Eine Plattform für die Wissenschaft: Bauingenieurwesen, Architektur und Urbanistik
Eine Plattform für die Wissenschaft: Bauingenieurwesen, Architektur und Urbanistik
The many organisational factors relevant to planning change in emergency care departments:A qualitative study to inform a cluster randomised controlled trial aiming to improve the management of patients with mild traumatic brain injuries
Background: The Neurotrauma Evidence Translation (NET) Trial aims to design and evaluate the effectiveness of a targeted theory-and evidence-informed intervention to increase the uptake of evidence-based recommended practices for the management of patients who present to an emergency department (ED) with mild head injuries. When designing interventions to bring about change in organisational settings such as the ED, it is important to understand the impact of the context to ensure successful implementation of practice change. Few studies explicitly use organisational theory to study which factors are likely to be most important to address when planning change processes in the ED. Yet, this setting may have a unique set of organisational pressures that need to be taken into account when implementing new clinical practices. This paper aims to provide an in depth analysis of the organisational context in which ED management of mild head injuries and implementation of new practices occurs, drawing upon organisational level theory. Methods: Semi-structured interviews were conducted with ED staff in Australia. The interviews explored the organisational context in relation to change and organisational factors influencing the management of patients presenting with mild head injuries. Two researchers coded the interview transcripts using thematic content analysis. The "model of diffusion in service organisations" was used to guide analyses and organisation of the results. Results: Nine directors, 20 doctors and 13 nurses of 13 hospitals were interviewed.With regard to characteristics of the innovation (i.e. the recommended practices) the most important factor was whether they were perceived as being in line with values and needs. Tension for change (the degree to which stakeholders perceive the current situation as intolerable or needing change) was relatively low for managing acute mild head injury symptoms, and mixed for managing longer-term symptoms (higher change commitment, but relatively low change efficacy). ...
The many organisational factors relevant to planning change in emergency care departments:A qualitative study to inform a cluster randomised controlled trial aiming to improve the management of patients with mild traumatic brain injuries
Background: The Neurotrauma Evidence Translation (NET) Trial aims to design and evaluate the effectiveness of a targeted theory-and evidence-informed intervention to increase the uptake of evidence-based recommended practices for the management of patients who present to an emergency department (ED) with mild head injuries. When designing interventions to bring about change in organisational settings such as the ED, it is important to understand the impact of the context to ensure successful implementation of practice change. Few studies explicitly use organisational theory to study which factors are likely to be most important to address when planning change processes in the ED. Yet, this setting may have a unique set of organisational pressures that need to be taken into account when implementing new clinical practices. This paper aims to provide an in depth analysis of the organisational context in which ED management of mild head injuries and implementation of new practices occurs, drawing upon organisational level theory. Methods: Semi-structured interviews were conducted with ED staff in Australia. The interviews explored the organisational context in relation to change and organisational factors influencing the management of patients presenting with mild head injuries. Two researchers coded the interview transcripts using thematic content analysis. The "model of diffusion in service organisations" was used to guide analyses and organisation of the results. Results: Nine directors, 20 doctors and 13 nurses of 13 hospitals were interviewed.With regard to characteristics of the innovation (i.e. the recommended practices) the most important factor was whether they were perceived as being in line with values and needs. Tension for change (the degree to which stakeholders perceive the current situation as intolerable or needing change) was relatively low for managing acute mild head injury symptoms, and mixed for managing longer-term symptoms (higher change commitment, but relatively low change efficacy). ...
The many organisational factors relevant to planning change in emergency care departments:A qualitative study to inform a cluster randomised controlled trial aiming to improve the management of patients with mild traumatic brain injuries
Bosch, Marije (Autor:in) / Tavender, Emma J. (Autor:in) / Brennan, Sue E. (Autor:in) / Knott, Jonathan (Autor:in) / Gruen, Russell L. (Autor:in) / Green, Sally E. (Autor:in)
01.02.2016
Bosch , M , Tavender , E J , Brennan , S E , Knott , J , Gruen , R L & Green , S E 2016 , ' The many organisational factors relevant to planning change in emergency care departments : A qualitative study to inform a cluster randomised controlled trial aiming to improve the management of patients with mild traumatic brain injuries ' , PLoS ONE , vol. 11 , no. 2 , e0148091 . https://doi.org/10.1371/journal.pone.0148091
Aufsatz (Zeitschrift)
Elektronische Ressource
Englisch
DDC:
690
Organisational learning - aiming the unreached
| British Library Conference Proceedings | 1996
Traumatic injuries: imaging of thoracic injuries
| Tema Archiv | 2002