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社区健康护士与其他专业人员在为社区居家体弱老人提供护理时的关系协调。

Relational coordination between community health nurses and other professionals in delivering care to community-dwelling frail people.

作者信息

Cramm Jane Murray, Hoeijmakers Marjan, Nieboer Anna Petra

机构信息

Institute of Health Policy & Management (iBMG), Erasmus University, Rotterdam, the Netherlands.

出版信息

J Nurs Manag. 2014 Mar;22(2):170-6. doi: 10.1111/jonm.12041. Epub 2013 Feb 27.

DOI:10.1111/jonm.12041
PMID:23441966
Abstract

AIMS

The first aim of this study was to investigate whether relational coordination is higher between primary care professionals and community health nurses than among other professionals. The second aim of this study was to investigate the relationship between different levels of relational coordination and primary care professionals' satisfaction with the care delivery of community health nurses.

BACKGROUND

Community health nursing is based on the notion that all activities should respond to frail people's needs in a coordinated way, together with other professionals. Relational coordination is therefore important for the effective health-care delivery by these nurses.

METHODS

This cross-sectional study was performed among 167 professionals (n = 323, response rate 52%) who regularly worked with community health nurses.

RESULTS

The results showed a higher degree of relational coordination with community health nurses than with other primary care professionals. Multilevel analyses revealed that professionals' satisfaction with the care delivered by community health nurses was influenced positively by relational coordination.

CONCLUSION

Enhancing relational coordination between community health nurses and other primary care professionals in the neighborhood may improve the delivery of care to community-dwelling frail people.

IMPLICATIONS FOR NURSING MANAGEMENT

Comprehensive care delivery to community-dwelling frail people requires strong connections between all health and social care professionals. Community health nurses may be an important factor in strengthening these connections.

摘要

目的

本研究的首要目的是调查基层医疗专业人员与社区健康护士之间的关系协调性是否高于其他专业人员之间。本研究的第二个目的是调查不同水平的关系协调性与基层医疗专业人员对社区健康护士护理服务满意度之间的关系。

背景

社区健康护理基于这样一种理念，即所有活动都应与其他专业人员协作，以协调一致的方式满足体弱人群的需求。因此，关系协调性对于这些护士有效提供医疗服务至关重要。

方法

这项横断面研究是在167名经常与社区健康护士合作的专业人员中进行的（n = 323，回复率52%）。

结果

结果显示，与社区健康护士的关系协调性程度高于与其他基层医疗专业人员的关系协调性。多层次分析表明，关系协调性对专业人员对社区健康护士提供的护理服务满意度有积极影响。

结论

加强社区健康护士与社区内其他基层医疗专业人员之间的关系协调性，可能会改善对社区体弱居民的护理服务。

对护理管理的启示

为社区体弱居民提供全面的护理服务需要所有健康和社会护理专业人员之间建立紧密联系。社区健康护士可能是加强这些联系的一个重要因素。

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