在家护理服务中通过"反射空间"支持医疗保健弹性:多个嵌入式案例研究
Camilla Seljemo1, Olav Røise1,2,3, Eline Ree1
1SHARE-Centre for Resilience in Healthcare, Faculty of Health Sciences, University of Stavanger, Stavanger.
管理人员为在COVID-19期间在家庭护理中进行集体反思和知识共享提供了"反思空间". 这些空间使适应性和弹性对抗流行病挑战,并将弹性整合到医疗保健实践中.
科学领域:
- 医疗保健管理的管理
- 组织心理学 组织心理学
- 公共卫生 公共卫生
背景情况:
- 随着COVID-19大流行,家庭护理服务面临前所未有的挑战.
- 有效的知识共享和适应对于医疗保健弹性至关重要.
研究的目的:
- 探索管理者如何在COVID-19大流行期间在家庭护理中促进集体反思和知识共享 ("反思空间").
- 了解这些空间对流行病适应的贡献.
- 讨论这些空间在促进医疗保健弹性方面的作用.
主要方法:
- 采用了多个嵌入式案例研究设计.
- 数据收集涉及采访了挪威4个市区的16名医疗保健工作人员和21名管理人员.
- 在数据分析中使用了反射性主题分析.
主要成果:
- 两个关键主题出现了:反思,沟通和对话的舞台;并通过管理人员促进的集体反思建立新的解决方案.
- 管理者启动对话和反思领域对于分享有关大流行挑战的知识至关重要.
- 经理和员工的协作反思导致了战术和有弹性的反应.
结论:
- 管理人员在促进不同级别的责任层面的"反思空间"方面发挥了关键作用.
- "反射空间"在整个医疗保健系统中介导了知识和理解.
- 将"反思空间"纳入日常实践,有助于平衡需求,能力,应对危机和日常挑战.
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