在专业实践中以团队为基础的护理:改善不列颠哥伦比亚省医生经验的途径
Eric R Young1, Garth Vatkin2, Jason Kur2
1Doctors of BC, 1665 West Broadway, Vancouver, BC, V6J 5A4, Canada. eyoung@doctorsofbc.ca.
BMC health services research
|August 28, 2024
概括
基于团队的护理 (TBC) 成功提高了不列颠哥伦比亚省专家的医生福祉和效率. 这种模式提高了工作满意度和患者的结果,减少了急诊室的访问.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗实践管理 医疗实践管理
- 基于团队的护理模式
背景情况:
- 在不列颠哥伦比亚省的专科医生经常在急症护理工作,但缺乏对私人门诊办公室的团队式护理 (TBC) 的正式支持.
- 实施TBC与增强医生经验,运营效率和改善患者结果有关.
研究的目的:
- 评估实施基于团队的护理 (TBC) 模型的可行性和影响,用于门诊机构的专科医生.
- 评估TBC对医生的经验,工作满意度和效率的影响.
主要方法:
- 一个为期15个月的计划指导了来自9个专业的11名专家医生采用TBC,使用资金和指导等资源.
- 关于医生的经验,收集了定量数据 (Mini Z调查) 和定性数据 (采访,焦点小组,报告).
- 通过调查和后续电话评估患者的体验.
主要成果:
- 11名专家中有10名在他们的门诊办公室成功实施了TBC.
- 医生经验显著改善,特别是在工作满意度,工作节奏和电子医疗记录时间方面.
- 定性数据表明,TBC调节工作负载,减少倦怠,改善工作与生活的平衡,提高护理效率.
- 患者报告了积极的体验,诊断后急诊室访问减少.
结论:
- 基于团队的护理 (TBC) 是不列颠哥伦比亚省专科医生及其团队的可行和有效模式.
- TBC促进了医生的福祉,工作满意度和效率,同时提高了患者的体验.
- 这些发现支持专家采用TBC,以提高患者的保留和患者护理质量.
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