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医生和护士对跨专业沟通与协作的看法。

Physician and nursing perceptions concerning interprofessional communication and collaboration.

作者信息

Matziou Vasiliki, Vlahioti Efrosyni, Perdikaris Pantelis, Matziou Theodora, Megapanou Efstathia, Petsios Konstantinos

机构信息

Faculty of Nursing, University of Athens , Athens , Greece .

出版信息

J Interprof Care. 2014 Nov;28(6):526-33. doi: 10.3109/13561820.2014.934338. Epub 2014 Jul 8.

Abstract

The aim of the study was to investigate the physician and nursing perceptions regarding communication and collaboration as well as the factors that may influence these activities. A self-administered questionnaire survey was sent to a random sample of 93 physicians and 197 nurses based in two large public hospitals in Athens, Greece. Descriptive statistics, t-test and chi square test were performed with the SPSS 19.0 statistical package. Years of experience, the size of the clinic, the university degree and the postgraduate studies were found to be significant factors according to nurses' view (p < 0.05). For the physicians, age, sex, years of experience and the size of clinic affected the communication and collaboration with the nursing staff significantly (p < 0.05). In summary, these findings suggest that nurses and physicians do not share the same views concerning the effectiveness of their communication and nurses' role in the decision-making process of the patients' care. The most important barrier for the establishment of good relations between these professions, according to the physicians, was that they did not recognize the nurses' professional role. The study also indicated that the absence of interprofessional collaboration may result in a higher possibility of errors and omissions in patients' care. Therefore, in everyday practice, both nurses and physicians should acknowledge the importance of their effective communication and they should develop and implement interprofessional teamwork interventions to improve collaboration. Moreover, nurses have to constantly consolidate their role in the decision process and patients' care, especially in countries with limited interprofessional collaboration culture. In addition, factors that improve physicians' attitudes toward collaboration and effective communication should be further explored.

摘要

本研究的目的是调查医生和护士对于沟通与协作的看法,以及可能影响这些活动的因素。向希腊雅典两家大型公立医院的93名医生和197名护士的随机样本发放了一份自填式问卷调查。使用SPSS 19.0统计软件包进行描述性统计、t检验和卡方检验。根据护士的观点,工作年限、诊所规模、大学学位和研究生学习被发现是重要因素(p < 0.05)。对于医生来说,年龄、性别、工作年限和诊所规模对与护理人员的沟通和协作有显著影响(p < 0.05)。总之,这些发现表明,护士和医生对于他们沟通的有效性以及护士在患者护理决策过程中的作用没有相同的看法。根据医生的说法,这些职业之间建立良好关系的最重要障碍是他们没有认识到护士的专业角色。该研究还表明,缺乏跨专业协作可能会导致患者护理中出现更高的错误和遗漏可能性。因此,在日常实践中,护士和医生都应该认识到有效沟通的重要性,并且应该制定和实施跨专业团队合作干预措施以改善协作。此外,护士必须不断巩固他们在决策过程和患者护理中的作用,特别是在跨专业协作文化有限的国家。此外,应该进一步探索改善医生对协作和有效沟通态度的因素。

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