بررسی میزان موفقیت حاکمیت بالینی در بیمارستانهای استان خوزستان
فصلنامه علمی پژوهشی بهداشت در عرصه,
دوره 7 شماره 3,
22 September 2019
,
صفحه 49-63
https://doi.org/10.22037/jhf.v7i3.22612
چکیده
زمینه و اهداف: حاکمیت بالینی یک استراتژی سازمانی برای ارائه خدمات بهداشتی و درمانی بیمار محور، با کیفیت، ایمن و اثربخش از طریق توسعه ساختار و فرهنگ سازمانی مناسب و تدوین، اجرا و پایش منظم استانداردهای بالینی است. این پژوهش با هدف تعیین میزان موفقیت اجرای حاکمیت بالینی در بیمارستانهای استان خوزستان انجام شد.
مواد و روشها: این پژوهش توصیفی و مقطعی با استفاده از یک پرسشنامه محقق ساخته در 40 بیمارستان استان خورستان انجام شد. پرسشنامهها به صورت سرشماری در اختیار کارشناسان مسئول حاکمیت بالینی بیمارستانها قرار گرفت. تحلیل دادهها با استفاده از نرم افزار SPSSدر دو سطح آمار توصیفی و تحلیلی انجام شد. ملاحظات اخلاقی نظیر رضایت آگاهانه شرکت کنندگان در پژوهش، حفظ محرمانگی اطلاعات و بیطرفی پژوهشگران در این پژوهش رعایت شد.
یافتهها: میزان موفقیت حاکمیت بالینی در بیمارستانهای استان خوزستان 6/65 درصد و در حد متوسط بوده است. بیشترین میزان موفقیت در محور آموزش و مدیریت کارکنان و کمترین موفقیت در محور اثربخشی بالینی گزارش شده است. عواملی مانند تعهد مدیریت و کارکنان بر اجرای موفقیتآمیز حاکمیت بالینی تأثیرگذار بود. بیمارستانهایی که از مشارکت و تعهد بالای مدیران برخوردار بودند، موفقیت بیشتری در اجرای حاکمیت بالینی بدست آوردند.
نتیجهگیری: اجرای حاکمیت بالینی در بیمارستانهای استان خوزستان تا حدودی موفق بود. مدیریت و رهبری قوی، مشارکت مدیران و کارکنان در اجرای حاکمیت بالینی، آموزش و توانمندسازی کارکنان، بیمار محوری، طبابت و مراقبت مبتنی بر شواهد، ممیزیهای بالینی و انجام اقدامات اصلاحی، منجر به موفقیت حاکمیت بالینی میشود.
- حاکمیت بالینی
- بیمارستان
- تغییر موفق
- مدیریت کیفیت
ارجاع به مقاله
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