在压力下适应的策略:在重症监护病房的采访研究
Bethan Page1,2, Dulcie Irving3, Jane Carthey4
1Department of Experimental Psychology, University of Oxford, Oxford, Oxfordshire, UK bethan.page@kcl.ac.uk.
重症监护病房 (ICU) 工作人员面临着巨大的压力,主要是由于人员短缺. 他们采用各种适应性策略,主要是实时的,以有效管理患者护理.
科学领域:
- 医疗保健管理的管理
- 关键护理医学 关键护理医学
- 组织心理学 组织心理学
背景情况:
- 医疗保健系统面临着巨大的压力,导致临床医生和管理人员进行即兴和不协调的适应.
- 重症监护病房 (ICU) 面临着独特的日常压力,影响员工和患者护理.
- 了解这些压力和员工适应对于制定协调管理策略至关重要.
研究的目的:
- 识别和描述在重症监护机构中遇到的日常压力.
- 记录重症监护人员在应对这些压力时采用的适应策略.
- 为制定实用,协调的压力管理策略奠定基础.
主要方法:
- 对20名英国ICU的高级多学科医疗保健专业人员进行了定性半结构面试.
- 采访重点探讨了重症监护人员使用的日常压力和适应策略.
- 应用了主题模板分析,利用先前存在的压力和策略分类法.
主要成果:
- 确定的主要压力是人员短缺,加剧了工作量并阻碍了患者流动.
- 适应性策略被归类为预测性或"当天"的.
- 由于ICU需求充满活力",每天"的策略,如员工灵活性,任务优先级和增强的沟通是最常见的.
结论:
- 在高压情况下,重症监护室的工作人员利用各种适应性策略来减轻风险,并保持患者护理标准.
- 这些发现支持开发一套灵活的适应性策略组合,用于重症监护.
- 培训临床领导者和团队有效地利用适应性策略具有显著的潜力.
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