Pinho Diana, Parreira Clelia, Queiroz Elizabeth, Abbad Gardênia, Reeves Scott
a Faculdade de Ceilândia - FCE/UnB, University of Brasilia, Campus Universitàrio Centro Metropolitano, Brasilia/Federal District, Brazil and Faculty of Health , Social Care and Education, Kingston University & St George's University of London , London , UK.
b Faculty of Ceilândia , University of Brasilia , Brasilia/Federal District , Brazil.
J Interprof Care. 2018 Mar;32(2):228-230. doi: 10.1080/13561820.2017.1388222. Epub 2017 Oct 30.
Primary care can provide a supportive context for the development of interprofessional collaborative practice owing to its nature and dynamics. In Brazil, a number of practice changes have already occurred to primary care, notably the implementation of the Family Health Strategy which promoted interprofessional collaboration (IPC). In Brasilia, a new arrangement was implemented in 2016 that focused on an expansion of primary healthcare. However, it is not clear how these reforms will affect the nature of IPC or the delivery of patient care. The article presents a study protocol which describes a study that aims to explore the nature of IPC in the context of primary care in the Western Health Region of Brasilia. A sequential mixed methods design will be used to gather both quantitative and qualitative data. Initially, we will translate, cross-culturally adapt, and validate an IPC scale for a survey of primary care teams. We will then undertake a series of focus groups with a purposeful sample of team members to explore the results from the survey. Quantitative data will be analysed with descriptive and multivariate statistics. A content analysis will be undertaken with the focus group data. We expect that the results will illuminate a range of elements linked to IPC in primary care as well as identify areas for improving IPC skills, patient safety, quality of care, and healthcare outcomes in this clinical context.
由于其性质和动态性，初级保健可为跨专业协作实践的发展提供支持性环境。在巴西，初级保健已经发生了一些实践变革，特别是实施了促进跨专业协作（IPC）的家庭健康战略。在巴西利亚，2016年实施了一项新的安排，重点是扩大初级医疗保健。然而，尚不清楚这些改革将如何影响跨专业协作的性质或患者护理的提供。本文介绍了一项研究方案，该方案描述了一项旨在探索巴西利亚西部卫生区域初级保健背景下跨专业协作性质的研究。将采用顺序混合方法设计来收集定量和定性数据。首先，我们将翻译、进行跨文化调整并验证一个用于初级保健团队调查的跨专业协作量表。然后，我们将与有目的抽样的团队成员进行一系列焦点小组讨论，以探讨调查结果。定量数据将采用描述性和多变量统计进行分析。将对焦点小组数据进行内容分析。我们预计，研究结果将阐明与初级保健中跨专业协作相关的一系列要素，并确定在这一临床背景下提高跨专业协作技能、患者安全、护理质量和医疗结果的领域。
