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为了我们的患者,我们能都说同一种“语言”吗?关于跨专业交流及相关资源的反馈

Can We All Speak the Same 'Language' for Our Patients' Sake? Feedback on Interprofessional Communication and Related Resources.

作者信息

Nguyen Janet, Hunter Jennifer, Smith Lorraine, Forth Amy, Tyler Amy, Furney Louise, Ee Carolyn, Harnett Joanna E

机构信息

Sydney Pharmacy School, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW, Australia.

NICM Health Research Institute, Western Sydney University, Penrith, NSW, Australia.

出版信息

Glob Adv Health Med. 2021 Feb 12;10:2164956121992338. doi: 10.1177/2164956121992338. eCollection 2021.

Abstract

BACKGROUND

The Australasian Integrative Medicine Association (AIMA) established a working group to develop the AIMA Guiding Principles for Letter Writing and Letter Writing Templates. The guiding principles were developed to promote effective communication between the diverse range of healthcare practitioners (HCPs) that patients choose to consult. Following the development of the Interprofessional Communication (IPC) resources, AIMA undertook a public consultation as part of a quality assurance process to evaluate the relevance and utility of the resource.

AIM

This study reports stakeholder feedback on AIMA's draft guiding principles document. It explores stakeholder attitudes towards IPC and HCPs letter-writing, and interest in ongoing continuing professional development (CPD).

METHODS

A cross-sectional survey involving 1) an online public consultation survey and 2) a paper survey collected following IPC CPD activities. Quantitative data were analysed using Chi square and Fisher-Freeman-Halton Test. Responses to open ended questions were coded and subject to a thematic analysis.

RESULTS

The 64 survey participants and 55 CPD participants represented the Australian healthcare sectors and lay community. Most thought IPC is important (n = 112/117; 96%) and the resources were informative (n = 112/119; 94%), understandable (n = 111/119; 93%), and clinically relevant (n = 105/117; 90%). HCP reported wide variations in their frequency of correspondence with other practitioner types, with rates often concerningly low. Key IPC themes identified were the importance of continuity of care, clarity of communication, and professional practice. CPD participants were most interested in further IPC training (p = 0.001).

CONCLUSIONS

The IPC resources affirm the role of formal communication pathways, such as letters of correspondence to support coordinated, patient-centred and multidisciplinary care. Challenges with letter writing and IPC signal the need for more student and professional education on the subject to promote continuity of patient care and the delivery of high quality, integrative medicine and health care services.

摘要

背景

澳大拉西亚整合医学协会(AIMA)成立了一个工作组,以制定AIMA书信写作指导原则和书信写作模板。制定这些指导原则是为了促进患者选择咨询的各类医疗从业者(HCP)之间的有效沟通。在制定跨专业沟通(IPC)资源之后,AIMA进行了一次公众咨询,作为质量保证过程的一部分,以评估该资源的相关性和实用性。

目的

本研究报告利益相关者对AIMA指导原则文件草案的反馈。它探讨了利益相关者对IPC和HCP书信写作的态度,以及对持续专业发展(CPD)的兴趣。

方法

一项横断面调查,包括1)在线公众咨询调查和2)在IPC CPD活动后收集的纸质调查。定量数据使用卡方检验和费舍尔-弗里曼-哈尔顿检验进行分析。对开放式问题的回答进行编码并进行主题分析。

结果

64名调查参与者和55名CPD参与者代表了澳大利亚医疗保健部门和普通社区。大多数人认为IPC很重要(n = 112/117;96%),并且这些资源内容丰富(n = 112/119;94%)、易于理解(n = 111/119;93%)且与临床相关(n = 105/117;90%)。HCP报告称,他们与其他从业者类型的通信频率差异很大,而且比率往往低得令人担忧。确定的关键IPC主题是护理连续性、沟通清晰度和专业实践的重要性。CPD参与者对进一步的IPC培训最感兴趣(p = 0.001)。

结论

IPC资源肯定了正式沟通途径的作用,如书信往来,以支持协调的、以患者为中心的多学科护理。书信写作和IPC方面的挑战表明,需要就该主题开展更多的学生和专业教育,以促进患者护理的连续性以及提供高质量的整合医学和医疗保健服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fef9/7883148/98201b84cd51/10.1177_2164956121992338-fig1.jpg

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