实施质量改善干预措施的知识边界; 定性研究
Hilda Bø Lyng1, Torunn Strømme1, Eline Ree1
1SHARE-Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.
Frontiers in health services
|June 26, 2024
概括
本研究确定了语法,语义和务实知识边界,阻碍了挪威养老院和家庭护理服务的质量改善干预措施. 了解这些障碍是成功实施的关键.
科学领域:
- 医疗保健管理的管理
- 组织行为 组织行为
- 知识管理知识管理
背景情况:
- 质量改善干预措施对医疗保健至关重要,但面临实施挑战.
- 了解知识边界对于成功采用新实践至关重要.
研究的目的:
- 识别和理解养老院和家庭护理质量改善计划中的语法,语义和务实知识边界.
- 探索在挪威医疗保健机构实施质量改善干预措施的障碍.
主要方法:
- 使用个人和焦点小组采访的探索性定性方法.
- 对挪威养老院和家庭护理服务的领导者和发展护士的数据进行了理论分析.
- 从外部和内部驱动的干预中收集的数据.
主要成果:
- 语法界限包括缺乏会议场地和知识转移,影响员工传播和培训.
- 语义界限涉及模糊性和缺乏感知影响,通常与促进者角色的不确定性有关.
- 务实界限包括缺乏所有权,抵抗,工作量和支持,反映了改变实践的挑战.
结论:
- 该研究为了解质量干预实施中的知识边界提供了一个框架.
- 识别的解决方案可以帮助克服医疗保健环境中的语法,语义和务实障碍.
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