这是一个战场! 对开普敦急救部门共享的叙述进行主题分析
Charmaine Cunningham1, Marietjie Vosloo2, Lee Wallis2
1Family, Community and Emergency Care, University of Cape Town Faculty of Health Sciences, Cape Town, South Africa charmaine.cunningham@uct.ac.za.
Emergency medicine journal : EMJ
|October 24, 2024
概括
紧急部门 (ED) 工作人员的叙述揭示了普遍存在的"类似战争的心态",源自日常混乱,缺乏支持和系统故障. 这些故事突出了关键的组织文化问题,需要战略干预.
科学领域:
- 医疗保健管理的管理
- 组织心理学 组织心理学
- 卫生社会学 卫生社会学
背景情况:
- 紧急部门 (ED) 是一个动态的环境,需要有效的意义.
- 员工叙述对于理解EDs中的组织文化,身份和行为至关重要.
- 捕捉ED工作人员的故事提供了对他们的生活经验和组织动态的见解.
研究的目的:
- 通过员工叙述,探索紧急部门 (ED) 的组织文化和身份.
- 确定ED工作人员用来描述他们的工作环境的主导主题和隐喻.
- 了解医疗保健专业人员在高压环境中的思维过程.
主要方法:
- 通过有目的的抽样,从五个开普敦急救中心招募了医生和护士.
- 数据收集涉及参与者在8周内分享简短的叙述,标题和隐喻.
- 使用SenseMaker收藏器工具和Excel,对89个收集的故事进行了感应主题分析.
主要成果:
- 从分析中出现了四个主要主题:"通常的混乱"",没有帮助"",设置失败"和普遍的"类似战争的心态".
- 故事反映了日常的挑战,与行为和心理健康患者的困难,缺乏支持的感知,以及ED特定的问题,如拥挤.
- 职业群体之间共享的"战争精神"表明了重要的职业间紧张关系和负面的工作环境.
结论:
- 可以将ED视为社会构建的语言系统,其中叙述塑造了经验.
- 工作人员的叙述揭示了没有得到支持的感觉,断开了联系,并且普遍存在'类似战争的心态'.
- 调查结果突出了重要的组织问题,需要一种参与式的方法来重塑未来的叙述和改善工作环境.
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