文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

一项关于三家教学医院初级医生跨专业协作能力的人种志调查。

An ethnographic investigation of junior doctors' capacities to practice interprofessionally in three teaching hospitals.

作者信息

Milne Jacqueline, Greenfield David, Braithwaite Jeffrey

机构信息

Faculty of Medicine, University of New South Wales , Sydney NSW , Australia and.

出版信息

J Interprof Care. 2015;29(4):347-53. doi: 10.3109/13561820.2015.1004039. Epub 2015 Feb 3.


DOI:10.3109/13561820.2015.1004039
PMID:25646898
Abstract

Collaborative practice among early career staff is at the bedrock of interprofessional care. This study investigated factors influencing the enactment of interprofessional practice by using the day-to-day role of six junior doctors in three teaching hospitals as a gateway to understand the various professions' interactive behaviours. The contextual framework used for the study was Strauss' theory of negotiated order. Ethnographic techniques were applied to observe the actions and interactions of participants on typical working days in their hospital environments. Field notes were created and thematic analysis was applied to the data. Three themes explored were culture, communication, and collaboration. Issues identified highlight the bounded organisational and professional cultures within which junior doctors work, and systemic problems in interprofessional interaction and communication in the wards of hospitals. There are indications that early career doctors are interprofessional isolates. The constraints of short training terms and pressure from multi-faceted demands on junior doctors can interfere with the establishment of meaningful relationships with nurses and other health professionals. The realisation of sustained interprofessional practice is, therefore, practically and structurally difficult. Enabling factors supporting the sharing of expertise are outweighed by barriers associated with professional and hospital organisational cultures, poor interprofessional communication, and the pressure of competing individual task demands in the course of daily practice.

摘要

初入职场员工之间的协作实践是跨专业护理的基石。本研究通过以三家教学医院中六名初级医生的日常工作角色为切入点,来调查影响跨专业实践实施的因素,以此了解不同专业的互动行为。该研究使用的情境框架是施特劳斯的协商秩序理论。采用人种学方法观察参与者在医院环境中典型工作日的行为和互动。记录实地笔记,并对数据进行主题分析。探讨的三个主题是文化、沟通和协作。所发现的问题凸显了初级医生工作所处的有限组织文化和专业文化,以及医院病房中跨专业互动和沟通方面的系统性问题。有迹象表明,初入职场的医生处于跨专业孤立状态。短期培训期限的限制以及初级医生面临的多方面需求压力,可能会干扰他们与护士及其他医疗专业人员建立有意义的关系。因此,实现持续的跨专业实践在实际操作和结构层面都存在困难。在日常实践过程中,与专业和医院组织文化、跨专业沟通不畅以及个体任务需求竞争压力相关的障碍,超过了支持专业知识共享的促成因素。

相似文献

[1]
An ethnographic investigation of junior doctors' capacities to practice interprofessionally in three teaching hospitals.

J Interprof Care. 2015

[2]
The culture of a trauma team in relation to human factors.

J Clin Nurs. 2006-10

[3]
Interprofessional collaboration between junior doctors and nurses in the general ward setting: A qualitative exploratory study.

J Nurs Manag. 2018-1

[4]
Interprofessional collaboration among junior doctors and nurses in the hospital setting.

Med Educ. 2011-3-17

[5]
A mixed-methods study of the causes and impact of poor teamwork between junior doctors and nurses.

Int J Qual Health Care. 2016-6

[6]
Developing junior doctors' prescribing practices through collaborative practice: Sustaining and transforming the practice of communities.

J Interprof Care. 2017-3

[7]
Enacting 'team' and 'teamwork': using Goffman's theory of impression management to illuminate interprofessional practice on hospital wards.

Soc Sci Med. 2011-4-13

[8]
Examining the implementation of collaborative competencies in a critical care setting: Key challenges for enacting competency-based education.

J Interprof Care. 2018-7

[9]
How much teamwork exists between nurses and junior doctors in the intensive care unit?

J Adv Nurs. 2011-3-22

[10]
Medication communication during ward rounds on medical wards: Power relations and spatial practices.

Health (London). 2012-6-6

引用本文的文献

[1]
Experience of enhanced near-peer support for new medical graduates of an Irish university: a phenomenological study.

BMJ Open. 2023-5-3

[2]
Endured and prevailed: a phenomenological study of doctors' first year of clinical practice.

BMC Med Educ. 2023-2-13

[3]
Ethnographic research as an evolving method for supporting healthcare improvement skills: a scoping review.

BMC Med Res Methodol. 2021-12-5

[4]
Clinical inter-professional education activities: Students' perceptions of their experiences.

Malawi Med J. 2021-3

[5]
Impact of Hierarchy on Multidisciplinary Heart-Team Recommendations in Patients with Isolated Multivessel Coronary Artery Disease.

J Clin Med. 2019-9-19

[6]
"I didn't realise they had such a key role." Impact of medical education curriculum change on medical student interactions with nurses: a qualitative exploratory study of student perceptions.

Adv Health Sci Educ Theory Pract. 2020-3

[7]
The basis of clinical tribalism, hierarchy and stereotyping: a laboratory-controlled teamwork experiment.

BMJ Open. 2016-7-29

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索