Holdrinet Rob S G
Universitair Medisch Centrum St Radboud, afd. Hematologie, Nijmegen, The Netherlands.
Ned Tijdschr Geneeskd. 2010;154:A1780.
The recently published guideline entitled 'Division of responsibility in teamwork within the care sector' was developed on the request of the Dutch Health Care Inspectorate. Its aim is to ensure that in a teamwork situation in the care sector proper agreements are made concerning the responsibilities of the care providers who work together. The intention is good, but the execution is open to criticism. For instance, there is mention of 'teamwork' as soon as more than one caregiver is involved in caring for a patient. The document does not reflect everyday practice, but an abstracted theoretical situation, in which the patient, nurse and doctor are indicated using terms such as 'subject expert', 'client', 'care professional' and 'contact'. The document emphasizes responsibilities strongly, but the quality of health care could perhaps be better served by the motivation of caregivers to provide the best possible care.
最近发布的题为《护理部门团队合作中的职责划分》的指南是应荷兰医疗保健检查局的要求制定的。其目的是确保在护理部门的团队合作中，就共同工作的护理人员的职责达成适当协议。意图是好的，但执行情况值得批评。例如，只要有不止一名护理人员参与照顾患者，就会提到“团队合作”。该文件没有反映日常实践，而是一种抽象的理论情况，其中患者、护士和医生使用“主题专家”、“客户”、“护理专业人员”和“联系人”等术语来表示。该文件强烈强调职责，但护理人员提供尽可能最佳护理的积极性或许能更好地提升医疗保健质量。
