克服墙壁和空洞:能够让前线工作者感到被倾听的响应性实践
Health care management review
|February 12, 2024
概括
前线医疗保健工作者需要感到被听取,而不仅仅是说话. 像"墙壁"和"空洞"这样的组织障碍妨碍了这一点,但特定的响应性实践可以帮助护士感到被听取并改善护理.
科学领域:
- 医疗保健管理的管理
- 组织行为 组织行为
- 护理研究 护理研究
背景情况:
- 对前线工作者来说,被听到的感觉至关重要,影响工作流程和倦怠.
- 了解有利于或阻碍前线工作者感到被倾听的条件是有限的.
研究的目的:
- 确定护士在医院环境中被听到的障碍和促进因素.
- 探索影响护士被听到的感觉的组织条件.
主要方法:
- 使用深度半结构面试进行的诱导性定性研究.
- 在四家医院中与24名注册护士,护士经理和护士从业人员进行了调查.
- 数据分析涉及代编码来开发新的理论.
主要成果:
- 确定了"墙壁" (导致彻底拒绝的组织障碍) 和"空白" (导致想法丢失的组织差距).
- 响应性实践,如边界框架,取消脚本,优先级增强,程序透明度和导航员识别,有助于感觉被听取.
- 这些实践的集体和持续实施提高了效率.
结论:
- "墙壁"和"空洞"给前线工作者带来了独特的挑战,让他们感到被倾听.
- 需要量身定制的管理实践来有效解决这些障碍.
- 需要对更大样本进行进一步的研究,以测量响应性实践.
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