在养老院护理中的合作:护理专业人员的观点 - - 定性研究
Roeyel J F Koldeweij1, Marleen H Lovink2, Anke Persoon3
1Department of Quality Improvement, Streekziekenhuis Koningin Beatrix, Winterswijk, The Netherlands.
BMJ open quality
|June 15, 2025
概括
对彼此的投资是养老院有效医疗保健团队的关键. 强大的专业内部协作对专业间协作和患者护理结果产生重大影响.
科学领域:
- 医疗保健管理的管理
- 养老院护理服务 养老院护理服务
- 团队合作 团队协作
背景情况:
- 世界卫生组织强调专业间的合作,以改善医疗保健成果.
- 在养老院的专业间合作涉及医生/医疗保健专业人员和护理团队.
- 专业内部的合作发生在护理团队内,与专业间的努力不同.
研究的目的:
- 探索在养老院的专业间和专业内合作的决定因素.
- 确定专业人士认为在老年护理机构中有效团队合作的重要因素.
主要方法:
- 使用主题分析进行探索性定性研究.
- 在七个养老院团队中与护士和医生/医疗保健专业人员进行了14次半结构化采访.
- 在数据分析中采用了诱导方法.
主要成果:
- 确定了五个相互影响的决定因素:"相互投资" (核心),"角色,职能和责任","个人居民的书面政策","口头协调会议"和"组织影响".
- 发现护理团队内的专业内协作影响了专业间协作的所有决定因素.
- 强调了协调护士在这种动态中的重要作用.
结论:
- "互相投资"是培养积极的专业关系和加强合作的关键技能.
- 专业内合作是影响养老院专业间合作的关键因素.
- 需要进一步的研究,包括民族学研究和干预措施,以改善专业内部和专业间的合作,并纳入包括助理护士在内的所有团队成员的观点.
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