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让它起作用:对长期护理院的执业护士和医生的合作进行了定性研究
Shirin Vellani1,2, Alexandra Krassikova3, Lynn Haslam-Larmer3
1Virtual Behavioral Medicine, Toronto Rehabilitation Institute, University Health Network, Toronto, ON, Canada.
概括
在长期护理 (LTC) 家庭中,执业护士 (NPs) 和医生之间的有效合作改善了居民的护理. 成功的关键要素包括明确的沟通,明确的角色和相互信任,以克服诸如高NP工作量等障碍.
科学领域:
- 老年学是指老年学的学科.
- 医疗保健管理的管理
- 护理实践 护理实践
背景情况:
- 执业护士 (NPs) 和医生对于长期护理 (LTC) 环境中的急性,偶发性和息性护理至关重要.
- 他们的合作对于防止不必要的医院转移和提高居民福祉至关重要.
研究的目的:
- 在LTC环境中探索有效的NP-医生合作的特点.
- 确定阻碍这种合作伙伴关系发展的障碍.
主要方法:
- 一项利用半结构面试进行的探索性定性研究.
- 涉及10名NP和6名在加拿大安大略省LTC家庭执业的医生.
- 数据分析采用了感应性主题分析.
主要成果:
- 确定了两种不同的NP医生实践模式:成功的合作和失败的伙伴关系.
- 成功的合作的特点是以居民为中心的护理,非层次关系和明确的角色定义.
- 发现的障碍包括缺乏信任,高NP工作量和角色模两可.
结论:
- 非公立医生之间的合作具有显著的潜力,可以提高LTC设施中居民的护理质量.
- 成功实施需要明确的沟通,明确的角色和领导层支持NP整合.
- 促进有效的专业间关系是优化协作实践的关键.
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