Poghosyan Lusine, Norful Allison A, Martsolf Grant R
Columbia University School of Nursing, New York (Dr Poghosyan and Ms Norful); and RAND Corporation, Pittsburgh, Pennsylvania (Dr Martsolf).
J Ambul Care Manage. 2017 Jan/Mar;40(1):77-86. doi: 10.1097/JAC.0000000000000156.
Developing team-based care models and expanding nurse practitioner (NP) workforce in primary care are recommended by policy makers to meet demand. Little is known how to promote interprofessional teamwork. Using a mixed-methods design, we analyzed qualitative interview and quantitative survey data from primary care NPs to explore practice characteristics important for teamwork. The Interprofessional Teamwork for Health and Social Care Framework guided the study. We identified NP-physician and NP-administration relationships; organizational support and governance; time and space for teamwork; and regulations and economic impact as important. Practice and policy change addressing these factors is needed for effective interprofessional teamwork.
政策制定者建议发展基于团队的护理模式并扩大初级护理中执业护士(NP)的劳动力队伍,以满足需求。对于如何促进跨专业团队合作,人们知之甚少。我们采用混合方法设计,分析了来自初级护理执业护士的定性访谈和定量调查数据,以探索对团队合作很重要的实践特征。健康与社会护理跨专业团队合作框架指导了这项研究。我们确定了执业护士与医生以及执业护士与行政部门的关系;组织支持与治理;团队合作的时间和空间;以及法规和经济影响是重要的。为实现有效的跨专业团队合作,需要针对这些因素进行实践和政策变革。