Hustoft Merethe, Hetlevik Øystein, Aßmus Jӧrg, Størkson Sverre, Gjesdal Sturla, Biringer Eva
Centre for Habilitation and Rehabilitation in Western Norway, Haukeland University Hospital, Department of Global Health and Primary Health Care, University of Bergen, NO.
Department of Global Health and Primary Health Care, University of Bergen, NO.
Int J Integr Care. 2018 Apr 27;18(2):9. doi: 10.5334/ijic.3432.
The delivery of integrated care depends on the quality of communication and relationships among health-care professionals in inter-professional teams. The main aim of this study was to investigate individual and team communication and relational ties of teams in specific care processes within specialized health care.
This cross-sectional multi-centre study used data from six somatic hospitals and six psychiatric units (N = 263 [response rate, 52%], 23 care processes) using a Norwegian version of the Relational Coordination Survey. We employed linear mixed-effect regression models and one-way analyses of variance.
The mean (standard deviation) relational coordination total score ranged from 4.5 (0.33) to 2.7 (0.50). The communication and relationship sub-scale scores were significantly higher within similar functional groups than between contrasting functional groups ( < .05). Written clinical procedures were significantly associated with higher communication scores ( < .05). The proportion of women in a team was associated with higher communication and relationship scores ( < .05).
The Relational Coordination Survey shows a marked variation in team functions within inter-professional teams in specialized health-care settings. Further research is needed to determine the reasons for these variations.
综合护理的提供取决于跨专业团队中医疗保健专业人员之间的沟通质量和关系。本研究的主要目的是调查专业医疗保健中特定护理过程中团队的个人和团队沟通以及关系纽带。
这项横断面多中心研究使用了来自六家躯体医院和六个精神科病房的数据（N = 263[回复率，52%]，23个护理过程），采用挪威版的关系协调调查。我们采用了线性混合效应回归模型和单因素方差分析。
关系协调总分的平均值（标准差）范围为4.5（0.33）至2.7（0.50）。在相似功能组内，沟通和关系子量表得分显著高于对比功能组之间（<.05）。书面临床程序与较高的沟通得分显著相关（<.05）。团队中女性的比例与较高的沟通和关系得分相关（<.05）。
关系协调调查显示，专业医疗保健环境中跨专业团队的团队功能存在显著差异。需要进一步研究以确定这些差异的原因。
