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Evaluation design of a reactivation care program to prevent functional loss in hospitalised elderly: a cohort study including a randomised controlled trial.再激活护理方案预防住院老年患者功能丧失的效果评估：一项包括随机对照试验的队列研究。
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Relational coordination among nurses and other providers: impact on the quality of patient care.护士与其他医护人员之间的协调关系：对患者护理质量的影响。
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Health-related safety: a framework to address barriers to aging in place.与健康相关的安全：解决就地养老障碍的框架。
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Fully integrated care for frail elderly: two American models.针对体弱老年人的全面综合护理：两种美国模式。
Int J Integr Care. 2000 Nov 1;1:e08. doi: 10.5334/ijic.11.
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Developing integrated health and social care services for older persons in Europe.为欧洲老年人发展综合健康和社会护理服务。
Int J Integr Care. 2004;4:e10. doi: 10.5334/ijic.107. Epub 2004 Sep 3.

多学科团队合作以及团队氛围对老年患者护理团队间关系协调的重要性。

The importance of multidisciplinary teamwork and team climate for relational coordination among teams delivering care to older patients.

机构信息

Department of Social Medical Sciences, Institute of Health Policy and Management, Erasmus University Rotterdam, The Netherlands.

出版信息

J Adv Nurs. 2014 Apr;70(4):791-9. doi: 10.1111/jan.12233. Epub 2013 Aug 26.

DOI:10.1111/jan.12233
PMID:23980594
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4282281/
Abstract

AIM

To identify predictors of relational coordination among professionals delivering care to older patients.

BACKGROUND

Relational coordination is known to enhance quality of care in hospitals. The underlying mechanisms, however, remain poorly understood.

DESIGN

This cross-sectional study was part of a larger evaluation study examining the opportunity to prevent loss of function in older patients due to hospitalization in the Netherlands.

METHODS

This study was performed in spring 2010 among team members delivering care to older hospitalized patients (192 respondents; 44% response rate) in one hospital. Relational coordination was measured by the Relational Coordination survey; team climate by the Team Climate Inventory and questions were asked about participation in multidisciplinary team meetings and disciplines represented in these meetings. To account for the hierarchical structure, a multilevel analysis was performed.

RESULTS

Correlation analysis revealed a positive relationship among being female, being a nurse and relational coordination; medical specialists showed a negative relationship. The number of disciplines represented during multidisciplinary team meetings and team climate were positively related with relational coordination. The multilevel analysis showed a positive relationship between the number of disciplines represented during multidisciplinary team meetings and team climate with relational coordination.

CONCLUSIONS

The enhancement of team climate and attendance of diverse professionals during multidisciplinary team meetings are expected to improve relational coordination. Furthermore, this study underscores the importance of enhancing relational coordination between medical specialists and other professionals.

摘要

目的

确定为老年患者提供护理的专业人员之间关系协调的预测因素。

背景

关系协调被认为可以提高医院的护理质量。然而，其潜在机制仍知之甚少。

设计

本横断面研究是一项更大的评估研究的一部分，该研究旨在检查在荷兰，由于住院而导致老年患者功能丧失的预防机会。

方法

这项研究于 2010 年春季在一家医院中进行，调查对象为为老年住院患者提供护理的团队成员（192 名受访者；44%的回复率）。关系协调通过关系协调调查进行衡量；团队氛围通过团队氛围库存进行衡量，并询问了参加多学科团队会议的情况以及这些会议所代表的学科。为了考虑到层次结构，进行了多层次分析。

结果

相关分析显示，女性、护士和关系协调之间存在正相关关系；而医学专家则呈负相关。多学科团队会议期间所代表的学科数量和团队氛围与关系协调呈正相关。多水平分析显示，多学科团队会议期间所代表的学科数量和团队氛围与关系协调呈正相关。

结论

预计提高团队氛围和多学科团队会议中多样化专业人员的参与度将改善关系协调。此外，这项研究强调了增强医学专家与其他专业人员之间关系协调的重要性。