 组织变革
- 实施残疾人护理实施方案
背景情况:
- 医疗保健专业人员经历过压力和倦怠,需要在组织变革期间考虑个人感知.
- 实施挑战在残疾人护理部门中尤为重要.
- 了解员工经验对于成功的大规模医疗保健实施至关重要.
研究的目的:
- 调查医疗保健员工与正在进行的大规模实施的经验.
- 确定在复杂的临床环境中实施的关键成功因素.
主要方法:
- 半结构焦点小组采访公共残疾人护理组织的医疗保健工作人员.
- 一种混合方法方法,将内容分析和编码数据的定量分析结合起来.
- 三步编码过程,包括单元选择,内容分析与共识,和定量类别分析.
主要成果:
- 员工报告说,他们对实施过程的经验是不同的,往往是不充分的.
- 在工作效率和患者护理方面,注意到了积极的结果.
- 主要主题包括时间限制,方法不确定性,需要支持,工作环境的压力和积极领导的重要性.
结论:
- 实施过程对医疗保健员工构成重大挑战.
- 充足的时间,强大的支持功能和明确的领导力是关键的促进者.
- 领导者必须解决组织变革对工作环境的影响,并传达员工的各种经验.
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