在丹麦实施新的急救部门时创造一个地方感:一项定性研究
Jeanette Wassar Kirk1,2, Per Nilsen3, Ove Andersen4,5,6
1Department of Clinical Research, Copenhagen University Hospital, Amager and Hvidovre, Hvidovre, Denmark. jeanette.wassar.kirk@regionh.dk.
BMC health services research
|November 28, 2024
概括
在新的医疗保健环境中发展强烈的位置感对于成功实施至关重要. 诸如舒适,组织,熟悉,时间和参与等因素显著影响员工对新实践的接受和可持续性.
科学领域:
- 实施科学 实施科学
- 文化地理学 文化地理学
- 医疗保健管理的管理
背景情况:
- 物理环境往往是医疗保健实施框架中的被动背景.
- 文化地理揭示了空间动态影响行为和实践接受的空间.
- 新的急救部门 (ED) 需要了解空间对实施的影响.
研究的目的:
- 探索员工如何在新的ED中培养自己的位置感.
- 研究空间动态如何影响医疗保健的实施.
- 将文化地理视角融入实施科学中.
主要方法:
- 多地点民族学设计 (2019-2023年).
- 53名参与者 (经理,护士,医生) 在12个部门.
- 用情境分析和文化地理学分析的民族学实地笔记和半结构化访谈.
主要成果:
- 地方感通过舒适 (日光,气候),空间组织 (协作,工作流) 和熟悉 (实践,设备) 来发展.
- 建筑延误促进了更深层次的情感参与.
- 更多的参与将最初的批评转化为更强大的所有权.
结论:
- 在预先实施新的医疗保健物理位置时,强烈的位置意识至关重要.
- 舒适,空间组织,熟悉,时间和参与是关键因素.
- 洞察力告知实施过程,解决更好的接受性,采用性和可持续性的身体和情感需求.
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