在多发性骨髓瘤患者和护理人员的严重疾病对话中进行跨学科合作 - - 一项定性研究
Cæcilie Borregaard Myrhøj1,2, Dorte Toudal Viftrup3, Mary Jarden4,5
1Department of Hematology, Copenhagen University Hospital, Blegdamsvej 9, Rigshospitalet, Copenhagen, 2100, Denmark. caecilie.borregaard.myrhoej@regionh.dk.
护士和医生之间的跨学科合作通过将患者价值观纳入护理来改善严重疾病的沟通. 这种团队合作增强了沟通,并加强了专业知识,以获得更好的终身癌症护理.
科学领域:
- 医疗保健通讯 医疗保健通讯
- 跨学科合作 跨学科合作
- 瘤学 护理与医学
背景情况:
- 严重疾病对话对于高质量的终身癌症护理至关重要.
- 在这些讨论中,对专业间合作的理解有限.
- 患者和护理人员对护士医生合作的看法未得到充分研究.
研究的目的:
- 探索护士和医生之间的跨学科合作.
- 调查与多发性骨髓瘤患者和护理人员的严重疾病对话中的合作.
主要方法:
- 对22名患者和护理人员进行了11次二次采访.
- 举办了两个焦点小组,包括护士和医生 (每个4人).
- 在现象学框架内利用反射的主题分析.
主要成果:
- 合作以三个主题为中心:关系的重要性,互补的观点和共同的目标.
- 跨学科的互动丰富了医学,整体和存在问题的语言.
- 合作促进了患者/护理人员偏好,希望和价值观的整合.
结论:
- 跨学科性增强了严重疾病对话和专业专业知识.
- 将患者的价值观纳入治疗计划对于提供最佳护理至关重要.
- 建议进行组织变化,例如护理的连续性,跨学科培训和专门的准备/汇报时间.
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