流动的专业界限:同处的手术医生,骨科医生和理疗师的民族学观察
Joshua Toloui-Wallace1, Roma Forbes2, Oliver P Thomson3
1School of Health and Rehabilitation Sciences, Faculty of Health and Behavioural Sciences, The University of Queensland, Brisbane, Australia. j.tolouiwallace@uqconnect.edu.au.
BMC health services research
|March 16, 2024
概括
整形外科医生,骨科医生和物理治疗师 (COP) 之间的专业界限在同处的环境中是流动的. 物理,社会和组织因素影响这些灵活的边界,挑战了对不同职业角色的传统观点.
科学领域:
- 医疗保健专业 医疗保健专业 医疗保健专业
- 专业界限 专业界限 专业界限
- 肌肉骨治疗疗法 肌肉骨治疗
背景情况:
- 整形外科医生,骨科医生和理疗师 (COP) 在肌肉骨疾病中使用类似的手册和物理治疗技术.
- 这种重叠在这些医疗保健提供者之间的不同专业界限方面造成了模两可.
- 同处的临床环境可能会影响这些专业界限的性质和管理.
研究的目的:
- 在共享的临床环境中,研究COP之间职业界限的特征.
- 探索这些边界如何在共同的实践中得到加强,减少或导航.
主要方法:
- 在两个不同的诊所中对15个COP采用了民族学观察.
- 利用反射主题分析来解释观察到的相互作用和数据.
主要成果:
- 确定了影响职业界限的物理和非物理"边界对象".
- 观察到这些边界物体增加了边界流动性,同时加强和削弱它们.
- 将边界对象分类为物理 (例如诊所布局),社会 (例如专业身份) 和组织 (例如任命结构) 的主题.
结论:
- 在共同设置的COP之间,职业界限是流动的,灵活的和动态的,受物理,社会和组织因素的影响.
- 这些发现挑战了在综合医疗环境中严格,明确的专业界限的概念.
- 未来的临床实践和研究应该在检查跨专业界限时考虑这些更广泛的因素.
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