急性医疗/外科病房的安全区:能力,机会,动机和行为模型和理论领域 框架分析
Celene Y L Yap1, Catherine Daniel1, Lin Cheng2
1Department of Nursing, Melbourne School of Health Sciences, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, 161 Barry Street, Victoria 3010, Australia.
International journal of nursing studies
|March 2, 2024
概括
在急症护理中,Safewards的实施面临着时间和空间等障碍,但领导和员工承诺等促进者可以改善减少冲突. 解决这些因素可以促进Safewards的采用,从而改善病房文化.
科学领域:
- 改善护理实践 改善护理实践
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- Safewards是一个基于证据的模型,用于减少心理健康部门的冲突.
- 关于在急性医疗/外科环境中实施Safewards的研究有限.
研究的目的:
- 从急症护理护士的角度确定实施Safewards干预措施的障碍和促进者.
- 探索护士对适应医疗/外科病房的Safewards的看法.
主要方法:
- 来自六个重点小组的定性发现,包括四家医院的35名护理人员.
- 使用基于能力,机会,动机和行为 (COMB) 模型的半结构面试收集的数据.
- 主题分析映射到COMB和理论领域框架 (TDF).
主要成果:
- 障碍包括时间限制,空间缺乏和患者理解不足 (COMB:物理机会;TDF:资源,知识).
- 对变革的抵抗与动机 (COMB) 有关.
- 促进者包括对同情护理,护理技能,同行影响,领导力支持和对改善病房文化 (TDF:记忆,注意力,决策过程,身体技能,社会影响,角色/身份,目标,对后果的信念) 的提醒.
结论:
- 解决障碍 (资源,空间,患者意识) 和利用促进者 (领导力,同行建模) 的战略对于Safewards适应至关重要.
- 需要采用量身定制的多层次方法来提高工作人员的能力,并促进急性护理中有效采用Safewards.
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