Pfaff Kathryn A, Baxter Pamela E, Jack Susan M, Ploeg Jenny
Faculty of Nursing, University of Windsor, Windsor, Ontario, Canada.
School of Nursing, McMaster University, Hamilton, Ontario, Canada.
Int J Nurs Stud. 2014 Aug;51(8):1142-52. doi: 10.1016/j.ijnurstu.2014.01.001. Epub 2014 Jan 15.
Confidence is required for effective engagement in interprofessional collaboration. New graduate nurses often lack confidence in interprofessional interactions, and this may compromise the delivery of safe and effective healthcare.
The overall objective of this study was to explore new graduate nurse confidence in interprofessional collaboration.
An explanatory sequential mixed methods design was used.
New graduate nurses from Ontario, Canada (N=514) completed a cross-sectional descriptive survey in 2012. The survey measured perceived confidence in interprofessional collaboration, and it included items that were proposed to have a relationship with new graduate nurse confidence in interprofessional collaboration. Follow-up qualitative telephone interviews were conducted with 16 new graduate nurses.
The quantitative findings suggested that several factors have a positive relationship with new graduate nurse confidence in interprofessional collaboration: availability and accessibility of manager, availability and accessibility of educator, number of different disciplines worked with daily, number of team strategies, and satisfaction with team. The qualitative phase supported the quantitative findings and also provided new information about factors that facilitated and challenged new graduate nurse confidence when engaging in interprofessional collaboration. The facilitators were: experience, knowledge, respect, supportive relationships, and opportunities to collaborate. Challenges included: lack of experience, lack of knowledge, communication challenges, and balancing practice expectations. The overall findings relate to team and organizational support, and new graduate nurse development.
Interventions that provide support for interprofessional collaboration at the team and organizational levels, and develop new graduate nurse knowledge and experiences regarding collaborative practice, are essential for enhancing new graduate nurse confidence in interprofessional collaboration.
有效的跨专业协作需要信心。新毕业护士在跨专业互动中往往缺乏信心，这可能会影响安全有效的医疗服务的提供。
本研究的总体目标是探讨新毕业护士在跨专业协作方面的信心。
采用解释性序列混合方法设计。
2012年，来自加拿大安大略省的新毕业护士（N = 514）完成了一项横断面描述性调查。该调查测量了对跨专业协作的感知信心，其中包括一些被认为与新毕业护士在跨专业协作方面的信心有关系的项目。对16名新毕业护士进行了后续定性电话访谈。
定量研究结果表明，有几个因素与新毕业护士在跨专业协作方面的信心呈正相关：管理者的可获得性和易接近性、教育者的可获得性和易接近性、每天合作的不同学科数量、团队策略数量以及对团队的满意度。定性阶段支持了定量研究结果，还提供了有关在进行跨专业协作时促进和挑战新毕业护士信心的因素的新信息。促进因素包括：经验、知识、尊重、支持性的关系以及协作机会。挑战包括：缺乏经验、缺乏知识、沟通挑战以及平衡实践期望。总体研究结果涉及团队和组织支持以及新毕业护士的发展。
在团队和组织层面为跨专业协作提供支持，并培养新毕业护士关于协作实践的知识和经验的干预措施，对于增强新毕业护士在跨专业协作方面的信心至关重要。
