在四种类型的医院团队中,环境对适应的影响:一个民族学研究
Natalie Sanford1, Mary Lavelle2, Ola Markiewicz3
1Florence Nightingale Faculty of Nursing, Midwifery, and Palliative Care, King's College London, UK.
不同的医院团队以独特的方式适应需求-容量错位,受团队设计和结构的影响. 了解这些差异对于提高医疗保健质量和系统弹性至关重要.
科学领域:
- 医疗保健系统科学 医疗保健系统科学
- 组织行为组织行为.
- 患者安全研究的研究.
背景情况:
- 医疗保健质量和安全倡议越来越多地在中断期间检查复杂的系统适应.
- 这项研究调查了多元化的医院团队如何管理需求-容量错位.
研究的目的:
- 为了确定不同类型的团队是否遇到明显的需求-容量错位.
- 分析团队适应策略的变化.
- 确定特定的支持需求,以提高团队的适应能力和系统弹性.
主要方法:
- 在五个医院病房 (外科,老年人,重症监护,急性评估单位) 进行了民族学观察.
- 利用医院团队类型学和CARE Model 2.0框架来分析错位和适应.
主要成果:
- 所有团队类型都经历了错位,适应策略有很大的差异.
- 团队的设计,结构和成员影响了适应效率.
- 结构和卫星团队表现出有效的协调,而混合和协调团队面临的挑战是由于分散的互动和冲突的优先事项.
结论:
- 医院团队对失调的适应是多样化的,并受到固有的团队特征的影响.
- 战略设计和支持适应性团队合作对于改善医疗保健质量和安全至关重要.
- 进一步的研究应该探索加强团队适应能力的干预措施.
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