探索基于社区的阿片类药物处方服务中的组织气候;混合方法研究
Peter Kelly1, Adam Searby2, John Goodwin3
1School of Nursing and Midwifery, Trinity College Dublin, Ireland.
Journal of substance use and addiction treatment
|April 17, 2024
概括
组织气候对于服务提供至关重要,受资源和员工动态的影响. 解决这些因素,即使没有额外的资金,也可以提高组织效率和服务质量.
科学领域:
- 组织心理学是组织心理学.
- 医疗保健管理的管理
- 公共卫生政策 公共卫生政策
背景情况:
- 组织气候,包括任务明确性,团队凝聚力和沟通,对于有效的服务提供至关重要.
- 现有的研究强调了组织因素的重要性,但缺乏对潜在机制和逆差解决策略的理解.
- 关于影响组织气候的特定程序因素及其相互关系的证据缺乏.
研究的目的:
- 确定影响组织气候的程序因素之间的关系.
- 探索支社区处方服务中这些关系的机制.
- 通过更好地了解组织动态,为改善服务提供提供见解.
主要方法:
- 在爱尔兰的12家社区处方服务提供商中采用了横截面,并发,混合方法的研究设计.
- 通过员工调查 (n=132) 收集了定量数据,以衡量组织对变化的准备.
- 通过一对一采访 (n=12) 收集定性数据,分别使用多变量线性回归和吸收方法进行分析.
主要成果:
- 具体的资源 (基础设施,培训,人员) 和专业成长的机会显著影响组织气候.
- 需求较大的项目往往表现出较差的组织气候,受严格的层次结构和员工流动等因素的影响.
- 领导,监督和集体培训等相互依赖的因素对项目产生了积极的影响,这些项目通常与资源的可用性有关.
结论:
- 有效的服务组织取决于各种因素,其中一些因素可以在没有额外资源的情况下解决.
- 员工的观点为服务改进和理解组织变量提供了宝贵的见解.
- 混合方法方法对于识别关系,理解机制和解决组织气候缺陷至关重要,以改善物质滥用服务.
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