团队时间作为NHS工作人员的福祉干预:在COVID-19大流行期间对实施的定性评估
Magdalena Zasada1, Suzanne van Even2, Jill Maben2
1School of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, 30 Priestley Road, Surrey Research Park, Guildford, Surrey, GU2 7YS, UK. m.zasada@surrey.ac.uk.
团队时间是施瓦茨轮的改编,在COVID-19期间面临NHS员工福利的实施挑战. 持续的组织支持和与Schwartz Rounds的整合对其长期成功至关重要.
科学领域:
- 医疗保健管理的管理
- 组织心理学 组织心理学
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 团队时间是作为SchwartzRoundsTM的改编而开发的,用于在COVID-19大流行期间支持NHS工作人员.
- 施瓦茨轮是医疗保健专业人员的经过充分证实的,方便的小组干预.
研究的目的:
- 了解与团队时间的实施和可持续性相关的关键因素.
- 在施瓦茨轮实施的现有证据基础上建立.
主要方法:
- 在10个NHS组织中进行了20次半结构化采访,这些组织之前对施瓦茨轮的经验各不相同.
- 还采访了三位团队时间的导师.
- 数据分析使用了实施研究综合框架 (CFIR) 和主题分析.
主要成果:
- 在对SchwartzRounds新兴的组织中,实施是具有挑战性的,其中的障碍包括感知到的复杂性,资源密度,不支持的文化和沟通问题.
- 促进因素包括外部激励,干预适应能力和广泛的组织所有权.
- 具有先前施瓦茨轮经验的组织发现基础设施设置不那么繁,并且具有更有利的实施环境.
结论:
- 团队时间需要广泛和持续的组织支持才能被嵌入并带来好处,类似于施瓦茨轮.
- 在疫情期间,实施团队时间作为一种新的,独立的在线干预方式提出了挑战.
- 团队时间应该被视为施瓦茨轮的补充和对员工福祉的长期投资,而不是短期危机干预.
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