探索以过程为导向的工作方式 - 一个涉及初级和专业护理的案例研究
Hanna Odén Poulsen1,2, Axel Ros3,4, Jeffrey Braithwaite5
1Jönköping Academy for Improvement of Health and Welfare, School of Health and Welfare, Jönköping University, Barnarpsgatan 39, 553 18, Jönköping, SE, Sweden. hanna.poulsen@ju.se.
在医疗保健中实施以过程为导向的日常工作需要解决信任和资源限制问题. 工作人员已经准备好采取行动,但文化和结构因素对这种新的工作方式提出了挑战.
科学领域:
- 医疗保健管理的管理
- 组织变革 组织变革
- 过程改进 过程改进
背景情况:
- 医疗机构传统上使用的是去中心化的结构.
- 需要以过程为导向的方法来应对医疗保健的挑战.
- 人们对从去中心化模式转向以流程为导向的模式的理解有限.
研究的目的:
- 在引入以过程为导向的日常工作过程中,探索医疗保健工作人员和领导者的看法.
- 了解在这种组织转变期间因素的相互作用.
主要方法:
- 采访和聚焦小组与29名参与者 (经理,安排者,医生) 在初级和专科护理.
- 在瑞典医疗保健地区进行的研究.
- 使用反射主题分析分析的数据.
主要成果:
- 出现了三个主题:准备行动,信任的作用和转型挑战.
- 员工和领导对新方法持积极态度.
- 准备好采取行动受到信任问题,文化因素和资源限制的阻碍.
结论:
- 组织,社会和个人关系因素对于在复杂的医疗保健系统中实施以过程为导向的工作至关重要.
- 解决信任和结构问题是成功转型的关键.
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