巴西大型质量改进合作项目的卫生专业人员的动机驱动因素:定性研究
Eliane Pereira da Silva1,2, Pedro Jesus Saturno-Hernández3, Marise Reis de Freitas4
1Department of Clinical Medicine, Federal University of Rio Grande do Norte, Natal, RN, Brazil. eliane.pereira@ufrn.br.
BMC health services research
|February 9, 2024
概括
医疗保健专业人员 医疗保健专业人员
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 预防感染的实践.
- 卫生系统研究 卫生系统研究
背景情况:
- 协作质量改进 (QI) 项目成功取决于团队的参与.
- 影响医疗保健团队参与QI的动机的因素尚不清楚.
- 这项研究探讨了巴西重症监护室 (ICU) 卫生专业人员的激励障碍和促进因素.
研究的目的:
- 识别卫生专业人员在大型合作质量改进项目中的动机障碍和促进因素.
- 了解影响参与基于证据的ICU感染预防实践的因素.
- 为优化医疗保健团队参与QI计划提供见解.
主要方法:
- 采用半结构深度访谈的内容分析进行的定性研究.
- 与巴西12家医院的28名卫生专业人员进行了采访.
- 使用NVivo软件和COM-B模型分析数据以评估相互关系.
主要成果:
- 关键障碍包括感知增加的工作量,缺乏QI知识,对变化的抵抗,医生参与不足,供应短缺和高级管理层支持不足.
- 有形的结果,比如减少感染率,是主要的动机.
- 积极的高级管理层参与,团队合作,实践学习和理解变革的理由显著促进了动机.
结论:
- 卫生专业人员在协作QI项目中的动机受到各种障碍和促进者的影响.
- 高层管理层,QI团队和医疗保健专业人员之间的互动塑造了调节动机的态度.
- 考虑这些动机动态对于成功实施QI项目至关重要.
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