Atwal Anita, Caldwell Kay
School of Health Science and Social Care, Brunel University, Isleworth, Middlesex, UK.
Scand J Caring Sci. 2005 Sep;19(3):268-73. doi: 10.1111/j.1471-6712.2005.00338.x.
Problems around deficits in interprofessional collaboration have been identified since the National Health Service (NHS) was introduced. It is within the context of the current policy focus on improving collaborative working that this study was undertaken. A direct observational study using the Bales' Interaction Process Analysis tool was carried out in two older persons teams to explore patterns of interaction in the multidisciplinary team meetings. Analysis revealed some key differences in the way in which different professions interacted. Occupational therapists, physiotherapists, social workers (SW) and nurses rarely asked for opinions and for orientation. The consultant (the individual in charge of the medical team) tended to have high rates for asking for orientation, giving opinions and giving orientation. Although some nurses did have high individual rates for the giving of orientation. The data from the research has highlighted that therapists, SWs and nurses are reluctance to voice their opinions in multidisciplinary teams and thus conformity may dominate its culture. It is suggested that therapists, SWs and nurses need to cite their opinions in teams more effectively if they are to be competent and committed patient-centred practitioners.
自英国国家医疗服务体系（NHS）建立以来，跨专业协作不足的问题就已被发现。本研究正是在当前政策聚焦于改善协作工作的背景下开展的。一项使用贝尔斯互动过程分析工具的直接观察研究在两个老年护理团队中进行，以探索多学科团队会议中的互动模式。分析揭示了不同专业人员互动方式的一些关键差异。职业治疗师、物理治疗师、社会工作者（SW）和护士很少征求意见和寻求指导。顾问（负责医疗团队的人员）征求指导、发表意见和给予指导的比例往往较高。尽管一些护士在给予指导方面的个人比例确实较高。研究数据凸显出治疗师、社会工作者和护士在多学科团队中不愿表达自己的意见，因此从众心理可能主导了团队文化。建议治疗师、社会工作者和护士如果要成为称职且专注于以患者为中心的从业者，就需要在团队中更有效地表达自己的意见。
