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首页> 外文期刊>Leadership in health services >Knowledge management model for quality improvement in the hemodialysis unit of a non-profit private hospital, Bangkok, Thailand
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Knowledge management model for quality improvement in the hemodialysis unit of a non-profit private hospital, Bangkok, Thailand

机译：泰国曼谷一家非营利性私立医院血液透析部门的质量管理知识管理模型

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摘要

Purpose - This study seeks to use a knowledge management (KM) model as a tool to improve the quality of service in a hemodialysis unit. Design/methodology/approach - A quasi-experimental, one group pre-test-post-test study was conducted over a period of ten months at a hemodialysis unit. All of the staff in the unit, and all of the patients who came for hemodialysis at the outpatient department during the study period, were invited to participate. Self-administered questionnaires were used to measure staff job satisfaction and patient satisfaction. SF-36v2 was used to assess patient quality of life (QoL). Wilcoxon's matched pairs test and paired t-test were used to compare staff job satisfaction, and patient satisfaction with service quality, before and after implementing KM. A within-subject repeated-measure analysis of variance (ANOVA) was used to assess changes in patient QoL. The chi-square test was used to compare rates of hemodialysis complications before and after implementing KM. Findings - After implementing KM, staff job satisfaction and patient satisfaction with services, increased significantly. Three QoL domains - role limitations due to physical and emotional problems, and vitality - at three and six months post-intervention applying KM to daily work, had improved significantly. Complications per hemodialysis episode had also reduced. Originality/value - The paper focuses on intervention that applied KM to staff providing care tor patients with hemodialysis to improve care and outcomes.
机译：目的-本研究旨在使用知识管理（KM）模型作为改善血液透析科服务质量的工具。设计/方法/方法-在血液透析单元进行了为期十个月的准实验，前测试后测试研究。研究期间，该部门的所有人员以及所有在门诊进行血液透析的患者均被邀请参加。自我管理的问卷用于衡量员工的工作满意度和患者满意度。 SF-36v2用于评估患者的生活质量（QoL）。在实施KM前后，Wilcoxon的配对配对测试和配对t检验用于比较员工的工作满意度以及患者对服务质量的满意度。受试者内部重复测量方差分析（ANOVA）用于评估患者QoL的变化。卡方检验用于比较实施KM前后的血液透析并发症发生率。调查结果-实施知识管理后，员工的工作满意度和患者对服务的满意度显着提高。在将KM应用于日常工作的干预后三个月和六个月，三个QoL域（由于身体和情感问题导致的角色限制以及活力）已得到显着改善。每次血液透析发作的并发症也减少了。原创性/价值-本文着重于将KM应用于为血液透析患者提供护理的员工以改善护理和效果的干预措施。

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