关系协调和以团队为基础的护理:改变倡议过载和学习健康系统中的其他挑战
Lauren Hajjar1, Olawale Olaleye2, Julius Yang3
1Department of Public Service and Healthcare Administration Suffolk University Boston Massachusetts USA.
Learning health systems
|July 18, 2025
概括
医疗保健中的关系干预措施在团队动态方面取得了一些改善,但在统计学上没有显著意义. 关键障碍包括忠诚度,领导力,会议结构和参与挑战.
科学领域:
- 医疗保健管理的管理
- 组织行为 组织行为
- 提高质量 提高质量
背景情况:
- 专注于技术流程的传统医疗保健变革干预往往无法产生对质量和成本的期望影响.
- 关系干预措施,如共享聚集和跨角色追踪,为改善医疗保健团队动态和功能提供了另一种方法.
研究的目的:
- 评估关系干预对团队动态和在学术医疗中心内运作的影响.
- 确定在复杂的医疗环境中实施这些关系干预措施的挑战和机会.
主要方法:
- 采用混合方法,干预前后研究设计.
- 数据收集包括验证的调查,直接观察,采访和重点小组.
- 在16个月的时间里,在三个住院病房的8个工作组中分析了关系协调调查数据;定性数据被主题分析.
主要成果:
- 虽然观察到一些关系协调的改善,但它们没有达到统计学意义.
- 定性发现突出了四个关键主题:不完整的干预忠诚度,领导影响,会议结构和参与问题,以及各方利益相关者的参与.
结论:
- 在医疗保健中实施关系干预措施需要对忠诚度,领导力支持,优化会议结构和强有力的利益相关者参与给予密切关注.
- 获得的见解可以为未来的研究和实践提供有关变革倡议过载,运营约束和医疗保健干预中的战略角色平衡的信息.
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