National Clinician Scholars Program Yale University School of Medicine New Haven CT USA.
Present address: School of Nursing Department of Acute and Tertiary Care University of Pittsburgh Pittsburgh PA USA.
Nurs Open. 2019 Dec 17;7(2):634-641. doi: 10.1002/nop2.434. eCollection 2020 Mar.
The purpose of this study was to explore the latent conditions of cooperation and conflict in intra-hospital patient transfers (i.e. transfers of patients between units in a hospital).
Secondary qualitative analysis of 28 interviews conducted with 29 hospital staff, including physicians ( = 13), nurses ( = 10) and support staff ( = 6) from a single, large academic tertiary hospital in the Northeastern United States.
A two-member multidisciplinary team applied a directed content analysis approach to data collected from semi-structured interviews.
Three recurrent themes were generated: (a) patient flow policies created imbalances of power; (b) relationships were helpful to facilitate safe transfers; and (c) method of admission order communication was a source of disagreement. Hospital quality improvement efforts could benefit from a teaming approach to minimize unintentional power imbalances and optimize communicative relationships between units.
本研究旨在探讨院内患者转科（即医院内科室间转科）过程中合作与冲突的潜在条件。
对美国东北部一家大型学术性三级医院的 29 名医院工作人员（包括医生[=13]、护士[=10]和支持人员[=6]）进行的 28 次访谈的二次定性分析。
由两名多学科成员的团队对从半结构化访谈中收集的数据应用定向内容分析方法。
产生了三个反复出现的主题：（a）患者流动政策造成权力失衡；（b）关系有助于促进安全转科；（c）入院医嘱沟通方式是产生分歧的一个原因。医院质量改进工作可以从团队合作的角度受益，以尽量减少无意识的权力失衡，并优化各科室之间的沟通关系。
