长期护理远程医疗领域的专业间合作:一项探索性定性研究
Apphia Jia Qi Tan1, Wei Ling Chua1, Lisa McKenna2
1Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
概括
养老院护士和医生因沟通,文化和角色差异而面临远程医疗协作方面的挑战. 建议在远程医疗方面的培训,重点是共享的心理模型和文化能力,以提高护理质量.
科学领域:
- 医疗保健管理的管理
- 远程医疗服务是远程医疗服务.
- 专业间合作 专业间合作
背景情况:
- 在长期住院护理中,远程医疗的采用正在增长.
- 养老院 (NH) 护士在通过远程医生协作来管理住院条件方面至关重要.
- 有效的护士-医生沟通对于远程咨询的质量和安全至关重要.
研究的目的:
- 探索NH护士和医生在远程咨询期间的专业间合作和沟通的经验.
主要方法:
- 定性描述性设计. 定性描述性设计.
- 针对22名参与NH远程咨询的护士和医生进行了有目的的抽样.
- 半结构化的在线采访以主题分析.
主要成果:
- 确定的主题:沟通方式,社会文化影响和角色期望.
- 信任至关重要,医生依靠护士获得临床信息.
- 实践中的差异,权力关系,语言障碍和绩效预期影响了合作.
结论:
- 远程咨询面临的挑战是缺乏面对面的评估和不同的专业期望.
- 需要跨专业远程医疗培训,包括共享心理模型和文化能力.
- 将跨专业的合作融入远程医疗教育中,提高了长期护理的临床实践.
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