在护理单位建立社会支持和道德治愈:设计和实施文化变革干预措施

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Timothy J Usset^1,2, Cassandra Godzik^3,4, J Irene Harris^2,5

¹School of Public Health, University of Minnesota, Minneapolis, MN 55455, USA.

Behavioral sciences (Basel, Switzerland)

|September 28, 2024

概括

通过RECONN干预,改善了遭受道德伤害的护士的社会支持和情感恢复. 这项质量改进项目证明了干预措施的有效性.

科学领域:

改善医疗保健质量改善医疗保健质量
护理专业发展护理专业发展
心理健康干预心理健康干预

背景情况:

医疗保健机构面临重大挑战,包括倦怠,流动性和人员短缺,影响护理质量.
暴露于道德伤害事件可能会对医疗保健专业人员造成重大伤害,需要进行支持性干预.
需要可行,有吸引力和有影响力的战略来增强支持文化和减轻道德伤害.

研究的目的:

设计,实施和测试RECONN (反射和连接),一个组织干预.
减轻道德伤害的影响,增加护士的社会支持.
评估RECONN干预的可行性,可接受性和初步有效性.

主要方法:

基于证据的质量改进 (EBQI) 方法被用于开发和实施RECONN干预.
这项研究是在一个农村的学术医疗中心的医疗重症监护室 (MICU) 中进行的.
通过对17名参与护士的调查,评估了可行性,可接受性和初步有效性.

主要成果:

70%的接受调查的护士认为RECONN干预措施是可以接受和适当的.
初步数据显示,改善社会支持和减少道德伤害的效果大小小到中等.
该干预措施在减少孤独感和加强护士的情绪恢复方面显示出积极的趋势.

结论:

RECONN干预是支持医疗保健机构护士的可行和可接受的策略.
初步调查结果表明,RECONN可能有效地减轻道德伤害,增强社会支持.
需要进一步的研究来证实RECONN在各种医疗环境中的有效性和普遍性.

关键词:

基于证据的质量改进.在道德上的痛苦,在道德上的痛苦.造成道德伤害的伤害护士护士护士组织干预组织干预同行支持同行支持.恢复力恢复力社会支持社会支持

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