医院的战略技术流程:医疗团队的冲突和个人经历。

IF 2.9 1区 哲学 Q1 ETHICS
Nursing Ethics Pub Date : 2025-02-01 Epub Date: 2024-05-13 DOI:10.1177/09697330241252876
Lior Naamati-Schneider, Mirit Arazi-Fadlon, Shir Daphna-Tekoah
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引用次数: 0

摘要

背景:全球医疗保健系统在人口变化、经济变迁、政治变革、技术进步和社会趋势等动态因素的影响下运行,这些因素导致了 VUCA 现实(波动性、不确定性、复杂性和模糊性)。为了应对这些挑战,医疗机构越来越多地转向战略技术流程和数字化转型:在此背景下,本研究探讨了医疗保健专业人员在适应数字化转型过程中的个人经历、冲突、困难和道德困境:本研究涉及 27 名在以色列医院工作的医疗保健专业人员,他们的经历和观点对于了解医疗保健机构数字化转型的影响至关重要:研究方法:采用深入访谈的方法,通过 "倾听指南 "分析技术对访谈内容进行分析:研究结果:研究结果显示,医护人员确实面临着与数字化相关的伦理冲突和个人挑战(如提供最佳护理质量、成为最好的护理人员、为医院的更好发展而行动)。研究还发现了医疗系统的需求和要求与医疗专业人员的价值观和资源之间的冲突所导致的困境:研究结果凸显了全球医疗机构在实施战略性组织变革和数字化转型的同时所面临的伦理道德挑战的影响。这些挑战是在医疗机构适应 21 世纪的需求时出现的,有可能导致医疗专业人员的职业倦怠和道德困扰,进一步加剧他们所面临的本已压力重重的现实:总之,本研究强调了制定全面支持策略以减轻医护人员压力和职业倦怠的极端必要性。随着医护组织和医护人员经历重大的组织变革以应对当代挑战,通过有效的支持机制优先考虑医护人员的福祉已成为当务之急。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Strategic technological processes in hospitals: Conflicts and personal experiences of healthcare teams.

Background: Global health systems operate amid dynamic factors, including demographic shifts, economic variations, political changes, technological progress, and societal trends that lead to VUCA reality (Volatility, Uncertainty, Complexity, and Ambiguity). To address these challenges, healthcare organizations are increasingly turning to Strategic Technological Processes and digital transformation.

Research objective: Against this background, the current study examined the personal experiences, conflicts, difficulties, and moral dilemmas attendant upon accommodating this digital transformation of healthcare professionals.

Participants: The study involved 27 healthcare professionals working in Israeli hospitals, whose experiences and perspectives were central to understanding the impact of digital transformation in healthcare settings.

Research design: The study methodology rested on in-depth interviews, which were analyzed through the prism of the Listening Guide analytical technique.

Ethical considerations: The research obtained pre-approval from the Ethics Committee at the researcher's institution.

Findings: The study revealed that the healthcare professionals are indeed facing ethical conflicts and personal challenges related to digitalization (such as providing the best quality of care, being the best caregiver, and acting for the betterment of the hospital). It also identified dilemmas resulting from conflicts between the needs and demands of the health system and the healthcare professionals' values and resources.

Discussion: The study findings highlight the impact of ethical and moral challenges accompanying strategic organizational and digital transformation changes implemented by healthcare organizations worldwide. These challenges arise as healthcare institutions adapt to the demands of the 21st century, potentially leading to burnout and moral distress among healthcare professionals, further exacerbating the already stressful reality they face.

Conclusion: In conclusion, the study emphasizes the critical necessity for comprehensive support strategies to alleviate stress and burnout among healthcare professionals. As healthcare organizations and personnel navigate significant organizational changes to address contemporary challenges, prioritizing the well-being of healthcare workers through effective support mechanisms becomes imperative.

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来源期刊
Nursing Ethics
Nursing Ethics 医学-护理
CiteScore
7.80
自引率
11.90%
发文量
117
审稿时长
6-12 weeks
期刊介绍: Nursing Ethics takes a practical approach to this complex subject and relates each topic to the working environment. The articles on ethical and legal issues are written in a comprehensible style and official documents are analysed in a user-friendly way. The international Editorial Board ensures the selection of a wide range of high quality articles of global significance.
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