在巴基斯坦前线医疗保健工作者中探索语音障碍和随后的做法:全面的混合方法分析
Noreen Kanwal1, Ahmad Shahrul Nizam Isha2, Al-Baraa Abdulrahman Al-Mekhlafi3
1Department of Management, Sunway Business School, Sunway University, Subang Jaya, Selangor, 47500, Malaysia. Kanwalnoreen72@yahoo.com.
BMC health services research
|January 6, 2025
概括
巴基斯坦的医疗保健工作者由于等级压力和对后果的恐惧,不担心安全问题. 解决这些障碍对于改善医疗保健机构患者和工人的安全至关重要.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 职业健康 职业健康 职业健康
背景情况:
- 前线医疗保健工作者中的语音障碍对患者和工人的安全有重大影响.
- 了解这些障碍对于提高医疗保健中的语音行为至关重要.
- 这项研究的重点是确定巴基斯坦医疗保健工作者之间的语音障碍和做法.
研究的目的:
- 识别和分析阻止医疗保健工作者表达安全关切的障碍.
- 探索医疗保健工作者采用的替代实践,以解决他们的担忧.
- 为改善医疗保健机构的安全文化和管理支持提供见解.
主要方法:
- 一种混合方法的研究设计,结合了定性 (对15名工人进行半结构面试) 和定量 (对480名工人进行问卷调查) 的方法.
- 定性数据分析涉及描述和内容分析,以确定障碍和做法.
- 量化数据分析利用多阶段的等级回归来确定识别障碍的统计学意义和影响.
主要成果:
- 导致患者安全问题被扣留的因素包括专业指标,工作经验,恐惧,工作不安全以及不合作的管理.
- 导致员工安全问题被扣留的因素包括性别,害羞,信心水平,管理问题和资源短缺.
- 工人使用的替代策略包括寻求政治联系,个人和解,工会抗议和社交媒体参与.
结论:
- 巴基斯坦的医疗保健工作者经常因为等级压力,个人不安全感和对负面后果的恐惧而隐安全问题.
- 对外部机制的依赖凸显了对安全文化和管理的系统性改革的迫切需要.
- 改善安全文化和管理支持对于确保患者和工人的福祉至关重要.
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