TY -非盟的卷,凯丹尼斯AU -汉森,玛格丽特·玛丽AU -杰克逊,黛布拉AU -艾略特,Doug PY - 2019 DA - 2019/11/5 TI -为什么卫生保健专业人员属于一个重症监护虚拟社区:定性研究乔- J地中海互联网Res SP - e14068六世- 21 - 11 KW -社会媒体KW -焦点小组KW -医生KW -护士千瓦重症监护KW -创新扩散KW -学术交流AB -背景:临床实践变化导致患者预后不佳仍然是卫生保健组织的一个紧迫问题。一些证据表明，一个关键因素可能是无效的内部和专业网络，限制了卫生保健专业人员之间的知识交流。虚拟社区有可能克服专业和组织障碍，促进知识流动。目的:本研究旨在探讨为什么医疗保健专业人员属于一个典型的虚拟社区，ICUConnect。具体的研究目标是:(1)理解成员为什么加入虚拟社区并一直是成员，(2)确定虚拟社区在他们的职业生涯中服务的目的，(3)确定成员如何使用虚拟社区，以及(4)确定成员如何使用虚拟社区中共享的知识或资源。方法:基于实用主义的定性设计，从3个异步在线焦点小组和4个关键线人访谈中收集数据，参与者根据他们在前两年(2012年9月1日至2014年8月31日)的发帖行为被分配到一个组:(1)频繁(>5次)，(2)低(≤5次)，(3)不发帖。一种基于传统焦点小组原则和e-moderating的新的焦点小组调节方法被开发出来。以创新扩散理论为理论透镜，进行了专题分析。使用NCapture (QRS International)从焦点小组中提取数据，使用NVivo管理所有数据。 A research diary and audit trail were maintained. Results: There were 27 participants: 7 frequent posters, 13 low posters, and 7 nonposters. All participants displayed an external orientation, with the majority using other social media; however, listservs were perceived to be superior in terms of professional compatibility and complexity. The main theme was as follows: “Intensive care professionals are members of ICUConnect because by being a member of a broader community they have access to credible best-practice knowledge.” The virtual community facilitated access to all professionals caring for the critically ill and was characterized by a positive and collegial online culture. The knowledge found was credible because it was extensive and because the virtual community was moderated and sponsored by a government agency. This enabled members to benchmark and improve their unit practices and keep up to date. Conclusions: This group of health care professionals made a strategic decision to be members of ICUConnect, as they understood that to provide up-to-date clinical practices, they needed to network with colleagues in other facilities. This demonstrated that a closed specialty-specific virtual community can create a broad heterogeneous professional network, overcoming current ineffective networks that may adversely impact knowledge exchange and creation in local practice settings. To address clinical practice variation, health care organizations can leverage low-cost social media technologies to improve interprofessional and interorganizational networks. SN - 1438-8871 UR - //www.mybigtv.com/2019/11/e14068 UR - https://doi.org/10.2196/14068 UR - http://www.ncbi.nlm.nih.gov/pubmed/31687936 DO - 10.2196/14068 ID - info:doi/10.2196/14068 ER -