School of Medicine, Flinders University Rural Clinical School, South Australia, Australia.
J Interprof Care. 2012 Jan;26(1):21-7. doi: 10.3109/13561820.2011.636157.
Interprofessional practice implies that health professionals are able to contribute patient care in a collaborative environment. In this paper, it is argued that in a hospital the nurses' station is a form of symbolic power. The term could be reframed as a "health team hub," which fosters a place for communication and interprofessional working. Studies have found that design of the Nurses' Station can impact on the walking distance of hospital staff, privacy for patients and staff, jeopardize patient confidentiality and access to resources. However, no studies have explored the implications of nurses' station design on interprofessional practice. A multi-site collective case study of three rural hospitals in South Australia explored the collaborative working culture of each hospital. Of the cultural concepts being studied, the physical design of nurses' stations and the general physical environment were found to have a major influence on an effective collaborative practice. Communication barriers were related to poor design, lack of space, frequent interruptions and a lack of privacy; the name "nurses' station" denotes the space as the primary domain of nurses rather than a workspace for the healthcare team. Immersive work spaces could encourage all members of the healthcare team to communicate more readily with one another to promote interprofessional collaboration.
跨专业实践意味着卫生专业人员能够在协作环境中为患者护理做出贡献。本文认为，在医院中，护士站是一种象征性权力的形式。这个术语可以重新定义为“医疗团队中心”，为沟通和跨专业工作提供场所。研究发现，护士站的设计会影响医院员工的步行距离、患者和员工的隐私、危及患者的保密性和资源的可及性。然而，目前还没有研究探讨护士站设计对跨专业实践的影响。本研究对南澳大利亚州的三家农村医院进行了多地点集体案例研究，探讨了每家医院的协作工作文化。在所研究的文化概念中，护士站的物理设计和一般物理环境对有效的协作实践有重大影响。沟通障碍与设计不佳、空间不足、频繁中断和缺乏隐私有关；“护士站”这个名称表示该空间是护士的主要领域，而不是医疗团队的工作空间。沉浸式工作空间可以鼓励医疗团队的所有成员更方便地相互沟通，从而促进跨专业合作。
