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通过识别和克服医疗保健从业人员遇到的障碍,增强后代码蓝色汇报
1College of Nursing, Taif University, Taif, Makkah, Saudi Arabia.
概括
后代码蓝调调解对医疗保健团队至关重要,但通常会受到领导,沟通和情感障碍的阻碍. 解决这些问题,特别是通过领导力支持和明确的指导方针,可以改善汇报实践.
科学领域:
- 医学教育 医学教育
- 医疗保健管理的管理
- 紧急医疗 紧急医疗
背景情况:
- 蓝色代码事件意味着严重的医疗紧急情况,需要立即复苏.
- 有效的"蓝色守则"后汇报对于团队学习,患者的结果和医疗保健工作人员的福祉至关重要.
- 尽管汇报很重要,但由于各种系统和个人挑战,汇报经常被忽视.
研究的目的:
- 识别阻碍医疗保健专业人员 (HCP) 进行"蓝色守则"后汇报的障碍.
- 探索促进有效解答过程的因素.
- 分析感知障碍与医疗保健人员人口特征之间的关系.
主要方法:
- 对两个三级医院的Code Blue团队进行了横截面调查.
- 调查问卷评估了感知到的障碍和促进因素,这些障碍和促进因素影响了"蓝色守则"后的汇报.
- 统计分析包括多重线性回归,克鲁斯卡尔-瓦利斯测试,斯皮尔曼相关性和描述性统计.
主要成果:
- 领导力,沟通和心理/情绪因素是解答的主要障碍.
- 不足够的领导力支持,资源和培训是重要的障碍.
- 强有力的领导支持,结构化的协议和专注的时间被确定为关键促进因素.
- 年轻的从业者报告的沟通障碍比年长的同事更多.
- 领导力和心理障碍显示出中等积极的相关性.
结论:
- 医疗保健专业人员认识到后代码蓝调解报会的价值.
- 领导力,情感和人际障碍阻碍了持续执行报告.
- 建议加强领导层的参与,标准化汇报指南,并促进情绪安全,以促进定期的汇报会议.
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