Zijlstra Elza, Lo Fo Wong Sylvie, Teerling Anne, Hutschemaekers Giel, Lagro-Janssen Antoine
Department of Primary and Community Care, Gender & Women's Health, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands.
Department of Clinical Psychology Behavioural Science, Institute Radboud University Nijmegen, Nijmegen, The Netherlands.
Scand J Caring Sci. 2018 Mar;32(1):138-146. doi: 10.1111/scs.12439. Epub 2017 Aug 3.
Sexual and family violence are problems that affect many women and men, and the negative health consequences of violence are numerous. As adequate acute interprofessional care can prevent negative health consequences and improve forensic medical examination, a Centre for Sexual and Family Violence was set up.
We aimed to improve our understanding of the challenges in interprofessional collaboration in a newly set-up centre for sexual and family violence.
We conducted a qualitative study with semi-structured interviews about the experiences with interprofessional collaboration of 16 stakeholders involved in the Centre for Sexual and Family Violence Nijmegen. Participants were selected by purposive sampling.
Participants found that the interprofessional collaboration had improved communication and competences. However, there were challenges too. Firstly, the interprofessional collaboration had brought parties closer together, but the collaboration also forced professionals to strongly define their boundaries. Mutual trust and understanding needed to be built up. Secondly, a balance had to be struck between pursuing the shared vision - which was to improve quality of care for victims - and giving space to organizations' and professionals' own interest. Thirdly, care for victims of sexual and family violence could be demanding on healthcare providers in an emotional sense, which might jeopardize professional's initial motivation for joining the Centre for Sexual and Family Violence Nijmegen.
The interprofessional collaboration in an assault centre improves quality of care for victims, but there are also challenges. The tasks of an assault centre are to create opportunities to discuss professional roles and professional interests, to build up good interpersonal relations in which trust and understanding can grow, to formulate a strong and shared victim-centred vision and to support care providers with training, feedback and supervision.
性暴力和家庭暴力是影响众多男女的问题，暴力对健康造成的负面后果不胜枚举。由于充分的急性跨专业护理可以预防负面健康后果并改善法医检查，因此设立了性暴力和家庭暴力中心。
我们旨在加深对新设立的性暴力和家庭暴力中心跨专业合作中所面临挑战的理解。
我们进行了一项定性研究，通过半结构化访谈了解参与奈梅亨性暴力和家庭暴力中心的16名利益相关者在跨专业合作方面的经历。参与者通过目的抽样选取。
参与者发现跨专业合作改善了沟通并提升了能力。然而，也存在挑战。首先，跨专业合作拉近了各方的距离，但这种合作也迫使专业人员明确界定各自的界限。需要建立相互信任和理解。其次，必须在追求共同愿景（即提高对受害者的护理质量）与为组织和专业人员自身利益留出空间之间取得平衡。第三，从情感角度而言，为性暴力和家庭暴力受害者提供护理可能对医疗保健提供者要求很高，这可能会危及专业人员最初加入奈梅亨性暴力和家庭暴力中心的积极性。
攻击中心的跨专业合作提高了对受害者的护理质量，但也存在挑战。攻击中心的任务是创造机会讨论专业角色和专业利益，建立良好的人际关系，使信任和理解得以发展，制定一个以受害者为中心的强烈且共同的愿景，并通过培训、反馈和监督来支持护理提供者。
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