Rosenthal Marjorie Sue, Connor Katherine A, Fenick Ada M
Department of Pediatrics, Robert Wood Johnson Foundation Clinical Scholars Program, Yale University School of Medicine , New Haven, CT , USA .
J Interprof Care. 2014 Sep;28(5):481-4. doi: 10.3109/13561820.2014.909796. Epub 2014 Apr 21.
This study aimed to examine pediatric residents' perspectives of primary care professional relationships. Using a longitudinal qualitative study design, we conducted 15 semi-structured interviews with five second-year pediatric residents who elected to participate in a one-year intervention, facilitating group well child care (GWCC). Pediatric residents described a spectrum of professional relationship types including: ignorant, transactional, workaround, educational and equitable. Residents described ignorant, transactional and workaround relationships with feelings of frustration, and they described educational and equitable relationships with feelings of satisfaction and humility. While residents described optimal relationships in both traditional WCC and GWCC, they described suboptimal relationships in only traditional WCC. Further study is needed to assess if our model of GWCC may create a scaffolding upon which optimal relationships in interprofessional teams are likely to flourish.
本研究旨在考察儿科住院医师对基层医疗专业关系的看法。采用纵向定性研究设计,我们对五名选择参与为期一年的促进小组健康儿童护理(GWCC)干预项目的二年级儿科住院医师进行了15次半结构化访谈。儿科住院医师描述了一系列专业关系类型,包括:无知型、交易型、权宜型、教育型和公平型。住院医师描述与无知型、交易型和权宜型关系相关的挫折感,以及与教育型和公平型关系相关的满足感和谦逊感。虽然住院医师描述了传统儿童健康护理(WCC)和GWCC中的最佳关系,但他们仅描述了传统WCC中的次优关系。需要进一步研究以评估我们的GWCC模式是否可能构建一个支架,使跨专业团队中的最佳关系得以蓬勃发展。