Prystajecky Michael, Lee Tiffany, Abonyi Sylvia, Perry Robert, Ward Heather
a Department of Medicine , University of Saskatchewan , Saskatoon , Saskatchewan , Canada.
b Department of Community Health and Epidemiology , University of Saskatchewan , Saskatoon , Saskatchewan , Canada.
J Interprof Care. 2017 Jul;31(4):463-469. doi: 10.1080/13561820.2017.1306497. Epub 2017 Apr 13.
Daily interprofessional rounds enhance collaboration among healthcare providers and improve hospital performance measures. However, it is unclear how healthcare providers' goals influence the processes and outcomes of interprofessional rounds. The purpose of this case study was to explore the goals of healthcare providers attending interprofessional rounds in an internal medicine ward. The second purpose was to explore the challenges encountered by healthcare providers while pursuing these goals. Three focus groups were held with healthcare providers of diverse professional backgrounds. Focus group field notes and transcripts were analysed using thematic analysis. The data indicated that there was no consensus among healthcare providers regarding the goals of interprofessional rounds. Discharge planning and patient care delivery were perceived as competing priorities during rounds, which limited the participation of healthcare providers. Nevertheless, study participants identified goals of rounds that were relevant to most care providers: developing shared perspectives of patients through direct communication, promoting collaborative decision making, coordinating care, and strengthening interprofessional relationships. Challenges in achieving the goals of interprofessional rounds included inconsistent attendance, exchange of irrelevant information, variable participation by healthcare providers, and inconsistent leadership. The findings of this study underscore the importance of shared goals in the context of interprofessional rounding.
每日跨专业查房可加强医疗服务提供者之间的协作，并改善医院绩效指标。然而，尚不清楚医疗服务提供者的目标如何影响跨专业查房的过程和结果。本案例研究的目的是探讨在内科病房参加跨专业查房的医疗服务提供者的目标。第二个目的是探讨医疗服务提供者在追求这些目标时遇到的挑战。与不同专业背景的医疗服务提供者举行了三次焦点小组讨论。使用主题分析法对焦点小组的现场记录和文字记录进行了分析。数据表明，医疗服务提供者在跨专业查房的目标上没有达成共识。出院计划和患者护理被视为查房期间相互竞争的优先事项，这限制了医疗服务提供者的参与。尽管如此，研究参与者确定了与大多数护理提供者相关的查房目标：通过直接沟通形成对患者的共同看法、促进协作决策、协调护理以及加强跨专业关系。实现跨专业查房目标面临的挑战包括出勤不一致、交流不相关信息、医疗服务提供者参与程度不一以及领导不一致。本研究结果强调了在跨专业查房背景下共享目标的重要性。
