影响医院口语行为因素的分类:系统审查
Dimmy van Dongen1, Frank Guldenmund2, Irene Grossmann2
1Centre for Safety in Healthcare, at the Faculty of Technology, Policy and Management, Delft University of Technology, Jaffalaan 5, Delft, 2628 BX, the Netherlands. D.M.G.vandongen@tudelft.nl.
BMC health services research
|December 28, 2024
概括
医疗保健专业人员 医疗保健专业人员
科学领域:
- 医疗保健质量和患者安全研究.
- 在医疗保健机构的组织行为.
- 专业的沟通和道德.
背景情况:
- 发言对于患者安全和护理质量至关重要,但很复杂.
- 由于各种因素,医疗保健专业人员经常犹不决地表达担忧.
- 了解这些决定因素是改善医院环境的关键.
研究的目的:
- 综合影响医疗保健专业人员发言的因素.
- 开发这些影响因素的多层次框架.
- 引导干预措施,以促进医院的支持性发言环境.
主要方法:
- 系统性审查于2024年11月进行.
- 在PubMed,Scopus和Web of Science数据库中进行了搜索.
- 遵循PRISMA指导方针和主题综合; 45篇文章符合纳入标准.
主要成果:
- 影响因素分为个人 (64%),组织 (58%),关系 (47%) 和上下文 (42%).
- 这些因素包括激励因素,阻碍因素和权衡因素.
- 确定了影响医疗保健专业人员发言行为的关键决定因素.
结论:
- 一个多层次的框架揭示了影响发言的因素的相互作用.
- 系统方法对于设计有效的干预措施至关重要.
- 解决所有类别的障碍可以提高患者安全和护理质量.
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