工作人员对推协调倡议实施的经验
Ashley C Mog1,2,3, Anna Woolery1,2,4, Kelty Fehling1,2,4
1VA Collaborative Evaluation Center (VACE), Veterans Health Administration, Seattle, Washington, USA.
Health services research
|June 9, 2025
概括
推协调倡议 (RCI) 显示了员工的各种经验,在一致的目标和护士选适当性方面存在挑战. 建立关系和明确的指导方针是有效,以患者为中心的专业护理转诊的关键促进因素.
科学领域:
- 医疗保健管理的管理
- 临床操作 临床操作
- 患者推系统 患者推系统
背景情况:
- 推协调倡议 (RCI) 旨在加强VHA内的专科护理推.
- 它采用以团队为基础的策略,将分拣任务从专家转移到护士,以提高及时性和以患者为中心.
研究的目的:
- 评估VHA工作人员在全国范围内传播推协调倡议 (RCI) 的经验.
- 确定影响RCI实施和维护的挑战和促进者.
主要方法:
- 与68名VHA工作人员进行了定性访谈,涉及4个地点和3个大量的专业.
- 参与者包括护士,安排人员,专家和推提供者.
- 数据分析采用快速矩阵方法,与数据收集并发.
主要成果:
- 工作人员对RCI对专业工作量和人员配置的影响表示不同的看法.
- 确定的挑战包括不一致的项目目标理解,关于护士分拣的混合观点,缺乏具体的分拣指南,以及安排人员协调不佳.
- 调解员涉及利用现有关系,具有专业知识的护士,并制定明确的指导方针.
结论:
- 促进推团队和专科之间的合作对于以患者为中心的推至关重要.
- 护士主导的分组显示出效率的潜力,但需要专门的培训和明确的标准开发.
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