Pype Peter, Wens Johan, Stes Ann, Grypdonck Maria, Eynden Bart Vanden, Deveugele Myriam
Department of Family Medicine and Primary Health Care, UZ-6K3, De Pintelaan 185, 9000 Gent, Belgium.
Educ Health (Abingdon). 2014 Jan-Apr;27(1):89-92. doi: 10.4103/1357-6283.134339.
Working and learning go hand in hand during interprofessional collaborative practice. Patients' nursing records are designed to record patient care and health status. It is not known whether these records are also used to keep track of interprofessional contacts or interprofessional learning between team members. This study explored the usefulness of patients' nursing records in optimising interprofessional workplace learning for general practitioners.
We utilized a descriptive retrospective chart review. All palliative home care teams of the Dutch speaking part of Belgium were involved. Throughout the year 2010, a representative sample of patient charts was selected. Characteristics of encounters between general practitioners and palliative care nurses were extracted from the charts.
Detailed accounts of interprofessional contacts were found in the charts. Palliative care nurses recorded number and type of contacts, topics discussed during contacts and general practitioner's learning activities.
Palliative care nurses are sensitive and open towards the general practitioners' learning needs. Patients' nursing records provide useful information for interprofessional team discussions on workplace learning. Healthcare professionals should be trained to respond to each other's learning needs.
在跨专业协作实践中，工作与学习相辅相成。患者护理记录旨在记录患者护理情况和健康状况。目前尚不清楚这些记录是否也用于跟踪团队成员之间的跨专业联系或跨专业学习。本研究探讨了患者护理记录在优化全科医生跨专业职场学习方面的作用。
我们采用了描述性回顾性图表审查。比利时讲荷兰语地区的所有姑息家庭护理团队都参与其中。在2010年全年，选取了具有代表性的患者病历样本。从病历中提取了全科医生与姑息护理护士之间接触的特征。
在病历中发现了跨专业接触的详细记录。姑息护理护士记录了接触的次数和类型、接触期间讨论的话题以及全科医生的学习活动。
姑息护理护士对全科医生的学习需求敏感且开放。患者护理记录为跨专业团队关于职场学习的讨论提供了有用信息。医疗保健专业人员应接受培训，以回应彼此的学习需求。
