解决比利时息护理组织中的整合问题:采用分析层次过程 (AHP) 方法的多层生态系统方法
Melissa De Regge1,2, Paul Gemmel3, Leen Ackaert3
1Department of Marketing, Innovation and Organization, Faculty of Economics and Business Administration, Ghent University, Tweekerkenstraat 2, Ghent, B-9000, Belgium. Melissa.deregge@ugent.be.
BMC palliative care
|October 27, 2024
概括
综合性息护理需要在微,中和宏观层面调整优先事项. 有效的护理取决于在各个层面之间共享功能性和规范性支持者,以实现连贯的患者结果.
科学领域:
- 医疗保健生态系统 医疗保健生态系统
- 缓和护理整合 缓和护理整合
- 跨层次分析 跨层次分析
背景情况:
- 微,中和宏观层面的息护理整合尚未得到充分研究.
- 缺乏整合导致护理分散,患者的治疗结果低于最佳.
- 了解跨护理层面的共同优先事项对于凝聚力战略至关重要.
研究的目的:
- 探索缓和护理生态系统中微,中和宏观层面的优先事项的调整.
- 评估目标在不同护理整合水平之间有多大程度的共享.
- 确定佛兰德斯 (比利时) 综合息护理的障碍和推动因素.
主要方法:
- 采用分析层次过程 (AHP) 的多方法研究.
- 包括文献综述,利益相关者采访 (n=12),与患者/亲属/护理人员的重点小组 (n=8).
- 对305名法兰西参与者 (患者,亲属,照顾者,决策者) 进行了优先级调查问卷.
主要成果:
- 整合是不平衡的:优先级在微 (57%),然后是中 (29%) 和宏 (14%) 层面是最高的.
- 功能激活器主导着宏观 (80%) 和中组织 (67%) 层面.
- 在中专业 (67%) 和微 (75%) 层面强调了规范性推动因素.
结论:
- 实现综合性息护理需要在所有生态系统层面上刻意调整优先事项.
- 每个层次 (微,中,宏) 在息护理中都有独特的作用.
- 综合和有效的息护理是通过在各个层面共享功能性和规范性支持者来实现的.
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