一线管理人员在COVID-19大流行期间实施指南的经验
Erika Fjordkvist1,2, Ann Catrine Eldh3,4, Madeleine Winberg3
1Faculty of Medicine and Health, School of Health Sciences, Örebro University, Örebro, Sweden.
尽管面临挑战,COVID-19大流行加速了第一线管理人员在骨科护理中的指导方针实施. 了解这些促成因素可以改善未来基于证据的实践采用.
科学领域:
- 医疗保健管理的管理
- 临床指导方针的实施
- 全球流行病应对行动
背景情况:
- 随着COVID-19大流行,医疗保健提供面临了前所未有的挑战.
- 有效地执行临床指南对于保持高质量的护理至关重要,特别是在危机期间.
研究的目的:
- 探索一线管理人员在COVID-19大流行期间实施骨科护理临床指南的经验.
- 确定在危机环境中促进或阻碍准则采纳的因素.
主要方法:
- 采用了一种描述性,定性研究设计.
- 与30名骨科院内一线护理和康复管理人员进行了半结构化访谈.
- 用专题分析来分析采访数据.
主要成果:
- 在大流行期间,指导方针的实施与常规知识翻译不同,其特点是快速吸收.
- 管理人员报告说,危机背景,尽管存在诸如人员和沟通问题等障碍,但促进了准则的遵守.
- 关键主题包括适应变化,通过指导方针定安全,并采用流行病特定指导方针.
结论:
- 卫生危机可以通过改变医疗保健环境和员工动机,为指导方针实施创造独特的机会.
- 从流行病驱动的指南实施中吸取的经验教训可以为未来基于证据的实践采用策略提供信息.
- 从危机情况中识别促成因素和过程可以增强医疗保健组织的日常指导方针实施.
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