还是只有护士吗? 对护士在跨专业医院团队中争取自主权的斗争进行批判性调查
Abdulrhman Khaled Al Abdulqader1, Sayed Ibrahim Ali2, Fatmah Ahmed Alamoudi3
1Department of Internal Medicine, College of Medicine, King Faisal University, Al-Ahsa, 31982, Saudi Arabia.
BMC nursing
|October 29, 2025
概括
护士在复杂的医院层次结构中进行导航,以保持专业的自主性并确保患者的安全. 像安静抵抗和建立联盟这样的策略对于影响跨专业团队的决策至关重要.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 组织行为 组织行为
背景情况:
- 护士的自主性对于以患者为中心的护理至关重要,但通常受到协议和层次结构的限制.
- 护士在以团队为基础的环境中发挥影响力的微妙策略未得到充分研究,特别是在中东.
研究的目的:
- 探索护士在等级化的医院决策环境中的经验和谈判职业自主权.
- 确定护士用来维持在跨专业团队中的影响力的微妙策略.
主要方法:
- 符合COREQ指导方针的定性解释学现象学设计.
- 与沙特阿拉伯的17名注册护士进行了半结构化采访.
- 使用NVivo 14进行反思性主题分析.
主要成果:
- 护士面临着影响自主性的结构和文化障碍.
- 新兴的主题包括" (de) 自主性的隐形架构"",团队间的层次结构"",安静的抵抗"和"允许自主性的条件".
- 护士利用微型自治,联盟和宣传来保护患者的安全和专业身份.
结论:
- 护士的自主性是一种组织属性,受政策,治理和团队动态的影响.
- 在决策结构中嵌入护士的声音对于提高患者的结果和专业福祉至关重要.
- 领导力必须培养支持护士自主权和影响力的环境.
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