了解医疗保健中的权力距离:一个范围审查
Anton Kyynärsalmi1, Mira Hammarén1,2, Outi Kanste1,2,3
1Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland.
Nursing inquiry
|April 13, 2025
概括
权力距离对医疗保健有重大影响,影响人际关系,导致社会不平等. 了解其人际关系,人际关系和文化方面对于医疗保健领导和研究至关重要.
科学领域:
- 医疗保健管理的管理
- 社会学 社会学 社会学
- 组织行为 组织行为
背景情况:
- 权力距离,一种描述有关等级和不平等的社会规范的概念,越来越多地被认为是医疗保健环境中的一个重要因素.
- 现有研究强调了它对医疗保健行业的专业互动,患者护理和组织动态的潜在影响.
研究的目的:
- 系统地绘制有关医疗保健中的功率距离的现有研究.
- 在这个领域内确定用于研究功率距离的流行的方法.
- 在医疗保健环境中划分权力距离的关键主题和多层次影响.
主要方法:
- 在2023年5月进行了对原始研究的系统搜索,遵循Joanna Briggs Institute (JBI) 关于范围审查的指南.
- 报告中使用了系统性审查和扩展范围审查的元分析 (PRISMA-ScR) 检查清单的优先报告项目.
- 该审查包括了2004年至2022年间发表的30项研究.
主要成果:
- 权力距离被确定为影响医疗保健研究中各种变量之间的关系的调节者.
- 出现了三个主要主题:权力距离的人际关系,人际关系和文化方面.
- 结果表明,权力距离的直接和间接影响,将其与等级制度和缺乏 collegiality 联系起来.
结论:
- 权力距离是医疗保健中的一个有影响力的现象,有助于复杂的社会不平等.
- 了解它的多层次影响对医疗保健领导和研究有价值,特别是对于理解员工成果和文化细微差别.
- 需要进一步的研究,以充分阐明权力距离在医疗保健中的多方面的作用.
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