为医疗保健专业人员实施指导计划-对障碍和促进者的审查
E J Jansen1,2,3, K Czabanowska3, A P J de Pagter4,5
1Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
The International journal of health planning and management
|February 14, 2024
概括
实施医疗保健专业人员的指导需要解决组织障碍,例如能力有限和竞争需求. 促进者包括保护时间,领导力支持和整合到现有的发展计划中,以更好地保留.
科学领域:
- 医疗保健管理的管理
- 组织心理学 组织心理学
- 实施科学 实施科学
背景情况:
- 欧盟医疗保健系统面临着严峻且不断升级的人员短缺问题.
- 辅导被认为是一种以人为中心的方法,以提高医疗保健工作人员的就业可持续性和留守率.
- 关于影响医疗保健专业人员辅导干预实施的具体障碍和促进者的研究有限.
研究的目的:
- 系统地审查和识别在实施医疗保健专业人员辅导干预期间遇到的常见障碍和促进者.
- 为优化医疗保健机构内的辅导计划交付提供基于证据的见解.
主要方法:
- 在2023年4月,在五个数据库中进行了系统的文献搜索.
- 用实施研究综合框架 (CFIR) 来提取和分类障碍和促进因素.
- 使用定向内容分析来识别主题模式和报告决定因素的频率.
主要成果:
- 分析了30项研究,涵盖了25个不同的辅导计划.
- 实施决定因素被映射到CFIR领域:内部设置和实施过程.
- 关键的障碍包括有限的组织能力,缺乏心理安全,竞争性的工作需求和领导力不足的买入.
- 促进者包括保护时间,意见领袖的推广,与持续专业发展的整合,以及共同创建计划.
结论:
- 结果为组织层面实施医疗保健辅导干预提供了实际指导.
- 成功和可持续的辅导需要一个支持和安全的组织气候.
- 解决已识别的障碍和利用辅导员对于最大限度地提高辅导效率至关重要.
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