Department of Nursing Science, University of Turku, Turku, Finland.
Helsinki University Hospital, Helsinki, Finland.
J Clin Nurs. 2021 Apr;30(7-8):1154-1167. doi: 10.1111/jocn.15664. Epub 2021 Feb 5.
To assess the level of nurse-to-nurse collaboration during the transfer of older people between hospital and primary health care and to evaluate the psychometric properties of the newly developed Nurse-to-Nurse Collaboration Between Sectors Instrument.
Nurse-to-nurse collaboration is required when older people transfer between hospital and primary health care to enhance the safety and continuity of care to patients. There is a lack of evidence about the nature and level of this collaboration.
A cross-sectional survey design was used. This study adhered to the STROBE checklist.
A sample of 443 nurses (university hospital n = 240, primary health care n = 203) participated in the study from October 2017 to June 2018. Nurses completed the Nurse-to-Nurse Collaboration Between Sectors Instrument (86 items, 7-point Likert-type scale), the Nurse-Nurse Collaboration Scale and the Patient-Centred Competency Scale.
Nurses rated the overall level of nurse-to-nurse collaboration moderately high (mean=4.49, standard deviation=0.83, maximum 7.00). Nurses considered collaboration an important and confidential process, gaining older people's trust in their care. Lower scores were given to the agreement of mutual objectives, policies and guidelines in collaboration, opportunities for job rotation and interacting and networking during the collaboration process. The internal consistency reliability of the newly developed instrument was acceptable.
Nurses collaborate with competence and confidentiality during the transfer of older people between care settings. However, there is a need for more opportunities to collaborate, to obtain mutual agreement about objectives, policies and practices, and better understand other nurse's roles and responsibilities in collaboration. The reliability and validity of the Nurse-to-Nurse Collaboration Between Sectors Instrument were acceptable though the number and wording of items will be reviewed and further tested.
Nurses need opportunities to collaborate, and there is a need to develop agreed objectives, practices, roles and responsibilities in this collaboration.
评估在医院和初级卫生保健之间转移老年人时护士之间合作的水平，并评估新开发的部门间护士合作工具的心理测量学特性。
当老年人在医院和初级卫生保健之间转移时，需要护士之间的合作，以提高患者护理的安全性和连续性。关于这种合作的性质和程度缺乏证据。
使用了横断面调查设计。本研究遵循 STROBE 清单。
2017 年 10 月至 2018 年 6 月，从大学医院（n=240）和初级卫生保健（n=203）招募了 443 名护士参与研究。护士完成了部门间护士合作工具（86 项，7 点 Likert 量表）、护士-护士合作量表和以患者为中心的能力量表。
护士对护士之间合作的总体水平评价中等偏高（平均值=4.49，标准差=0.83，最大值为 7.00）。护士认为合作是一个重要且机密的过程，可以获得老年人对其护理的信任。在合作过程中，对共同目标、政策和指导方针的一致性、轮岗机会、互动和网络联系的评分较低。新开发工具的内部一致性信度可接受。
护士在老年人从一个护理环境转移到另一个护理环境时，以能力和保密性进行合作。然而，需要更多的合作机会，以获得关于目标、政策和实践的共同协议，并更好地理解其他护士在合作中的角色和责任。部门间护士合作工具的信度和效度可接受，尽管项目的数量和措辞将进行审查和进一步测试。
护士需要合作的机会，并且需要在这种合作中制定商定的目标、实践、角色和责任。
