一线管理人员努力以个人需求和目标为基础领导家庭护理 - - 伦理原则之间的冲突
Inger James1, Annica Kihlgren2, Margaretha Norell Pejner3
1Faculty of Health, Science, and Technology, Karlstad University, Karlstad, Sweden and Research Environment: Older People's Health and Living Condition, Örebro University, Örebro, Sweden.
Leadership in health services (Bradford, England)
|January 23, 2024
概括
家庭护理 (HC) 的一线管理人员面临着平衡患者需求与组织财务需求的挑战. 需要道德领导模式来优先考虑以个人为中心的医疗保健在HC.
科学领域:
- 医疗保健管理的管理
- 伦理领导力 伦理领导力
- 家庭护理服务 家庭护理服务
背景情况:
- 在家庭护理 (HC) 中的第一线管理人员 (FLM) 对于提供个性化的患者护理至关重要.
- 将以患者为中心的目标与组织约束相平衡,是领导层面临的重大挑战.
研究的目的:
- 探索家庭护理中的FLM如何根据个人需求和目标来领导服务.
- 识别以人为中心的家庭护理领导的机会和障碍.
主要方法:
- 参与式的欣赏性行动反思项目.
- 采访了瑞典一市的八名管理人员.
- 对面试数据进行主题分析.
主要成果:
- 在一个以人力资本 (患者,员工) 为重点的人道主义体系和一个由组织财务需求驱动的经济体系之间存在冲突.
- FLM在人文价值观 (人文价值,需求-团结) 和成本效益原则之间经历了伦理冲突.
- 组织的经济需求往往掩盖了接受家庭护理的个人的需求.
结论:
- 目前,FLM缺乏领导家庭护理服务的自主权,以个人患者的需求和目标为中心.
- 在以人为中心的家庭护理中,需要基于道德原则的,以共识为导向的,以价值为基础的领导模式.
- 实施人类价值和需求团结的原则对于有效的家庭护理领导力至关重要.
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