在急性医院护理中为专业间案例讨论 (InCaD) 开发初始程序理论:一种现实主义的方法
Julien Pöhner1, Kathrin Seibert2, Eva-Maria Regelmann2
1School of Social Sciences, University of Applied Sciences Bremen, Am Brill 2-4, 28195, Bremen, Germany. julien.poehner@hs-bremen.de.
为专业间案例讨论 (InCaD) 开发一个程序理论,确定了关键的上下文-机制-结果配置. 这一框架提高了急性医院环境中的患者护理质量和员工福祉.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 现实主义的评价.
背景情况:
- 跨专业案例讨论 (InCaD) 对于医院中复杂的患者护理至关重要.
- 缺乏理论框架阻碍了InCaD的一致实施和评估.
- 本研究使用现实主义方法开发了InCaD的初始程序理论.
研究的目的:
- 为了确定InCaD.的上下文机制结果 (CMO) 配置.
- 为InCaD实施和评估建立一个理论驱动的框架.
- 通过结构化的InCaD,改善患者护理和员工福祉.
主要方法:
- 采用多方法现实主义的评估方法.
- 包括系统审查 (42项研究) 和利益相关者重点小组 (17名参与者).
- 综合数据通过主题编码和代讨论生成CMO配置.
主要成果:
- 确定了直接机制 (例如,专业间的反思) 和间接机制 (例如,团队信任).
- 患者的结果包括改善了护理质量,满意度和连续性.
- 工作人员的成果包括提高工作满意度,团队凝聚力和效率;护士领导力是关键驱动因素.
结论:
- 为实施和评估InCaD提供了一个理论驱动的框架.
- 了解CMO相互作用可以提高患者安全,护理质量和员工福祉.
- 建议在不同的环境中进行验证,以获得更广泛的应用.
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