从实施科学角度看,初级卫生保健领域的专业间合作
Natália de Paula Kanno1,2, Marina Peduzzi3, Ana Claudia Camargo Gonçalves Germani2
1Prefeitura do Município de São Bernardo do Campo, São Bernardo do Campo, Brasil.
Cadernos de saude publica
|November 16, 2023
概括
初级医疗保健 (PHC) 工作人员认为专业间的合作是复杂的. 加强沟通,团队建设和领导力可以改善协作和医疗保健质量.
科学领域:
- 实施科学 实施科学
- 医疗保健服务研究 医疗服务研究
- 定性研究是指质量研究.
背景情况:
- 专业间的合作对于有效的初级医疗保健 (PHC) 是至关重要的.
- 了解医疗保健工作者的看法是成功实施协作实践的关键.
- 实施科学为分析现实世界的协作提供了一个框架.
研究的目的:
- 分析初级卫生保健 (PHC) 工作人员对跨专业合作的看法.
- 通过实施科学视角探索影响跨专业合作的因素.
- 确定加强在PHC的专业间合作的战略.
主要方法:
- 定性研究采用对15名PHC工作人员 (社区卫生工作者,护理助理,护士,经理,医生,护理技术人员) 的深入采访.
- 采访以"实施研究综合框架" (CFIR) 领域为指导.
- 面试数据的主题内容分析.
主要成果:
- 受访者指出,跨专业合作的复杂性影响了其实施和可持续性.
- 内部环境中的关键影响因素包括沟通/会议时间,社交互动和领导力 (反,自主,决策参与).
- 个体特征突出了对护理质量的关注和整合知识的需要.
结论:
- 提高沟通质量,促进集体团队建设和加强领导力对于加强PHC的专业间合作至关重要.
- 这些改进可以显著利用协作对医疗保健服务的积极影响.
- 解决复杂性和优化内部和个人设置因素对于可持续的跨专业合作至关重要.
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