Taffurelli Chiara, Cervantes Camacho Victoria, Adriano Giulia, Brazzioli Cristina, Clemente Stefano, Corda Matilde, De Mari Rita, Grasso Viviana, Juranty Beata, Sarli Leopoldo, Artioli Giovanna
University Teaching Hospital, Parma. Italy.
Acta Biomed. 2019 Jul 8;90(6-S):26-33. doi: 10.23750/abm.v90i6-S.8642.
The reasons that condition and motivate adherence to good practices have a multifactorial nature. From the literature review, emerged different elements that interact within the operating context and represent a part of the variables that condition the "Best Practice". The aim of this research was to investigate the variables that influence adherence to operators' good practices.
A qualitative study with Grounded Theory (GT) methodology was carried out, which leads to the establishment of a theory about basic social processes. This theory is based on the observation and perception of the social scene and evolves during data collection. Data collection took place through interviews with the participants, through an ad hoc semi-structured interview grid. The initial sampling consisted of 12 health workers, while the theoretical sample was made up of 6 health workers.
The analysis organization through the creation of schemes and diagrams has allowed to formulate different concepts including: false beliefs, knowledge and emotions experienced, that connect with the initial condition of Unconsciousness unaware; awareness of the consequences, team, welcome the new, which are connected to the intermediate phase of Revolution of the professional oneself; awareness of the limits, culture, responsibility, context, rigor and control that connects to the final state of Attentive Habit.
The theoretical model develops through a path of growth and revolution that starts from the roots of an Unconsciousness unaware and brings with it the seed of a model.
促使并激励人们遵循良好实践的原因具有多因素性质。通过文献综述,发现了在操作环境中相互作用的不同要素,这些要素构成了制约“最佳实践”的部分变量。本研究的目的是调查影响操作人员遵循良好实践的变量。
采用扎根理论(GT)方法进行了一项定性研究,该方法有助于建立关于基本社会过程的理论。该理论基于对社会场景的观察和感知,并在数据收集过程中不断发展。数据收集通过与参与者进行访谈来完成,采用了专门设计的半结构化访谈提纲。初始样本包括12名卫生工作者,理论样本由6名卫生工作者组成。
通过创建图表和示意图进行分析组织,得以形成不同的概念,包括:错误信念、所经历的知识和情感,这些与无意识未察觉的初始状态相关;对后果的认识、团队、接纳新事物,这些与专业自我变革的中间阶段相关;对局限性、文化、责任、背景、严谨性和控制的认识,这些与专注习惯的最终状态相关。
理论模型通过一条从无意识未察觉的根源开始的成长与变革路径发展而来,并随之带来了一个模型的种子。