让护士参与医疗保健技术设计--核心能力和要求:定性研究

Thijs van Houwelingen , Alexandra C.M. Meeuse , Helianthe S.M. Kort
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引用次数: 0

摘要

背景由于全球对护理的需求日益增长,创新对于保持护理质量、安全性、有效性、患者敏感性和结果导向性非常重要。医疗保健技术是创新、保持或提高护理质量的一种解决方案,同时还能减轻护士的工作量。目前,护士很少参与医疗保健技术的设计,这主要是由于临床护理职责的时间限制以及对技术和设计学科的接触有限。本研究旨在探讨护士积极参与医疗保健技术设计的主要要求。研究采用了探索性描述性定性设计,有助于理解和描述一种现象。参与者来自荷兰三家学术医院的 12 名护士参与了本研究。研究方法通过对有设计项目经验的医院护士进行半结构化访谈收集数据,并进行主题分析。结果就护士参与医疗保健技术设计的主要要求确定了四个主题:(1)护士参与的动机,(2)技术开发过程,(3)参与所需的能力(如自信、创造性思维、解决问题的技能),以及(4)促进和组织护士参与。要参与医疗保健技术的设计,护士需要动力和特定的能力。组织应为护士提供时间,使其获得所需的能力,并有意识地参与技术设计和开发活动。
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Enabling nurses’ engagement in the design of healthcare technology – Core competencies and requirements: A qualitative study

Background

Due to the globally increasing demand for care, innovation is important to maintain quality, safety, effectiveness, patient sensitivity, and outcome orientation. Health care technologies could be a solution to innovate, maintain, or improve the quality of care and simultaneously decrease nurses’ workload. Currently, nurses are rarely involved in the design of health care technologies, mostly due to time constraints with clinical nursing responsibilities and limited exposure to technology and design disciplines. To ensure that health care technologies fit into nurses’ core and routine practice, nurses should be actively involved in the design process.

Objective

The aim of the present study was to explore the main requirements for nurses’ active participation in the design of health care technologies.

Design

An exploratory descriptive qualitative design was used which helps to both understand and describe a phenomenon.

Participants

Twelve nurses from three academic hospitals in the Netherlands participated in this study.

Method

Data were collected from semistructured interviews with hospital nurses experienced in design programs and thematically analysed.

Results

Four themes were identified concerning the main requirements for nurses to participate in the design of health care technologies: (1) nurses’ motivations to participate, (2) the process of technology development, (3) required competence to participate (such as assertiveness, creative thinking, problem solving skills), and (4) facilitating and organizing nurses’ participation.

Conclusion

Nurses experience their involvement in the design process as essential, distinctive, and meaningful but experience few possibilities to combine this work with their current workload, flows, routines, and requirements. To participate in the design of health care technologies nurses need motivation and specific competencies. Organizations should facilitate time for nurses to acquire the required competencies and to be intentionally involved in technology design and development activities.

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来源期刊
CiteScore
5.80
自引率
0.00%
发文量
45
审稿时长
81 days
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