影响跨专业合作实践在教学医院环境中的实施因素:混合方法研究
Irawaty Djaharuddin1,2,3, Irwin Aras1, Rina Masadah1
1Department of Medical Education, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia.
个人,系统和领导因素显著影响医疗保健工作者之间的专业间合作. 不同专业群体对团队合作,协作障碍和领导角色的看法各不相同.
科学领域:
- 医疗保健管理的管理
- 健康 专业 教育 卫生 专业 教育
- 医疗保健中的团队合作
背景情况:
- 在教学医院提供有效的医疗保健服务需要合格的卫生工作者.
- 医生,护士和药剂师之间的专业间合作 (IPC) 对于提供优质的患者护理至关重要.
- 影响IPC的因素是每个医疗机构的独特因素.
研究的目的:
- 确定影响跨专业协作实践实施的因素.
- 探索卫生工作者对瓦希丁·苏迪罗霍索多总医院IPC的看法.
主要方法:
- 使用定量和定性数据的混合方法解释性顺序设计.
- 通过经过验证的印尼协作实践评估工具 (CPAT) 问卷从152名卫生专业人员收集的定量数据.
- 通过与选定的参与者进行焦点小组讨论 (FGD) 收集的定性数据,并根据主题进行分析.
主要成果:
- 在职业群体之间的认知中,在团队成员关系,协作障碍和领导力方面观察到显著的差异 (p<0.05).
- 与其他专业相比,护士在团队成员之间的关系和领导力方面得分更高.
- 焦点小组讨论确定了领导力,系统/规则和个人因素是对IPC的关键影响.
结论:
- 个人,系统/组织和领导因素是跨专业合作的关键决定因素.
- 关于团队合作,障碍和领导力的各种专业观念突出了针对性干预的领域.
- 了解这些影响因素对于优化教学医院的IPC至关重要.
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