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土耳其护士的协作水平。

The level of collaboration amongst nurses in Turkey.

机构信息

Nursing Management Department, Faculty of Health Sciences, Kırıkkale University, Kırıkkale, Turkey.

Nursing Department, Gazi University Health Science Faculty, Ankara, Turkey.

出版信息

Int Nurs Rev. 2018 Sep;65(3):450-458. doi: 10.1111/inr.12440. Epub 2018 Mar 5.

DOI:10.1111/inr.12440
PMID:29504628
Abstract

AIM

This study was conducted to determine the level of collaboration amongst nurses in Turkey.

BACKGROUND

Collaboration amongst nurses is thought to increase nurse-physician collaboration and decrease medical mistakes. It has been connected with positive patient outcomes and increased job satisfaction for nurses. There are some studies on nurse-physician collaboration in Turkey, but nurse-nurse collaboration has not been measured before in this context. There are limited studies in the literature on nurse-nurse collaboration.

METHODS

The sample of this study consisted of 859 nurses who work at one public hospital, one university hospital and four private hospitals in Turkey. The study was designed as descriptive and cross-sectional research. The data were collected using the nurse-nurse collaboration scale and a socio-demographic questionnaire. The nurse-nurse collaboration scale comprises five subdimensions: problem-solving, shared process, communication, coordination and professionalism. The cut-off value of the scale for minimum expected collaboration degree was determined as 2.5.

RESULTS

It was found that the total nurse-nurse collaboration level in the sample was 3.09, which is above minimum expected degree of collaboration (2.5). In regard to the subdimensions of the scale, the lowest mean score (2.97) was for problem-solving and the highest (3.20) was for professionalism. Graduate nurses' problem-solving, coordination, professionalism and cooperation skills were found to be higher than those of undergraduate nurses. Nurses employed under continuous employment contracts presented higher collaboration scores than those employed with annual, temporary contracts.

CONCLUSIONS

Regarding the results obtained in the study, although the Turkish nurses were collaborating at the minimum expected level, they can collaborate more. Improved collaboration between nurses will increase patient satisfaction and thus will have a favourable impact on patient safety.

IMPLICATIONS FOR NURSING POLICY AND HEALTH POLICY

Nurses who have a bachelor's or higher level degree should be hired, and nurses should be provided with job security in the form of a continuous employment contract to enhance nurse-nurse collaboration.

摘要

目的

本研究旨在确定土耳其护士之间的协作水平。

背景

护士之间的协作被认为可以增加护士与医生之间的协作,减少医疗失误。它与积极的患者结果和护士工作满意度的提高有关。土耳其有一些关于护士与医生合作的研究,但在此背景下,护士与护士之间的合作尚未进行测量。文献中关于护士与护士合作的研究有限。

方法

本研究的样本由土耳其的一家公立医院、一家大学医院和四家私立医院的 859 名护士组成。该研究设计为描述性和横断面研究。使用护士与护士合作量表和社会人口学问卷收集数据。护士与护士合作量表包括五个子维度:解决问题、共享过程、沟通、协调和专业性。该量表的最低预期协作程度的截止值确定为 2.5。

结果

研究发现,样本中的护士总体协作水平为 3.09,高于最低预期协作程度(2.5)。就量表的子维度而言,得分最低的平均值(2.97)是解决问题,得分最高的平均值(3.20)是专业性。与本科护士相比,研究生护士的解决问题、协调、专业和合作技能更高。连续雇佣合同的护士的协作得分高于签订年度合同或临时合同的护士。

结论

根据研究结果,尽管土耳其护士的协作水平达到了最低预期水平,但他们可以进行更多的协作。护士之间更好的协作将提高患者满意度,从而对患者安全产生有利影响。

对护理政策和卫生政策的启示

应雇用具有学士或更高学位的护士,并以连续雇佣合同的形式为护士提供工作保障,以加强护士与护士之间的协作。

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