超越报告:在医疗保健中管理伦理事件的定性方法
Paula Järvisalo1, Monika von Bonsdorff2, Kaisa Haatainen1
1Department of Nursing Science, University of Eastern Finland, Yliopistonranta 8, Kuopio, 70210, Finland, uef.fi.
Journal of nursing management
|March 11, 2026
概括
这项研究分析了芬兰一家医院报告的579起伦理事件,确定了改善专业行为和患者护理管理的关键领域. 对这些事件的战略管理对于提高医疗保健质量和支持人员至关重要.
科学领域:
- 医疗保健管理的管理
- 护理伦理学 护理伦理学
- 患者安全 患者安全
背景情况:
- 患者安全事件报告系统促进无责文化和组织学习.
- 整合一个伦理维度支持护理经理,提高专业能力,并提高患者护理质量.
研究的目的:
- 为了分类报告的伦理事件.
- 概述针对复发的行动和预防措施.
- 为伦理事件预防管理策略提供信息.
主要方法:
- 使用基于AI的数据分析程序进行回顾性注册表研究.
- 归纳性内容分析遵循质量研究报告标准 (SRQR) 清单.
- 分析了芬兰一所大学医院的3615份患者安全报告 (2018-2021) 中的579起伦理事件.
主要成果:
- 确定了两个主要类别:伦理事件 (专业行为,患者护理管理) 和行动/预防措施.
- 预防措施重点是持续改进,专业能力,沟通,数据管理和系统改进.
- 伦理事件被分为专业行为和患者护理管理.
结论:
- 对伦理事件的战略管理对于培养伦理文化至关重要.
- 有效的事件管理结构可以改善决策,问责制和员工支持.
- 护理经理通过领导和教育倡议在道德文化发展中发挥着关键作用.
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