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多中心定性研究:医疗和混合医疗/外科 ICU 中以跨专业为基础的护理方法的促进因素。

Facilitators of an interprofessional approach to care in medical and mixed medical/surgical ICUs: a multicenter qualitative study.

机构信息

Postdoctoral Fellow, Department of Critical Care Medicine, University of Pittsburgh, Scaife Hall Room 607, 3550 Terrace Sreet, Pittsburgh, PA, 15221.

出版信息

Res Nurs Health. 2014 Aug;37(4):326-35. doi: 10.1002/nur.21607. Epub 2014 Jul 3.

Abstract

The purpose of this study was to describe clinicians' perceptions of interprofessional collaboration in the intensive care unit and identify factors associated with interprofessional collaboration. We performed 64 semi-structured interviews in seven hospitals with ICU nurses, physicians, respiratory therapists, nurse managers, clinical pharmacists, and dieticians. ICU clinicians perceived two distinct types of facilitators to interprofessional collaboration in critical care: cultural and structural. In the critical care setting, cultural and structural facilitators worked independently as well as in concert to create effective interprofessional collaboration. Initiatives aimed at creating and facilitating interprofessional collaboration should focus attention on cultural and structural facilitators to improve patient care and team effectiveness.

摘要

本研究旨在描述重症监护病房中临床医生对多专业协作的看法,并确定与多专业协作相关的因素。我们在七家医院对 ICU 护士、医生、呼吸治疗师、护士长、临床药师和营养师进行了 64 次半结构化访谈。重症监护病房的临床医生认为,在重症监护中,有两种不同类型的促进因素可以促进多专业协作:文化和结构。在重症监护环境中,文化和结构促进因素独立工作,也协同工作,以创建有效的多专业协作。旨在创建和促进多专业协作的举措应关注文化和结构促进因素,以改善患者护理和团队效率。

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