这只是一个故事吗? 领导力,实践经验和综合护理
Robin Miller1, Nieves Ehrenberg2, Caroline Jackson1
1School of Social Policy, University of Birmingham, Birmingham, UK.
概括
具有实践经验的人是综合护理的重要领导者,通过个人故事推动变革. 承认他们的领导力和提供支持,包括讲故事技巧,对于改善服务至关重要.
科学领域:
- 医疗保健管理的管理
- 患者倡导 患者倡导
- 定性研究是指质量研究.
背景情况:
- 综合护理强调共享决策,但这在实践中往往缺乏.
- 障碍包括专业主导地位,参与的技能差距,以及公共参与的基础设施不足.
- 尽管面临挑战,但拥有实践经验的个人成功地影响了政策和服务.
研究的目的:
- 探索具有综合护理生活经验的人的领导身份和经验.
- 从患者的角度了解影响医疗保健服务的过程和挑战.
- 确定在综合护理中支持患者领导的需求.
主要方法:
- 一项定性研究涉及来自12个国家的25名具有实践经验的参与者.
- 半结构面试侧重于领导身份,影响经验和个人学习.
- 分析使用框架方法,以叙事原则为基础.
主要成果:
- 参与者受到个人经验的激励,以改善护理,经常使用讲故事作为入口.
- 尽管对讲故事的支持有限,但对讲故事的信心仍在增强.
- 领导身份被一些人接受,而另一些人更喜欢不同的术语;影响服务带来了个人成本,但带来了新网络和满意度等奖励.
结论:
- 拥有实践经验的人有独特的地位,可以领导综合护理,提供宝贵的观点和愿景.
- 传统的领导定义往往不包括患者倡导者,阻碍了他们的认可.
- 认可患者领导者并提供发展支持,特别是讲故事,对于增强综合护理至关重要.
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