使用行为诊断来识别激励因素和障碍,以优化护士和助产士经理领导时间
Julie Considine1,2, Philippa Blencowe2, Naida Lumsden2
1School of Nursing and Midwifery and Centre for Quality and Patient Safety in the Institute for Health Transformation, Deakin University, Geelong, Victoria 3220, Australia.
Journal of nursing management
|April 14, 2025
概括
护士和助产士经理在使用分配的领导时间时面临着罪恶感和压力等障碍. 行为变化理论有助于识别这些问题,并制定计划,以优化领导时间,以获得更好的结果.
科学领域:
- 医疗保健管理的管理
- 护理领导力 护理领导力
- 组织行为 组织行为
背景情况:
- 有效的护理和助产领导对于患者,员工和组织的好处至关重要.
- 最近的一次组织变化为所有护士/助产士经理每周分配了五个专门的领导日 (N=89).
- 这一转变需要管理人员显著的行为变化,他们习惯于在繁忙的时期默认执行临床角色.
研究的目的:
- 确定影响护士/助产士管理人员使用分配的领导时间的推动因素和障碍.
- 制定一个基于理论的实施计划,以优化专用领导日的使用.
主要方法:
- 在理论领域框架的指导下,一项调查评估了推动者和障碍者.
- 行为变化轮被用来绘制结果并设计实施计划.
- 根据APEASE标准,确保选择的策略是可以接受的,可行的,有效的,负担得起的,安全的和公平的.
主要成果:
- 反思式的动机 (明确的目标,乐观) 是一个关键的推动因素.
- 障碍包括反射动机 (责任,缺乏控制),自动动机 (内,人员短缺期间的压力) 和社会机会 (平衡期望).
- 确定了一套全面的干预功能是必要的,以解决障碍和支持推动者的障碍.
结论:
- 行为变化理论有效地识别了护士/助产士管理人员在使用分配的领导时间时所面临的现实挑战.
- 基于理论的实施计划对于优化专用领导时间的使用和改善管理实践是有价值的.
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