基于证据的框架,用于管理医生破坏性行为
1Department of Radiation Oncology, University of California, Irvine, Chao Family Comprehensive Cancer Center, Orange, California, USA.
概括
开发一个切实可行的框架来管理医生的破坏性行为是可行的. 这种以证据为基础的方法侧重于期望设定,组织气候,同行参与和医疗责任专业培训.
科学领域:
- 医疗保健管理的管理
- 医疗专业主义 医学专业主义
- 组织心理学 组织心理学
背景情况:
- 促进尊重和问责的工作场所文化对于医疗保健组织至关重要.
- 关于解决医生不当行为的实际策略的文献有限.
- 破坏性医生行为会对患者的护理和组织功能产生负面影响.
研究的目的:
- 为管理和纠正破坏性医生行为制定基于证据的经验框架.
- 根据现有文献,确定构建框架的核心主题.
- 为解决医疗保健领导人缺乏实践指导的问题.
主要方法:
- 使用PRISMA-P指南和MEDLINE数据库进行系统的文献搜索.
- 包括在2014年1月至2025年3月期间发表的原始同行评审的英语文章.
- 排除专注于行为特征,实习生,辅助人员,预防或后果的文章.
主要成果:
- 十一篇原创出版物符合纳入标准.
- 框架开发的核心主题包括期望设定 (4项研究),气候/组织分析 (3项研究),同行参与 (2项研究) 和专业培训 (2项研究).
- 证明了基于证据的框架来解决破坏性医生行为的可行性.
结论:
- 可以开发一个基于证据的框架来管理破坏性医生行为.
- 该框架的关键组成部分包括明确的期望,组织评估,同行参与和有针对性的培训.
- 这一框架为医疗风险管理和促进问责制提供了实际影响.
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