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护理领导风格和错误管理文化:一个范围审查
Eleonora Moraca1, Francesco Zaghini1, Jacopo Fiorini2
1Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Leadership in health services (Bradford, England)
|September 30, 2024
概括
积极的护理领导力显著提高了错误管理文化 (EMC) 和护士的错误报告. 在领导风格中培训主护士可以培养错误报告,学习和预防的环境,改善患者护理质量.
科学领域:
- 医疗保健管理的管理
- 护理领导力 护理领导力
- 患者安全 患者安全
背景情况:
- 错误管理文化 (EMC) 对于患者安全和医疗机构的持续改进至关重要.
- 护理领导力显著影响临床环境中的错误报告和管理.
- 了解领导风格对EMC的影响对于制定有效的安全协议至关重要.
研究的目的:
- 系统地审查和综合现有的关于护理领导风格对错误管理文化 (EMC) 影响的文献.
- 确定关键主题和护理领导,错误报告和错误率之间的关系.
主要方法:
- 通过Joanna Briggs Institute (JBI) 的综合性审查方法和PRISMA指南进行了全面的范围审查.
- 在多个数据库 (PubMed,CINAHL,Scopus,Web of Science,Embase,EBSCO) 中进行了系统的搜索.
- 包含的研究的方法质量使用JBI分析跨部分研究的批判性评估检查清单进行评估.
主要成果:
- 审查中包括了13篇手稿,证实了护理领导在EMC中的重要作用,以及护士报告错误的意图.
- 出现了三个主要主题:领导对EMC的影响,领导对错误报告意图的影响,领导对错误率的影响.
- 在有效的护理领导和改进的错误管理之间发现了积极的关联,其特点是错误减少和提高护理质量.
结论:
- 护理领导力是强大的错误管理文化的关键决定因素,并影响护士报告错误的意愿.
- 医疗保健组织应投资于负责护士的领导力培训,以培养有利于错误报告和学习的环境.
- 解决当前研究的局限性,例如错误的横向分析,对于更全面地了解错误管理及其与领导和患者安全的关系是必要的.
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