"我们倾听,支持和依赖彼此":关于领导力如何影响实施QI干预措施的定性研究
Liane Ginsburg1, Adam Easterbrook2, Ariane Geerts3
1Health Policy and Management, York University Faculty of Health, Toronto, Ontario, Canada lgins@yorku.ca.
BMJ quality & safety
|November 12, 2024
概括
在养老院的有效领导包括建立承诺,培养学习和支持团队关系. 这些行动有助于实施质量改善干预措施,并创造持续改进的文化.
科学领域:
- 医疗保健管理的管理
- 组织行为 组织行为
- 养老院管理局 养老院管理
背景情况:
- 实施医疗保健系统的变化需要大量的努力.
- 领导力对于质量改进 (QI) 计划的成功至关重要.
- 领导力影响QA实施的具体机制尚未完全理解.
研究的目的:
- 检查领导力影响QA干预实施的过程.
- 了解领导力在医疗保健变革中的作用的"如何".
主要方法:
- 利用了来自于"在住宅环境中为老年人提供更安全的护理" (SCOPE) QI干预的过程评估中的二次数据.
- 对31个养老院团队的数据进行了主题分析.
- 采用从领导文献中开发的先验代码书来识别领导过程.
主要成果:
- 有效的领导者培养了团队对QI干预的承诺.
- 领导者通过鼓励参与和赋予护理助手权力,促进学习能力.
- 领导者支持团队流程,培养关系,并帮助员工导航.
结论:
- 养老院领导力QI涉及关键的关系和社会文化方面.
- 这些发现可以为复杂干预的设计和扩展提供信息.
- 强调需要对有效的QI领导力策略进行未来研究.
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