Health care organisations

卫生保健组织
  • 文章类型: Journal Article
    背景:研究证据已证明改善了医疗保健实践和患者预后。然而,将证据系统地转化为实践远非最佳。原因很复杂,但通常是因为研究与卫生服务优先事项不完全一致。这项研究的目的是探索高级卫生服务主管在两个问题上的经验和观点:(1)本地研究活动与其卫生服务的需求和优先事项之间的一致性,和(2)研究是或可以作为常规医疗保健实践的一部分的程度。
    方法:在这项定性研究中,对来自四个大型卫生服务组织的高级卫生领导人进行了半结构化访谈,这些组织是悉尼卫生合作伙伴(SHP)的成员,澳大利亚国家认可的研究翻译中心之一致力于加快研究成果转化为循证医疗保健。采访是在2022年11月至2023年1月之间进行的,无论是录音和逐字记录,还是记录在采访者的现场笔记中。两位研究人员对访谈数据进行了主题分析,使用框架方法识别常见主题。
    结果:采访了17位卫生主管,包括首席执行官,医疗服务主管,护理,联合健康,研究,以及其他担任行政领导角色的人。对问题(1)的回应包括重新平衡好奇心和优先级驱动的研究主题;为卫生组织内的研究活动提供更多支持;并帮助卫生专业人员和研究人员讨论可研究的优先事项。对问题(2)的回应包括确定被认为对将研究嵌入医疗保健至关重要的要素;以及打破研究与医疗保健之间孤岛的必要性,以及在卫生组织内。
    结论:卫生服务领导者重视研究,但想要更多符合他们需求和优先事项的研究。与研究人员讨论这些优先事项可能需要一些便利。使研究成为医疗保健的更完整的一部分将需要强大而广泛的行政领导,资源和基础设施,并投资于卫生临床医生的能力和能力建设,经理和执行人员。
    BACKGROUND: Research evidence has demonstrably improved health care practices and patient outcomes. However, systemic translation of evidence into practice is far from optimal. The reasons are complex, but often because research is not well aligned with health service priorities. The aim of this study was to explore the experiences and perspectives of senior health service executives on two issues: (1) the alignment between local research activity and the needs and priorities of their health services, and (2) the extent to which research is or can be integrated as part of usual health care practice.
    METHODS: In this qualitative study, semi-structured interviews were conducted with senior health leaders from four large health service organisations that are members of Sydney Health Partners (SHP), one of Australia\'s nationally accredited research translation centres committed to accelerating the translation of research findings into evidence-based health care. The interviews were conducted between November 2022 and January 2023, and were either audio-recorded and transcribed verbatim or recorded in the interviewer field notes. A thematic analysis of the interview data was conducted by two researchers, using the framework method to identify common themes.
    RESULTS: Seventeen health executives were interviewed, including chief executives, directors of medical services, nursing, allied health, research, and others in executive leadership roles. Responses to issue (1) included themes on re-balancing curiosity- and priority-driven research; providing more support for research activity within health organisations; and helping health professionals and researchers discuss researchable priorities. Responses to issue (2) included identification of elements considered essential for embedding research in health care; and the need to break down silos between research and health care, as well as within health organisations.
    CONCLUSIONS: Health service leaders value research but want more research that aligns with their needs and priorities. Discussions with researchers about those priorities may need some facilitation. Making research a more integrated part of health care will require strong and broad executive leadership, resources and infrastructure, and investing in capacity- and capability-building across health clinicians, managers and executive staff.
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  • 文章类型: Journal Article
    背景:流行病对护士的潜在心理健康影响已得到越来越广泛的认可,以及为护士健康建立支持措施的建议。尽管有支持措施,但仍有大量护士在新冠肺炎期间经历了倦怠和精神困扰。在更广泛的文献中,很少做出努力来了解护士如何体验健康支持或他们如何看待大流行期间的健康。在中东,从护士的角度理解和探索大流行期间的健康支持措施并没有受到重大关注。
    目的:调查护士在之前的流行病和中东新冠肺炎大流行期间对福祉支持措施的看法和经验。
    方法:利用JBI模型作为框架进行了系统的定性综述。在包含CINAHL的数据库中进行了搜索,MEDLINE,诺丁汉大学NUsearch图书馆和谷歌学者。此外,我们对相关研究的参考文献列表进行了人工检索.
    方法:本综述纳入了11项研究。使用JBI-QARI数据提取工具对纳入的定性研究的结果进行了定性研究。使用符合JBI方法的元合成方法合成结果。
    结果:纳入的研究共得到111项研究结果,分为14类,接下来是四个综合发现。这些是:[1]护士在MERS期间遇到了挑战,然而,领导和护士实施了不同的策略来应对这些挑战;[2]在新冠肺炎期间,一些福祉支持措施没有得到落实;[3]其他方面对护士的福祉产生负面影响;[4]护士在新冠肺炎期间表现出成熟。
    结论:与以前的突发卫生事件相比,Covid-19期间的福祉支持措施没有得到充分采用。护士政策制定者和管理者应考虑这些支持措施,以符合护士的需求,并探索影响其实施的环境因素。
    背景:PROSPERO(CRD420223405)。
    BACKGROUND: The potential psychological health impact of pandemics on nurses has been increasingly widely recognised, as have recommendations to establish support measures for nurses\' well-being. Despite the availability of support measures significant number of nurses still experienced burnout and mental distress during Covid-19. Few efforts have been made in the wider literature to understand how nurses experience well-being support or how they perceive it affects their well-being during pandemics. In the Middle East, understanding and exploring well-being support measures during pandemics from nurses\' perspectives has not received significant attention.
    OBJECTIVE: To investigate nurses\' perspectives and experiences of well-being support measures during prior pandemics and the Covid-19 pandemic in the Middle East.
    METHODS: A systematic qualitative review was undertaken utilising the JBI model as a framework. Searches were carried out in databases comprised CINAHL, MEDLINE, NUsearch Library of Nottingham University and Google Scholar. Moreover, a manual search through reference lists for relevant studies were carried out.
    METHODS: Eleven studies were included in the review. The findings from the included qualitative studies were extracted using the JBI-QARI data extraction tool for qualitative research. The results were synthesised using a meta-synthesis in line with the JBI approach.
    RESULTS: The included studies yielded an aggregate of 111 findings and were categorised into 14 categories, followed by four synthesised findings. These were: [1] nurses experienced challenges during MERS, yet different strategies were implemented by leaders and nurses to manage these challenges; [2] some well-being support measures were unfulfilled during Covid-19; [3] additional aspects compounded negatively on nurses\' well- being; and [4] nurses showed maturity during Covid-19.
    CONCLUSIONS: In comparison to prior health emergencies, well-being support measures during Covid-19 were not sufficiently adopted. Nurse policymakers and managers should consider these support measures to correspond with nurses\' needs and explore the contextual factors that affect their implementation.
    BACKGROUND: PROSPERO (CRD42022344005).
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  • 文章类型: Journal Article
    目标:提供医疗保健服务需要多个职业之间的合作。这项研究旨在揭示三个职业群体(护士,医师,和管理员)感知人力资源管理实践(HRMP),以及这些实践是否与对诊所经理的信任不同。
    方法:该研究包括来自29个初级保健诊所的290名员工,所有这些都隶属于在公共部门运作的医疗保健组织。自我报告问卷测量了参与者对不同职业的六个HRMP的看法,以及他们对诊所经理的信任关系。通过单向方差分析(针对群体对HRMP的感知和对管理者的信任)和t检验(针对感知的HRMP与对管理者的信任之间的关联)来分析职业群体之间的差异。
    结果:结果表明不同组的感知HRMP和信任存在一些差异。此外,关于HRMP与对诊所经理的信任之间的关系,不同职业之间发现了一些差异:护士的看法与医生和管理人员的看法明显不同,然而,后两组之间没有显着差异。
    结论:医疗保健组织应扩展其人力资源架构,并根据每个职业群体对工作场所的看法为该职业群体定制HRMP。这可以培养对管理者的信任,并创造信任的氛围,作为一种机制,鼓励来自不同职业群体的员工为诊所的利益共同努力,organization,和病人。
    结论:这项研究有助于讨论HRMP的情境化,提供有关HRMP作为组织战略推动者的看法的见解。
    OBJECTIVE: Providing health care services requires collaboration between several occupations. This study aimed to reveal how three occupational groups (nurses, physicians, and administrators) perceive human resources management practices (HRMP) and whether these practices are differently associated with trust in the clinic manager.
    METHODS: The study included 290 employees from 29 primary care clinics, all affiliated with a health care organisation that operates in the public sector. Self-reporting questionnaires measured participants\' perceptions of six HRMP across occupations and their association with trust in the clinic manager. Variation between occupational groups was analysed through one-way analysis of variance (for groups\' perceptions of HRMP and trust in manager) and t-tests (for the association between perceived HRMP and trust in manager).
    RESULTS: The results indicate some differences in perceived HRMP and trust across groups. Also, some differences were found across occupations regarding the relationship between HRMP and trust in the clinic manager: Nurses\' perceptions significantly differed from those of physicians and administrators, yet there was no significant difference between the two latter groups.
    CONCLUSIONS: Health care organisations should expand their human resources architecture and customise their HRMP for each occupational group based on that group\'s perceptions of the workplace. This can nurture trust in managers and create a climate for trust as a mechanism that encourages employees from distinct occupational groups to work together for the benefit of their clinic, organisation, and patients.
    CONCLUSIONS: This study contributes to the discussion about the contextualisation of HRMP, providing insights regarding perceptions of HRMP as an enabler of an organisation\'s strategy.
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  • 文章类型: Journal Article
    为了优化对智障人士(ID)的护理和支持,知识的共享和应用是前提。在一般的医疗保健中,有一套关于弥合“知识差距”的知识体系。然而,目前尚不清楚所确定的知识共享和应用的障碍和促进者在多大程度上也能照顾和支持有身份证的人,由于其特殊的特点,包括长期护理。因此,我们进行了一项系统回顾,以确定哪些组织因素在激励ID患者的护理和支持中分享和应用知识方面发挥了作用和/或发挥了作用.
    使用2000年1月至2015年12月以英文发表的五个相关文章的电子数据库进行了系统评价。在选择和分析的每个阶段,至少有两名独立审稿人根据PRISMA指南评估所有文章。
    共检索到2256篇文章,其中19篇文章符合我们的纳入标准。从这些文章中检索到的所有组织因素都分为三个主要类别:(1)干预措施的特征(与实施该方法的工具和过程相关的因素);(2)与人相关的因素(在个人和群体层面);(3)与组织背景相关的因素(包括物质因素(办公室安排和ICT系统,资源,时间和组织)和非物质因素(培训、工作人员,团队规模)。
    对检索到的因素进行的总体分析表明,它们通过管理的先决条件作用彼此相关(即,实践领导力)和专业人员的关键作用(即履行新角色的能力)。
    To optimise care and support for people with intellectual disabilities (ID), sharing and application of knowledge is a precondition. In healthcare in general, there is a body of knowledge on bridging the \'know-do-gap\'. However, it is not known to what extent the identified barriers and facilitators to knowledge sharing and application also hold for the care and support of people with ID, due to its specific characteristics including long-term care. Therefore, we conducted a systematic review to identify which organisational factors are enabling and/or disabling in stimulating the sharing and application of knowledge in the care and support of people with ID.
    A systematic review was conducted using five electronic databases of relevant articles published in English between January 2000 and December 2015. During each phase of selection and analysis a minimum of two independent reviewers assessed all articles according to PRISMA guidelines.
    In total 2,256 articles were retrieved, of which 19 articles met our inclusion criteria. All organisational factors retrieved from these articles were categorised into three main clusters: (1) characteristics of the intervention (factors related to the tools and processes by which the method was implemented); (2) factors related to people (both at an individual and group level); and, (3) factors related to the organisational context (both material factors (office arrangements and ICT system, resources, time and organisation) and immaterial factors (training, staff, size of team)).
    Overall analyses of the retrieved factors suggest that they are related to each other through the preconditional role of management (i.e., practice leadership) and the key role of professionals (i.e. (in)ability to fulfill new roles).
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