推进护理科学:在复杂的医院环境中获得系统级通信研究的中程理论
Angela C Brittain1, Jane M Carrington2
1College of Nursing, Washington State University, Vancouver, WA, USA angela.brittain@wsu.edu.
一个新的理论,有效的系统对系统通信理论 (ESSCT),解决了医院的复杂性,以提高患者安全和系统健康. 这一理论指导着对系统级通信的研究,旨在减少医疗保健机构中可预防的错误.
科学领域:
- 护理科学 护理科学
- 医疗保健系统研究 医疗保健系统研究
- 通信理论 通信理论
背景情况:
- 尽管目前的干预措施,可预防的医疗错误每年导致数以百万计的伤害和死亡.
- 医院系统的健康和患者安全受到系统层面的因素的影响,但研究往往忽视了医疗保健的复杂性.
- 现有的护理沟通理论不能充分解决现代医院环境的复杂性.
研究的目的:
- 在复杂的医疗环境中,从系统级通信的研究中获得指导性的中程理论.
- 增强对沟通如何影响医院系统健康和患者安全的理解.
- 为优化医疗保健中的沟通策略提供理论框架.
主要方法:
- 概念推导方法由沃克和阿万特 (2018) 提出.
- 从已建立的沟通和复杂性理论中整合母概念.
- 通过专家审查进行验证,并与护理元范式保持一致.
主要成果:
- 成功推导出有效的系统对系统通信理论 (ESSCT).
- 演示了衍生概念和概念陈述之间的一致性.
- 确认与研究结果和理论陈述的一致性.
结论:
- 开发的ESSCT为复杂的医疗保健环境中的通信研究提供了必要的理论基础.
- 这种理论可以通过考虑医院的复杂性来优化研究,从而提高患者的安全性.
- 欧洲医疗卫生研究委员会提供了一个框架,以指导未来的研究,旨在减少错误和提高医疗保健系统的性能.
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