Hansen Britt Saetre, Severinsson Elisabeth
University of Stavanger, P.O. Box N-4036, Norway.
Intensive Crit Care Nurs. 2009 Jun;25(3):147-54. doi: 10.1016/j.iccn.2009.02.005. Epub 2009 Apr 11.
A gap exists between best evidence and best practice in intensive care units. The aim of this study was to investigate different aspects of intensive care nurses' and physicians' inter- and intraprofessional collaboration, with focus on factors associated with standardised weaning from mechanical ventilation.
A qualitative design was used for implementing research-based knowledge into multistage focus group discussions. Data were analysed by means of qualitative content analysis.
One main theme emerged: The need for strategies aimed at improving quality control of care, and three sub-themes: 'Interprofessional learning', 'Quality control of care', and 'Teamwork and communication'. The multistage focus groups were perceived as an important interprofessional arena for improving quality of care. Improvement projects and research dissemination must be regarded as vital parts of the organisation's ongoing development work. Management was perceived as crucial for success.
Interprofessional research dissemination was perceived as important both in the creation of a common understanding and in knowledge development. Managers should make use of the valuable knowledge possessed by bedside professionals in their strategic planning. There is a need to allocate time for learning and reflection to provide a safe practice environment.
重症监护病房的最佳证据与最佳实践之间存在差距。本研究的目的是调查重症监护护士和医生跨专业及专业内协作的不同方面,重点关注与机械通气标准化撤机相关的因素。
采用定性设计,将基于研究的知识应用于多阶段焦点小组讨论。通过定性内容分析法对数据进行分析。
出现了一个主要主题:需要旨在改善护理质量控制的策略,以及三个子主题:“跨专业学习”、“护理质量控制”和“团队合作与沟通”。多阶段焦点小组被视为提高护理质量的重要跨专业平台。改进项目和研究传播必须被视为组织持续发展工作的重要组成部分。管理层被认为对成功至关重要。
跨专业研究传播在形成共同理解和知识发展方面都被视为很重要。管理者应在战略规划中利用床边专业人员所拥有的宝贵知识。需要分配时间用于学习和反思,以提供一个安全的实践环境。