理解家庭医疗保健前线的挑战：一种人-系统方法。
Understanding challenges in the front lines of home health care: a human-systems approach.
作者信息
Beer Jenay M, McBride Sara E, Mitzner Tracy L, Rogers Wendy A
机构信息
Georgia Institute of Technology, 654 Cherry Street, Atlanta, GA 30332-0170, USA.
Georgia Institute of Technology, 654 Cherry Street, Atlanta, GA 30332-0170, USA.
出版信息
Appl Ergon. 2014 Nov;45(6):1687-99. doi: 10.1016/j.apergo.2014.05.019. Epub 2014 Jun 21.
A human-systems perspective is a fruitful approach to understanding home health care because it emphasizes major individual components of the system - persons, equipment/technology, tasks, and environments - as well as the interaction between these components. The goal of this research was to apply a human-system perspective to consider the capabilities and limitations of the persons, in relation to the demands of the tasks and equipment/technology in home health care. Identification of challenges and mismatches between the person(s) capabilities and the demands of providing care provide guidance for human factors interventions. A qualitative study was conducted with 8 home health Certified Nursing Assistants and 8 home health Registered Nurses interviewed about challenges they encounter in their jobs. A systematic categorization of the challenges the care providers reported was conducted and human factors recommendations were proposed in response, to improve home health. The challenges inform a human-systems model of home health care.
从人类系统的角度来看，是理解家庭医疗保健的一种富有成效的方法，因为它强调了系统的主要个体组成部分——人员、设备/技术、任务和环境——以及这些组成部分之间的相互作用。本研究的目的是应用人类系统的视角，考虑在家庭医疗保健中，人员的能力和局限性与任务及设备/技术需求之间的关系。识别人员能力与护理需求之间的挑战和不匹配，可为人类因素干预提供指导。对8名家庭健康认证护理助理和8名家庭健康注册护士进行了定性研究，询问了他们在工作中遇到的挑战。对护理人员报告的挑战进行了系统分类，并针对此提出了人类因素方面的建议，以改善家庭医疗保健。这些挑战为家庭医疗保健的人类系统模型提供了依据。
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