在儿科发病率和死亡率会议中探索协作和社会动态,一个定性案例研究
Emma Louise Jeffs1,2, Fiona Newall1,2, Clare Delany1,2
1The Royal Children's Hospital, Parkville, Victoria, Australia.
Journal of advanced nursing
|October 25, 2024
概括
在儿科发病率和死亡率会议上的合作是有价值的,但受到层次结构和不同的角色观念的阻碍. 积极管理是改善社会动态和患者护理的关键.
科学领域:
- 医疗保健管理的管理
- 医学教育 医学教育
- 患者安全 患者安全
背景情况:
- 儿科发病率和死亡率 (M&M) 会议对于临床学习和质量改善至关重要.
- 了解这些会议中的社会动态对于优化其有效性至关重要.
- 现有的文献缺乏关于M&M会议中的协作和社会动态的研究.
研究的目的:
- 在儿科病发率和死亡率会议中探索协作和社会动态.
- 识别这些环境中有效协作的障碍和促进者.
- 了解社会动态如何影响工作场所文化和患者安全.
主要方法:
- 定性探索性案例研究方法.
- 在一个大型四级儿科医院进行.
- 利用半结构面试 (n=44) 和定性观察 (n=32) 之后进行反射主题分析.
主要成果:
- 参与者重视合作,但面临障碍,包括不同的角色感知和层次结构.
- 高级医生在讨论中占主导地位,有时会造成恐吓,阻碍初级员工参与.
- 有效的社会动态需要积极促进和管理,以克服等级障碍.
结论:
- 发病率和死亡率会议反映了临床复杂性,并有可能塑造积极的工作场所文化.
- 解决层次障碍可以改善安全的临床护理和患者安全文化.
- 促进建设性的社会动态增强参与和参与,积极影响患者的护理.
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