失步的协作链。
A collaborative chain out of phase.
机构信息
SINTEF Technology and Society, Department of Health Research, P.O. Box 4760, 7465 Trondheim, Norway.
出版信息
Int J Integr Care. 2013 Mar 14;13:e008. doi: 10.5334/ijic.858. Print 2013 Jan-Mar.
INTRODUCTION
The aim of this study is to explore the obstacles to collaborations between nurses in hospital and municipal care in the discharge of hospital patients who need continuing care.
METHODS
First, we conducted in-depth interviews of nurses in hospitals and nurses in municipal care. Second, we developed questionnaires and distributed them to a representative sample of Norwegian municipalities to study the representativeness of the most important findings from the interviews.
RESULTS
Municipal care nurses reported that the information they receive from hospital departments usually is insufficient for a complete understanding of a patient's needs. Formal discharge reports from hospital serve as a post factum formalization and authorization of information collected by municipal nurses in an ad hoc fashion and via oral communication. Typically, formal information routines are out of phase with the information needed by municipal care professionals.
CONCLUSIONS
Hospital information provided at discharge is neither sufficient nor timely with respect to the information needs of nurses in municipal care. Organizational efforts and the use of information technology might ease some obstacles, but several problems will remain because of differences in professional orientation and the contexts of care delivery.
简介
本研究旨在探讨医院护士和市政护理人员在出院需要继续护理的患者方面合作的障碍。
方法
首先，我们对医院护士和市政护理护士进行了深入访谈。其次，我们开发了问卷，并分发给挪威有代表性的市政当局样本，以研究访谈中最重要发现的代表性。
结果
市政护理护士报告说，他们从医院科室收到的信息通常不足以全面了解患者的需求。医院部门的正式出院报告是对市政护士以临时方式通过口头沟通收集的信息进行事后正式化和授权。通常，正式的信息程序与市政护理专业人员所需的信息不同步。
结论
出院时提供的医院信息在及时性和充分性方面都不能满足市政护理护士的信息需求。组织工作和信息技术的使用可能会缓解一些障碍，但由于专业方向和护理提供背景的差异，仍会存在一些问题。
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