护士在保障护理质量和安全方面面临的挑战和策略:一项定性研究,探讨定位性
Mariëlle Van Mersbergen-de Bruin1, Catharina Van Oostveen2, Anne Marie Weggelaar-Jansen1
1Tranzo, Tilburg School of Social and Behavioural Sciences, Tilburg University, Tilburg, the Netherlands.
International journal of nursing studies advances
|July 3, 2025
概括
护士通过调整护理以满足个体患者的需求和组织需求来表现出定位弹性. 这种看不见的工作确保了患者的安全,并提高了医疗保健系统的适应能力.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 医疗保健的提供依赖于护士的适应能力和处境性.
- 在复杂的实践中,护士的弹性工作往往是隐藏的或在幕后完成的.
- 确保高质量的护理和患者安全取决于这些看不见的努力.
研究的目的:
- 在日常护理实践中探索定位弹性.
- 突出护士在应对挑战和确保护理质量的无形努力.
- 了解护士如何导航患者安全的复杂流程.
主要方法:
- 使用非参与者观察 (80小时) 的定性设计.
- 与护士和重点小组 (单学科和多学科) 进行半结构面试.
- 从荷兰一家教学医院收集的数据进行主题分析.
主要成果:
- 当风险评估或协议与实践不一致时,护士适应系统标准.
- 策略包括调查方法,关系谈判和患者倡导.
- 护士使用联盟和间接手段在专业人士之间导航不同的价值观.
结论:
- 护理中的处境弹性是一种调整行为以适应患者情况,价值观和兴趣的关系过程.
- 护士平衡个体患者的需求与组织的需求,表现出弹性.
- 承认和支持护士的处境性,可以加强组织的适应性和性能力.
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