"我们真的都在朝着完全相同的方向前进":对主治医生和住院医生对结构化床边跨学科回合的印象进行了定性研究
Katarzyna A Mastalerz1, Sarah R Jordan2, Nikki Townsley3
1Division of Hospital Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Journal of hospital medicine
|January 17, 2024
概括
医生发现结构化的床边跨学科回合 (IDR) 改善了护理,团队合作和同理心. 然而,在利益相关者参与和沟通方面仍然存在挑战,需要领导层的支持才能获得最佳效益.
科学领域:
- 提供医疗保健服务.
- 改善临床实践的改善
- 医学教育 医学教育
背景情况:
- 医生在实施跨学科回合 (IDR) 中发挥着关键作用.
- 了解医生对床边IDR的看法对于成功实施至关重要.
- 现有的文献可能无法完全捕捉医生对结构化的床边IDR的经验.
研究的目的:
- 探索和理解医生对结构化床边跨学科巡回 (IDR) 的看法.
- 从医生的角度来看,确定床边IDR的感知好处和挑战.
- 为实施和优化床边IDR提供最佳实践信息.
主要方法:
- 定性描述性研究设计.
- 与住院和医院医生进行的半结构面试和焦点小组.
- 主题分析用于从转录的采访中识别关键主题.
主要成果:
- 发现床边IDR可以减少不必要的护理,选风险/错误,并培养共享的心理模式.
- 医生报告了对患者和跨专业团队的同情心增加.
- 挑战包括让利益相关者参与,在时间敏感的环境中管理沟通,特别是对居民来说.
结论:
- 结构化的床边IDR可以增强患者护理,跨专业团队合作和医生同情心.
- 持续的领导支持和明确定义的目标对于最大化收益至关重要.
- 解决利益相关者参与和沟通方面的挑战对于有效实施IDR至关重要.
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