为在欧洲的医院实施磁铁原则奠定基础:定性分析
Ingrid Svensson1, Jackie Bridges2, Jaimie Ellis2
1Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden; Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.
International journal of nursing studies
|March 24, 2024
概括
在欧洲医院实施磁铁原则包括创造空间,将概念适应当地环境,并战略性地管理变革的步伐. 这个初始阶段侧重于概念和关系工作,以导航组织动态和护理角色.
科学领域:
- 医疗保健管理的管理
- 护理领导力 护理领导力
- 组织变革 组织变革
背景情况:
- 磁铁医院指标是一个美国的概念,与改善护士保留和患者结果有关.
- 欧洲医院面临着劳动力挑战,这使得磁铁原则成为一个潜在的解决方案.
- 欧洲医院缺乏大规模的Magnet原则的实施和评估.
研究的目的:
- 在11个欧洲急性护理医院探索Magnet原则实施的初始阶段.
- 在早期实施期间调查核心工作流程.
- 了解实施领导者如何与他们特定的医院环境互动.
主要方法:
- 一个多国性的定性研究设计.
- 通过与实施领导者进行23次半结构化,一对一的访谈收集数据.
- 主题分析指导了数据的解释.
主要成果:
- 三个核心主题出现了:"为磁铁创造空间" (政治和组织),"适合框架" (本地解释原则),以及"校准速度和剂量" (战略调整).
- 实施领导者从事概念和关系工作,将磁铁概念翻译成适合现有结构.
- 医院战略性地调整了对护理角色的重视,以促进实施.
结论:
- 磁铁在欧洲实施的初始阶段的特点是概念翻译和上下文适应.
- 了解和导航当地的医院环境对于管理专业和组织紧张关系至关重要.
- 为了整合磁铁原则,使用了各种策略,影响了护理角色的可见性.
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