Williams Venice Ng, Brooks-Russell Ashley, McManus Beth M, Yost Elly, Olds David L, Tung Gregory J
Prevention Research Center for Family & Child Health, University of Colorado School of Medicine, Aurora, CO, USA.
Department of Health Systems, Management & Policy, Colorado School of Public Health, Aurora, CO, USA.
Public Health Nurs. 2021 Sep;38(5):825-836. doi: 10.1111/phn.12897. Epub 2021 Mar 22.
To assess the degree to which nurses in a national public health home visiting program collaborate with interprofessional providers to serve families experiencing adversity.
A descriptive, cross-sectional survey measured collaborative practices between nurse home visitors, health care, and social service providers. A census of 263 nursing supervisors completed a web-based survey.
The survey included the validated 7-item Relational Coordination Scale, adapted items from the Interagency Collaboration Activities Scale on shared resources, and items related to collaboration attitudes and beliefs. Data were analyzed with descriptive statistics.
Relational coordination scores, which are relative measures, ranged from 1 to 5; highest with supplemental nutrition for Women, Infants & Children (M = 3.77) and early intervention (M = 3.44); and lowest with housing (M = 2.55). The greatest sharing of resources was with supplemental nutrition (sum = 12.95) and mental health providers (sum = 11.81), and least with housing (sum = 7.26); with a range of 1-30 where higher scores indicated greater resource-sharing.
Home visiting nurses collaborate with interprofessional providers with variation in the degree of collaboration between agencies and by provider type within an agency. Collaboration was a function of two interrelated domains: interpersonal relationships supported by organizational and contextual factors at the systems-level.
评估国家公共卫生家访项目中的护士与跨专业服务提供者合作，为遭遇困境的家庭提供服务的程度。
一项描述性横断面调查测量了家访护士、医疗保健和社会服务提供者之间的合作实践。对263名护理主管进行普查，他们完成了一项基于网络的调查。
该调查包括经过验证的7项关系协调量表、从机构间合作活动量表中改编的关于共享资源的项目，以及与合作态度和信念相关的项目。数据采用描述性统计进行分析。
关系协调得分（相对测量值）范围为1至5；在妇女、婴儿和儿童补充营养项目（M = 3.77）和早期干预项目（M = 3.44）中得分最高；在住房项目中得分最低（M = 2.55）。资源共享最多的是补充营养项目（总和 = 12.95）和心理健康服务提供者（总和 = 11.81），最少的是住房项目（总和 = 7.26）；范围为1至30，得分越高表明资源共享程度越高。
家访护士与跨专业服务提供者合作，各机构之间以及机构内不同类型服务提供者的合作程度存在差异。合作是两个相互关联领域的函数：由系统层面的组织和背景因素支持的人际关系。
