在丹麦实施新的急救部门时,专业身份的影响:定性研究
Jeanette Wassar Kirk1,2, Mette Bendtz Lindstroem3, Nina Thórný Stefánsdóttir3
1Department of Clinical Research, Copenhagen University Hospital Hvidovre, 2650, Hvidovre, Denmark. jeanette.wassar.kirk@regionh.dk.
BMC health services research
|February 2, 2024
概括
医生专业身份在新的急诊部实施过程中显著影响了合作. 划界和社会分类创造了"我们与他们"的动态,阻碍了成功的变革.
科学领域:
- 医疗保健管理的管理
- 组织行为 组织行为
- 医学社会学 医学社会学
背景情况:
- 新的急诊室模式挑战了医疗专家的角色和自主权.
- 专业身份可能会阻碍医院实施组织变革.
- 有限的研究存在于专业身份对实施科学的影响.
研究的目的:
- 调查医疗专业身份如何影响丹麦新紧急部门实施期间的医生合作.
- 探索共同存在的专业身份在新的急诊室倡议的成功中的作用.
主要方法:
- 使用13次油布会议 (微型模拟) 和53次半结构面试进行的定性研究.
- 包括26次与医学专家的采访.
- 数据分析灵感来自社会身份理论.
主要成果:
- 专业的身份是通过边界绘制活动不断塑造的.
- 社会分类和权力动态在医生中是显而易见的.
- 患者可以作为一个边界对象,促进或阻碍合作.
结论:
- 专业身份是影响医生在新紧急部门实施中的合作的一个关键因素.
- 由社会分类推动的边界划定和权力动态,造成了分裂和不信任.
- 这些划分是新应急部门成功实施的重大障碍.
相关概念视频
Specialized Care Centers and Settings-I
943
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
943
Hospitals-II
782
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
782
Specialized Care Centers and Settings-II
726
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
726
Ethical Dilemmas II
1.1K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.1K
Methods of Documentation VI: Case Management Model
573
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
573
Secondary Healthcare System
1.5K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.5K


