组织准备好迎接变化,以实施败血症幸存者医院到家庭过渡-护理协议的变化
Elaine Sang1,2, Ryan Quinn3, Michael A Stawnychy1,2,4,5
1NewCourtland Center for Transitions and Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States.
Frontiers in health services
|September 23, 2024
概括
与医院工作人员相比,急性病后护理人员对实施败血症幸存者的护理过渡协议的组织准备能力更强. 这种差异可能源于不同的卫生政策和优先事项,影响了护理协调.
科学领域:
- 医疗保健管理的管理
- 实施科学 实施科学
- 患者在护理中的转变
背景情况:
- 组织对变革的准备对于实施败血症幸存者过渡护理协议至关重要,但仍未得到充分研究.
- 有效的协议实施需要医院和急性后护理利益相关者之间的合作,包括领导和工作人员.
- 这项研究通过比较这两个关键信息提供者群体之间的组织准备度来解决这一差距.
研究的目的:
- 为了比较医院和急性病后护理人员参与败血症幸存者过渡护理协议实施的组织准备变化.
- 确定影响医疗保健机构之间准备程度差异的潜在因素.
主要方法:
- 一项横截面研究调查了来自16家医院和五家附属家庭医疗机构 (HHC) 的84名信息者 (51家医院,33家急性后护理).
- 组织准备实施变革 (ORIC) 规模测量了准备 (范围为12-60).
- 曼-惠特尼U测试和调整后的线性回归比较了各组之间的准备性得分.
主要成果:
- 后急性护理信息提供者报告的ORIC中位数 (57) 比医院信息提供者 (52) 高.
- 与医院信息员相比,急性护理后的信息员表现出了统计学上显著的更高的平均ORIC得分 (4.39个单位高,p=0.03).
- 此外,还收集了人口统计和工作区域信息.
结论:
- 后急性护理信息人员表现出更大的组织准备,以实施败血症幸存者过渡护理协议.
- 潜在的促成因素包括卫生政策,专业知识,组织结构和优先事项的差异.
- 结果为协议实施提供了信息,并建议对ORIC的潜在因素和预测有效性的未来研究.
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