前线专业人员在荷兰为具有复杂护理需求的个人提供分层护理和支持系统的边界导航的经验
Teyler van Muijden1, Violet Petit-Steeghs1, Marcello Aspria1
1Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Postbus 1738, 3000 DR, Rotterdam, the Netherlands.
Social science & medicine (1982)
|January 17, 2025
概括
前线专业人员使用多种策略来克服分散的护理系统,并改善复杂需求的协作. 机构和更高层次的支持对于在综合护理计划中的有效边界工作至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
- 组织研究 组织研究
背景情况:
- 分散的护理系统对专业间的合作构成重大障碍,特别是对于有复杂护理需求的个人.
- 医疗保健和社会服务的水平和垂直边界阻碍了无的护理服务.
- 综合护理计划旨在克服这些碎片化的挑战.
研究的目的:
- 探索前线专业人员如何跨越组织和专业界限以促进合作.
- 确定综合护理机构专业人员使用的边界工作策略.
- 了解专业机构和更高层次干预措施在促进协作边界工作中的作用.
主要方法:
- 使用边界工作镜头进行定性研究.
- 分析了44次与社会,护理和安全领域的前线专业人员进行的半结构面试.
- 调整,跨越和绕过边界的工作策略的调查.
主要成果:
- 专业人士使用的策略包括角色扩展,创建边界支柱,共定位和边界对象.
- 创意解决方案被用来克服财务和立法限制.
- 边界工作策略的有效性取决于专业人士的代理,并经常由更高层次的参与者进行干预.
结论:
- 前线专业人员积极参与边界工作,以加强综合护理方面的合作.
- 专业机构和管理层的支持对于导航复杂的护理系统边界至关重要.
- 解决边界在多个层面上的相互联系对于成功的综合护理至关重要.
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