护理实践环境和医院社会技术复杂性:一种混合方法研究
Caren de Oliveira Riboldi1, Renata Cristina Gasparino2, Wiliam Wegner3
1Hospital de Clínicas de Porto Alegre. Porto Alegre, Rio Grande do Sul, Brazil.
Revista brasileira de enfermagem
|December 19, 2024
概括
这项研究探讨了护理实践环境与医院复杂性之间的联系. 除了人员配置外,有利的环境与更好的护理质量和患者安全相关.
科学领域:
- 护理 护理 护理
- 医疗保健管理的管理
- 社会技术系统 社会技术系统
背景情况:
- 护理实践环境对医疗保健质量和患者安全有重大影响.
- 了解医院的社会技术复杂性对于有效的医疗保健服务至关重要.
研究的目的:
- 分析护理实践环境与医院社会技术复杂性之间的关系,由护士所感知.
- 在实践环境中识别影响感知复杂性的因素.
主要方法:
- 在巴西一家医院,对132名护士进行了一项连续的解释性混合方法研究.
- 使用实践环境规模护理工作指数和复杂性表征问卷收集了定量数据.
- 通过与18名护士的半结构面试收集了定性数据,随后进行了专题分析.
主要成果:
- 护理实践环境总体上是有利的,在人员和资源充足方面存在着复杂性.
- 出现了三个类别,将人力和技术方面与实践环境的复杂性,护理质量和患者安全联系起来.
- 护理中的意想不到的变化与实践环境相反相关.
结论:
- 护理实践环境和医院社会技术复杂性之间存在着重要的关系.
- 这些发现对提高护理护理的质量和安全有影响.
- 解决人员和资源充足问题是缓解护理实践环境复杂性的关键.
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