综合青年护理中的跨专业决策:一种定性研究
M A Barnhoorn-Bos1,2, E A Mulder3,4, R R J M Vermeiren1,5
1LUMC Curium - Department of Child and Adolescent Psychiatry, Leiden University Medical Center Post, Leiden, The Netherlands.
这项研究探讨了专家综合护理团队 (SIT) 如何为有复杂需求的家庭提供跨专业决策. 关键因素包括组织护理,管理不同的意见,并保持以家庭为中心的护理.
科学领域:
- 医疗保健管理的管理
- 专业间合作 专业间合作
- 以家庭为中心的护理
背景情况:
- 共同决策 (SDM) 对于面临复杂健康问题的家庭至关重要.
- 跨专业的决策在多学科的团队,如专家综合护理团队 (SITs),是至关重要的,但具有挑战性.
- 对于SIT内部跨专业决策的实际应用,人们的理解有限.
研究的目的:
- 探索SIT内部跨专业决策的促进者和障碍者.
- 调查SIT与外部护理服务之间的专业间决策.
- 为有复杂护理需求的家庭增强SDM.
主要方法:
- 与家庭,专业人士和管理人员进行了43次半结构化采访.
- 在SIT中观察了40个多学科团队会议.
- 应用反思性主题分析对采访和观察数据.
主要成果:
- 确定了四个关键类别的促进者和障碍者:组织决策,管理不同的意见,动机,并将跨专业决策嵌入到SDM中.
- 专业人员和服务必须平衡团队内部和服务间的决策.
- 有效的SDM需要正式的组织,专业观点的整合,以及以家庭为中心的方法.
结论:
- 在SIT和其他服务中,跨专业决策是复杂的.
- 解决组织,团队和专业因素对于成功的决策至关重要.
- 在SDM过程中优先考虑家庭需求对于最佳的护理提供至关重要.
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