第一线护士管理人员控制范围的决定因素:德尔菲研究
Ángel Boned-Galán1,2, Nieves López-Ibort2,3, Ana I Gil-Lacruz2,4
1Sterilization Center Miguel Servet University Hospital, Zaragoza, Spain.
Journal of nursing management
|April 14, 2025
概括
专家共识确定了31个影响一线护士管理员 (FLNM) 控制范围的关键因素. 这些因素涵盖单位,专业,FLNM和组织类别,对于有效的医疗保健管理至关重要.
科学领域:
- 医疗保健管理的管理
- 护理领导力 护理领导力
- 组织心理学 组织心理学
背景情况:
- 护理中的控制范围 (SOC) 是复杂的,受患者,专业和组织因素的影响.
- 关于护理SOC的现有研究是有限的,通常只关注下属数.
- 不充分的SOC会对患者,专业人员和医疗机构产生负面影响.
研究的目的:
- 确定确定第一线护士管理人员 (FLNM) 控制范围 (SOC) 的关键因素.
- 为了在西班牙医疗保健系统中就这些SOC决定因素达成专家共识.
主要方法:
- 一项三阶段的Delphi研究,涉及45名受邀专家 (护士管理人员,FLNMs,学者,研究人员,健康管理专业人员).
- 对参与者进行的在线调查.
- 在达成共识的项目上使用因子分析,使用jamovi软件分析数据.
主要成果:
- 35名专家参加了会议,就影响FLNM SOC.的31个因素达成共识.
- 这些因素被分为:单位 (16项),专业 (5项),FLNM (4项) 和组织 (6项).
- 关键决定因素包括单位复杂性,人员稳定性,FLNM自主性和组织数字化.
结论:
- 对于影响FLNM SOC.因素的决定因素和相关性,存在高专家共识.
- 除了下属计数之外,许多变量应该为FLNM任命提供信息.
- 了解这些因素可以指导定制管理工具的开发.
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