在关节骨折护理中的多学科团队合作模式:一个定性面试研究
Sarah Drew1, Fiona Fox2, Celia L Gregson3
1Musculoskeletal Research Unit, Bristol Medical School, University of Bristol, Bristol, UK sarah.drew@bristol.ac.uk.
BMJ open
|February 28, 2024
概括
在关节骨折护理中,成功的多学科团队合作依赖于定义的角色,信息共享,共同目标和协作领导力. 共享责任是提高患者结果和团队合作的核心要素.
科学领域:
- 老年医学 老年医学
- 整形外科手术 整形外科手术
- 医疗保健管理的管理
背景情况:
- 关节骨折是老年人患病和死亡的一个重要原因.
- 尽管制定了指导方针,但关节骨折护理服务和患者治疗结果存在很大差异.
- 了解成功的多学科团队合作的推动因素对于提高护理质量至关重要.
研究的目的:
- 描述医疗保健专业人员对关节骨折护理中多学科团队合作的基本组成部分的观点.
- 确定影响这种患者群体协作工作有效性的因素.
主要方法:
- 在英格兰四家医院的40名医疗保健专业人员进行了定性采访.
- 参与者包括骨科外科医生,骨科老年科医生,理疗师和服务经理.
- 采访数据被分析使用一个吸收的方法,涉及诱导编码和概念分组由团队合作理论告知.
主要成果:
- 确定了成功的多学科团队合作的四个核心组成部分:定义的角色/责任,有效的信息传输,共享的目标和协作式领导力.
- 这些组成部分的基础概念是团队成员之间的"共同责任".
- 挑战包括跨专业关系的复杂性,而促进者包括正式的护理途径,多学科团队会议和支持性医院领导.
结论:
- 共同责任是有效的多学科关节骨折护理的基础.
- 该研究的结果可以为制定临床实践建议和有针对性的培训计划提供信息,以提高团队合作能力.
- 改善协作实践对于优化部骨折患者的治疗结果至关重要.
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