Axelsen Matilde Skødstrup, Baumgarten Mette, Egholm Cecilie Lindström, Jensen Janet Froulund, Thomsen Thora Grothe, Bunkenborg Gitte
Department of Medicine 2, Holbaek Hospital, a Copenhagen University Hospital, Holbaek, Denmark.
Department of Anaesthesiology, Copenhagen University Hospital, Amager & Hvidovre, Hvidovre, Denmark.
J Adv Nurs. 2024 Jan;80(1):124-135. doi: 10.1111/jan.15770. Epub 2023 Jun 30.
To explore hospital managers' perceptions of the Rapid Response Team.
An explorative qualitative study using semi-structured individual interviews.
In September 2019, a qualitative interview study including nineteen hospital managers at three managerial levels in acute care hospitals was conducted. Interview transcripts were analysed with an inductive content analysis approach, involving researcher triangulation in data collection and analysis processes.
One theme, 'A resource with untapped potential, enhancing patient safety, high-quality nursing, and organisational cohesion' was identified and underpinned by six categories and 30 sub-categories.
The Rapid Response Team has an influence on the organization that goes beyond the team's original purpose. It strengthens the organization's dynamic cohesion by providing clinical support to nurses and facilitating learning, communication and collaboration across the hospital. Managers lack engagement in the team, including local key data to guide future quality improvement processes.
For organizations, nursing, and patients to benefit from the team to its full potential, managerial engagement seems crucial.
This study addressed possible challenges to using the Rapid Response Team optimally and found that hospital managers perceived this complex healthcare intervention as beneficial to patient safety and nursing quality, but lacked factual insight into the team's deliverances. The research impacts patient safety pointing at the need to re-organize managerial involvement in the function and development of the Rapid Response Team and System.
We have adhered to the COREQ checklist when reporting this study. "No Patient or Public Contribution".
探讨医院管理者对快速反应小组的看法。
采用半结构化个人访谈的探索性定性研究。
2019年9月，对急症医院三个管理层面的19名医院管理者进行了定性访谈研究。访谈记录采用归纳性内容分析法进行分析，在数据收集和分析过程中采用研究者三角互证法。
确定了一个主题，即“具有未开发潜力的资源，可提高患者安全、护理质量和组织凝聚力”，并由六个类别和30个子类别作为支撑。
快速反应小组对组织的影响超出了该小组的最初目的。它通过为护士提供临床支持并促进医院内的学习、沟通与协作，增强了组织的动态凝聚力。管理者对该小组缺乏参与度，包括缺乏指导未来质量改进过程的本地关键数据。
为使组织、护理人员和患者充分受益于该小组，管理者的参与似乎至关重要。
本研究探讨了最佳使用快速反应小组可能面临的挑战，发现医院管理者认为这种复杂的医疗干预对患者安全和护理质量有益，但对该小组的工作成果缺乏实际了解。该研究指出了重新组织管理者参与快速反应小组及其系统的功能和发展的必要性，对患者安全产生了影响。
我们在报告本研究时遵循了COREQ清单。“无患者或公众参与”。
