儿科病房的专业间学习和改进:一个参与行动研究,实践安全II理论
Annet van Harten1, Margot R Ernst-Kruis2, Theo J H Niessen3
1Leyden Academy on Vitality and Ageing, Leiden University Medical Centre, Leiden, The Netherlands.
Journal of evaluation in clinical practice
|March 26, 2025
概括
跨专业团队可以通过从日常实践的变化中学习来提高患者的安全. 这包括促进沟通和实施标准,以改善医院的团队合作和结果.
科学领域:
- 改善医疗保健 改善医疗保健
- 患者安全 患者安全
- 组织学习 组织学习
背景情况:
- 医疗保健专业人员面临着影响患者安全的时间限制.
- 安全II理论强调从实践变化,患者参与和专业间合作中学习.
- 整合这些元素对于在复杂的医院环境中提高安全性至关重要.
研究的目的:
- 调查跨专业团队如何利用实践的变化来实现日常学习和改进.
- 探索在病床周围巡视期间增强情境意识的方法.
主要方法:
- 参与行动研究 (PAR) 在荷兰一家医院的儿科病房中被采用.
- 数据收集涉及115个半结构面试和参与者观察.
- 引入了安全II概念,以促进所有利益相关者对实践的反思.
主要成果:
- 父母,护士和医生之间交流观点改善了相互理解和个人学习.
- 量身定制的标准和刺激的互动促进了集体学习,期望的调整,并承认实践的变化.
- 意想不到的好处包括时间管理,职业自豪感和工作满意度的改善,尽管向新来者转移知识是具有挑战性的.
结论:
- 每天的专业间互动和针对问题的标准可以增强医院单位的学习.
- 参与式行动研究是一种有效的,适应性的方法,可以吸引利益相关者并推动复杂的医疗保健环境的改进.
- 解决相互矛盾的优先事项对于促进日常互动和实施新标准至关重要.
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