Centre for Family and Community Medicine, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Alfred Nobels Allé 12, SE-141 83 Huddinge, Stockholm, Sweden.
Int J Integr Care. 2008;8:e77. doi: 10.5334/ijic.254. Epub 2008 Dec 17.
The purpose of this article is to present a Swedish study exploring health care professionals' cooperation in the chain of care for expectant and new parents between antenatal care (AC), postpartum care (PC) and child health care (CHC). Furthermore, the rationale was to conceptualise barriers and facilitators of cooperation in order to generate a comprehensive theoretical model which may explain variations in the care providers' experiences.
Thirty-two midwives and CHC nurses were interviewed in five focus group - and two individual interviews in a suburb of a large Swedish city. Grounded Theory was applied as the research methodology.
ONE CORE CATEGORY WAS DISCERNED: linkage in the chain of care, including six categories with subcategories. Despite the fact that midwives as well as CHC nurses have common visions about linkage, cooperation is not achieved because of interacting barriers that have different influences on the three links in the chain.
Barriers to linkage are lack of professional gain, link perspective and first or middle position in the chain, while facilitators are chain perspective, professional gain and last position in the chain. As the last link, CHC nurses promote a linkage most strongly and have the greatest gain from such linking.
本文旨在呈现一项瑞典研究，探索围产期保健（AC）、产后保健（PC）和儿童保健（CHC）之间期待和新父母护理链中医疗保健专业人员的合作情况。此外，还对合作的障碍和促进因素进行了概念化，以便生成一个综合的理论模型，该模型可以解释护理提供者体验的差异。
在瑞典一个大城市的郊区，对 32 名助产士和 CHC 护士进行了五次焦点小组访谈和两次个人访谈。采用扎根理论作为研究方法。
识别出一个核心类别：护理链中的联系，包括六个类别和子类别。尽管助产士和 CHC 护士对联系有共同的看法，但由于相互作用的障碍，合作并没有实现，这些障碍对链中的三个环节有不同的影响。
联系的障碍是缺乏职业收益、联系视角以及链中的第一或中间位置，而促进因素是链视角、职业收益和链中的最后位置。作为最后一个环节，CHC 护士最强烈地促进联系，并从这种联系中获得最大收益。
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