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一线管理人员在骨科护理和康复中实施指南的经验:定性研究
Erika Fjordkvist1,2, Maria Hälleberg Nyman3,4,5, Madeleine Winberg6
1Faculty of Medicine and Health, School of Health Sciences, Örebro University, 701 82, Örebro, Sweden. erika.fjordkvist@oru.se.
BMC health services research
|July 31, 2024
概括
一线管理人员在实施骨科护理中的临床实践指南 (CPG) 时面临组织障碍. 了解这些挑战可以改善CPG的采用和患者安全.
科学领域:
- 医疗保健管理的管理
- 护理领导力 护理领导力
- 基于证据的实践实施实施.
背景情况:
- 第一线管理人员对于推广基于证据的临床实践指南 (CPG) 至关重要,以确保安全的患者护理.
- 在急性和计划性医院环境中,有效的护理程序至关重要.
- 关于一线管理人员如何支持CPG采用以及骨科护理中的障碍/支持者的知识有限.
研究的目的:
- 探索一线管理人员在骨科护理环境中实施临床实践指南的经验.
主要方法:
- 对30名一线护理和康复管理人员进行了定性采访研究.
- 参与者来自瑞典的17个骨科单位.
- 使用由"太华实施领导模式"指导的演性内容分析.
主要成果:
- 管理人员在指导方针实施过程中平衡了外部 (上层管理层) 和内部 (员工,患者) 的背景.
- 领导策略包括让员工参与,强调患者的好处,并获得资源 (时间,培训).
- 尽管知道有效的实施方法,但管理人员遇到了阻碍成功采用CPG的背景障碍.
结论:
- 组织约束可能会限制一线管理人员完全实施CPG的能力,即使是现有知识.
- 提高组织对支持或阻碍管理人员实施领导力的因素的意识,可以改善CPG采用和行为变化.
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