McNamara Shannon, Lepage Karine, Boileau Johanne
SMBD Jewish General Hospital, Montreal, Quebec, Canada.
Clin Nurse Spec. 2011 Jan-Feb;25(1):33-40. doi: 10.1097/NUR.0b013e318202104d.
PURPOSE/OBJECTIVES: The purpose of this article was to describe the collaborative model established between the specialized nurse practitioner (SNP) and the clinical nurse specialist (CNS), within the cardiac surgery population.
BACKGROUND/RATIONALE: The literature has shown a trend that SNPs and CNSs work in parallel or even in competition. Little has been written about a collaborative model and the advantages to working together toward a mutual goal. It was felt that a collaborative model between advance practice nurses could demonstrate the advantages of using their unique perspectives to achieve improvement in the quality of care given to the patients.
DESCRIPTION OF THE PROJECT/INNOVATION: The Structuration Model of Interprofessional Collaboration was used as a guide to our interventions and elaboration of our project. The team set out to establish, promote, and nurture a collaborative approach to care for the cardiac surgery population from admission to 3 months after discharge.
A collaborative relationship was achieved between the SNP and the CNS, to the benefit of the patient population.
INTERPRETATION/CONCLUSION: Collaboration between these 2 advanced practice nurses is realistic and attainable. The advantages to this relationship outweigh the negative feelings harbored toward each professional title. By working in collaboration instead of in parallel, resources are pooled together to achieve greater services and care for the patients.
A change in attitude between professionals has a positive impact on working relationships, partnerships, and communication. Ultimately, it is an advantage for the advanced practice nurse, the multidisciplinary team, and the patient.
目的/目标：本文旨在描述在心脏外科手术人群中，专科护士从业者（SNP）与临床护理专家（CNS）之间建立的协作模式。
背景/理论依据：文献表明，SNP和CNS的工作方式往往是并行的，甚至存在竞争关系。关于协作模式以及为实现共同目标而合作的优势，相关论述较少。人们认为，高级实践护士之间的协作模式可以展现出利用各自独特视角来提高患者护理质量的优势。
项目/创新描述：跨专业协作的结构化模型被用作我们干预措施和项目阐述的指南。该团队着手建立、推广并培育一种从入院到出院后3个月对心脏外科手术人群的协作式护理方法。
SNP和CNS之间建立了协作关系，这对患者群体有益。
解读/结论：这两位高级实践护士之间的协作是切实可行的。这种关系的优势超过了对每个专业头衔所抱有的负面看法。通过协作而非并行工作，可以集中资源，为患者提供更优质的服务和护理。
专业人员态度的转变对工作关系、伙伴关系和沟通有积极影响。最终，这对高级实践护士、多学科团队和患者都有利。
