在麻醉后护理单位实施卓越学习:在半年后对医疗保健专业人员经验的定性研究
Gørill Birkeli1,2, Ellen Catharina Tveter Deilkås3,4, Randi Ballangrud5
1Division of Surgery, Akershus University Hospital, Sykehusveien 25, 1478, Lørenskog, Norway. gobi@ahus.no.
BMC health services research
|April 2, 2025
概括
从卓越中学习 (LfE) 通过促进积极的反,改善了麻醉后病房的工作环境. 然而,对于有效实施的组织学习和包容性仍然存在挑战.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全研究的研究.
- 在医疗保健中的组织心理学.
背景情况:
- 传统的患者安全工作 (Safety-I) 侧重于错误,而Safety-II则强调从成功和员工福祉中学习.
- 从卓越中学习 (LfE) 是一项英国倡议,旨在促进从成功实践和积极反中学习.
- LfE对医疗保健机构的学习,福祉和质量改善的影响需要深入研究.
研究的目的:
- 描述医疗保健专业人员与卓越学习倡议的经验.
- 评估LfE对工作环境,学习和后麻醉护理单位质量改善的影响.
- 识别促进者和阻碍成功实施LfE的障碍.
主要方法:
- 采用了定性描述性研究设计.
- 从卓越中学习是在挪威大学医院的麻醉后护理部门从2022年11月到2023年5月实施的.
- 通过与护士和医生 (n=24) 进行六次半结构化焦点小组采访收集数据,并使用感应反射主题分析进行分析,遵守COREQ指南.
主要成果:
- 出现了四个主题:"促进更积极的工作氛围" (包括积极的反和动机),"为什么我没有得到任何"喜欢"? ","组织学习具有挑战性" (包括报告犹和肤浅的学习),以及"成功激发质量改进项目的灵感".
- LfE对工作环境产生了积极的影响,使员工感到被认可和有动力.
- 挑战包括组织学习的困难和潜在的独家性问题.
结论:
- 从卓越实践中学习的实施主要促进了麻醉后护理部门的积极工作氛围.
- 为了最大限度地提高LfE的价值,增强组织学习和减轻排他性等负面影响至关重要.
- 进一步的研究应该探索优化LfE与医疗保健系统的整合策略.
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