在初级保健实践中考虑混合护理交付模式与以团队为基础的护理时,平衡获取,福祉和协作
Tamar Wyte-Lake1, Deborah J Cohen2, Shannon Williams2
1From the Oregon Health & Science University, Department of Family Medicine, Portland, OR. wytelake@ohsu.edu.
初级保健中的混合护理模式提高了患者的访问能力,但可以减少团队的互动和支持. 大多数临床医生倾向于以有限的远程工作为主体的工作,以保持协作和福祉.
科学领域:
- 医疗保健提供 医疗保健提供
- 初级医疗保健医学 一级医疗保健医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 混合护理模式,结合远程医疗和面对面的选择,越来越多地被采用在初级保健中,以改善患者的访问.
- 这些模型显著影响初级保健临床团队成员的工作经验和福祉.
研究的目的:
- 检查混合护理模型对初级保健临床团队成员的工作经验和健康的影响.
- 了解混合护理如何影响以团队为基础的护理服务.
主要方法:
- 使用与初级保健临床医生,行为健康顾问和注册护士的半结构面试进行的定性研究.
- 来自两个初级保健实践的两个时间点 (2021年底-2022年中期和2023年中期) 收集的数据.
- 用于数据分析的诱导方法.
主要成果:
- 混合型号提供了诸如增加患者访问和个人灵活性等好处.
- 混合护理的碎片化计划减少了临床互动,阻碍了信息共享和非正式支持.
- 临床团队成员表示他们更喜欢以有限的远程工作 (每周1-2个会议) 主要是个人的班次.
结论:
- 在以团队为基础的初级保健机构中,混合护理模式影响临床团队的互动和日常工作环境.
- 优化混合护理需要考虑其对诊所文化,团队动态和临床团队成员福祉的影响.
- 领导者必须主动解决对团队凝聚力和支持系统的潜在负面影响.
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