Smith Kevin, Lavoie-Tremblay Melanie, Richer Marie-Claire, Lanctot Suzanne
School of Nursing, McGill University, 3506 University Street, Montreal, Quebec, Canada H3A 2A7.
Health Care Manag (Frederick). 2010 Jul-Sep;29(3):271-8. doi: 10.1097/HCM.0b013e3181e9351a.
Collaborative relationships are influenced by the context of the organization in which health professionals work. There is limited knowledge concerning the influence that organizational factors have on this process. A descriptive study design using semistructured interviews was used to explore nurses' perceptions of the organizational factors that influence the development of collaborative relationships in health care teams. Eight nurses from a university-affiliated teaching hospital in Montreal participated in this study. Nurses described a variety of experiences where effective collaboration took place. One common theme emerged from the participants: Being Available for Collaboration. Nurses perceived that 2 particular organizational factors-time and workday scheduling-influenced the development of collaborative relationships. This study supports the need for health care managers to promote and invest in alternative means of communication technology and to structure clinical care environments to help promote the development of collaborative relationships within health care teams.
合作关系受到卫生专业人员工作所在组织环境的影响。关于组织因素对这一过程的影响，我们了解得还很有限。本研究采用半结构化访谈的描述性研究设计，以探讨护士对影响医疗团队中合作关系发展的组织因素的看法。来自蒙特利尔一家大学附属医院的八名护士参与了本研究。护士们描述了各种有效合作的经历。参与者们提出了一个共同主题：随时准备合作。护士们认为有两个特定的组织因素——时间和工作日排班——影响了合作关系的发展。本研究支持医疗保健管理人员需要推广和投资替代通信技术手段，并构建临床护理环境，以帮助促进医疗团队内部合作关系的发展。
