无家可归者过渡照顾的跨部门合作:来自探索性网络分析的见解
Amanda Joy Anderson1, Sanjukta Das Smith2, Suzanne S Dickerson1
1School of Nursing, State University of New York at Buffalo, Buffalo, New York, USA.
专业间护理协调员促进跨部门的患者护理. 实施协调机制和加强行政人员和前线人员之间的联系可以优化跨部门的合作,以满足复杂的患者需求.
科学领域:
- 医疗保健管理的管理
- 社交网络分析 社交网络分析
- 专业间合作 专业间合作
背景情况:
- 专业间的护理协调对于具有多病症和社会复杂性的患者至关重要.
- 无家可归患者面临着独特的挑战,需要有效的跨部门干预.
- 医疗缓解是弱势群体的过渡性护理模式.
研究的目的:
- 通过关系协调 (RC) 和社交网络分析,评估医疗缓解网络中的跨部门合作.
- 为了比较行政和前线护理协调员之间的协作行为.
- 确定影响有效专业间合作的因素.
主要方法:
- 在一个由15个组织组成的网络上,员工关系协调 (RC) 和社会网络分析.
- 通过对20名行政人员和41名前线护理协调员进行半结构化访谈和调查来收集数据.
- 使用UCINet和RC索引分析数据,测量协作频率,沟通,关系,协调机制和角色属性.
主要成果:
- 在所有网络组织中都观察到合作,行政人员表现出比前线人员更高的网络凝聚力.
- 两组都报告RC得分较低 (<3.5/5.0),但重视准确,解决问题的沟通和共同目标.
- 已经建立了协调机制 (例如,共享会议,合同) 的组织表现出更高的网络中心性和RC得分.
结论:
- 行政和前线工作人员之间的联系,以及强大的协调机制,对于优化跨部门在跨专业团队中的合作至关重要.
- 行政和前线专业人员之间的组织内部行为差异需要进一步调查个人提供者属性.
- 未来的研究应该探索部门,角色,教育和许可如何影响护理协调的有效性.
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