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导航紧急部门护理协调的复杂性:使用桌面沙箱模拟器对适应性策略的定性探索
Karl Hybinette1, Gesa Praetorius2, Mirjam Ekstedt3
1Department of Learning Informatics Management and Ethics, Karolinska Institute, Stockholm, Sweden; Department of Neonatology, Karolinska University Hospital, Stockholm, Sweden.
Applied ergonomics
|January 14, 2025
概括
领导护士平衡监测和协调急诊室 (ED) 的努力,以管理患者流量和敏度. 了解这些适应性策略是改善ED操作和人员培训的关键.
科学领域:
- 医疗保健管理的管理
- 护理领导力 护理领导力
- 紧急医疗 紧急医疗
背景情况:
- 紧急服务部门 (EDs) 面临着高患者敏度和可变的工作负载.
- 适应能力对于管理ED运营需求至关重要.
- 领导护士在驾这些复杂的环境中发挥着至关重要的作用.
研究的目的:
- 识别和描述ED中主管护士使用的适应策略.
- 为培训和教育的发展提供信息,以提高适应能力.
- 了解高压ED环境中的决策过程.
主要方法:
- 与14名主管护士的焦点小组讨论.
- 利用桌面上的沙箱模拟来促使人们对现实世界的挑战进行反思.
- 在音频和视频录制的会议上采用反射的主题分析.
主要成果:
- 领导护士持续平衡监测ED状态和协调护理.
- 这种平衡对于立即解决问题和减轻未来问题的必要.
- 策略包括根据局势需求调整工作和资源.
结论:
- 领导护士策略侧重于在变化中保持运营平衡.
- 需要进一步的研究来区分可标准化和适应性的培训策略.
- 这些发现可以指导ED领导者设计有效的培训计划.
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