Bokhour Barbara G
Center for Health Quality, Outcomes & Economic Research, Edith Nourse Rogers Memorial Veterans Hospital, Boston University School of Public Health, Bedford, MA 01730, USA.
J Interprof Care. 2006 Aug;20(4):349-63. doi: 10.1080/13561820600727205.
Interdisciplinary teams are central to the care of the older patient in long-term care settings. Critical to the success of caring for these patients is the communication between providers about patient care. This study examines professional communication practices in interdisciplinary team meetings, a common forum for discussing patient care. Two teams at a long-term care facility specializing in patients with Alzheimer's participated in this qualitative exploratory study. All team members participated in semi-structured interviews. In addition, seven team meetings in which 31 patients were discussed were audio and video taped. Team members discussed the importance of team meetings to help coordinate care provided to patients, while also expressing concern about the effectiveness of the meetings to reach this goal. Through detailed discourse analyses of transcripts of the meetings, we identified three different communication practices in team meetings: giving report, writing report, and collaborative discussion. Only the latter practice met the goals indicated by the team members to coordinate and make joint decisions about patient care and allowed for team members to collaboratively solve problems. We discuss one case study to exemplify how the use of these communication practices results in the omission of information central to making decisions regarding patient care.
跨学科团队对于长期护理机构中老年患者的护理至关重要。医护人员之间就患者护理进行沟通，是照料这些患者取得成功的关键。本研究考察了跨学科团队会议中的专业沟通实践，这是一个讨论患者护理的常见场所。一家专门收治阿尔茨海默病患者的长期护理机构的两个团队参与了这项定性探索性研究。所有团队成员都参加了半结构化访谈。此外，对讨论了31名患者的七次团队会议进行了录音和录像。团队成员讨论了团队会议对于协调患者护理工作的重要性，同时也对会议实现这一目标的有效性表示担忧。通过对会议记录进行详细的话语分析，我们在团队会议中识别出三种不同的沟通方式：汇报、书面报告和协作讨论。只有后一种方式实现了团队成员所指出的协调患者护理并共同做出决策的目标，并且让团队成员能够共同解决问题。我们讨论了一个案例研究，以举例说明这些沟通方式的使用如何导致遗漏对于做出患者护理决策至关重要的信息。
