正式与非正式的权威:对巴勒斯坦医院的护理领导力和患者安全的混合方法研究
Ibrahim Aqtam1, Mustafa Shouli1, Ehab Tumeh1
1Ibn Sina College for Health Professions, Department of Nursing, Nablus University for Vocational and Technical Education, Nablus, Palestine.
Nursing outlook
|February 13, 2026
概括
巴勒斯坦的护理领导人拥有运营权威,但缺乏战略力量,影响患者的安全. 非正式的影响力被用来补偿,但可持续的改善需要进行结构性改革.
科学领域:
- 医疗保健管理的管理
- 护理领导力 护理领导力
- 患者安全 患者安全
背景情况:
- 在巴勒斯坦这样脆弱的医疗保健系统中,护理领导对于患者安全至关重要.
- 在这种情况下,护理领导的性质和影响力并未得到充分理解.
研究的目的:
- 分析巴勒斯坦医院护理领导权威 (正式和非正式) 的形式和程度.
- 确定这一权威对患者安全的影响.
主要方法:
- 在西岸三家政府医院的混合方法,融合的横截面设计.
- 通过调查 (n=123名护士),采访 (n=15名领导) 和文档分析收集数据.
- 使用描述性统计,回归和调度进行定量分析;使用专题方法进行定性分析.
主要成果:
- 护理领导者拥有中等至高的运营权威,但被排除在战略/财务决策之外.
- 战略权威显著地预测了安全遵守,而不是运营权威.
- 非正式策略调解了低正式权威与安全合规之间的联系,突出了"权力剥夺的恶性循环".
结论:
- 从战略决策中被系统地排除在外,导致人们依赖非正式的影响,从而导致情绪劳动和脆弱性.
- 结构改革,包括执行护理角色和治理整合,对于在受限制环境中可持续改善患者安全至关重要.
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