在以患者为中心的医疗家庭中,初级保健工作人员对责任的感知
Bonnie J Wakefield1, Amany Farag, Monica B Paez
1Author Affiliations: Investigator (Dr Wakefield), Veterans Integrated Service Network 23, Primary Care Analytic Team (PCAT), Iowa City VA Healthcare System, Associate Professor (Dr Wakefield), Sinclair School of Nursing, University of Missouri, Columbia; Investigator (Dr Farag), Veterans Integrated Service Network 23, Primary Care Analytic Team (PCAT), Iowa City VA Healthcare System, and Associate Professor (Dr Farag), University of Iowa College of Nursing; Ethnographic Methods and Implementation Core (EMIC) Program Manager (Paez), Veterans Integrated Service Network 23, Primary Care Analytic Team (PCAT), Iowa City VA Healthcare System, and VA Office of Patient Care Services (EMIC), Program Manager (Paez), The Comprehensive Access and Delivery Research and Evaluation (CADRE), Center at the Iowa City VA Healthcare System; Director (Dr Stewart), Veterans Integrated Service Network 23, Primary Care Analytic Team (PCAT), Iowa City VA Healthcare System, and VA Office of Patient Care Services; Professor (Dr Stewart), Tippie College of Business, University of Iowa.
退伍军人卫生管理局 (VHA) 患者医疗团队 (PACT) 成员缺乏对角色的共享理解,阻碍了以团队为基础的护理. 改善培训和清晰的沟通对于有效实施PACT至关重要.
科学领域:
- 医疗保健管理的管理
- 基于团队的护理团队
- 初级保健研究研究初级保健研究
背景情况:
- 基于患者的护理团队 (PACT) 模式是退伍军人卫生管理局 (VHA) 护理的核心.
- 由于对团队角色的不一致理解,PACT的全系统实施受到挑战.
研究的目的:
- 评估VHA PACT成员之间对责任的共享理解和实施情况.
- 识别PACT内部团队成员感知与实际角色之间的差异.
主要方法:
- 从2022年开始对国家调查数据的分析.
- 包括来自VHA初级保健人员的定量和定性数据.
主要成果:
- 在核心PACT成员报告做的事情和其他人期望他们做的事情之间发现了显著的差异.
- 这些差异表明角色协议,知识或培训存在问题.
结论:
- 有效的以团队为基础的护理需要共享的心理模式和与临床能力一致的培训.
- 对期望的明确沟通对于角色的明确性和PACT的成功实施至关重要.
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