Department of Nursing, Faculty of Applied Health Sciences, Brock University, St Catharines, Ontario, Canada.
J Clin Nurs. 2021 Oct;30(19-20):2769-2785. doi: 10.1111/jocn.15789. Epub 2021 Apr 19.
The transitioning of older patients between healthcare sectors requires the provision of high-quality nursing care. Collaboration among nurses is identified as an essential element of transitional care, yet nurse-nurse collaboration has received little attention.
The aim of this study was to examine the extent, range and nature of nurse-nurse collaboration when transitioning older patients between hospital and community settings, and to identify gaps in the literature.
Arksey and O'Malley's (International Journal of Social Research Methodology, 8, 2005 and 19) framework was used to undertake a scoping review to answer the research questions: how do nurses collaborate together when transitioning older patients from hospital to community settings and what are the facilitators, barriers and outcomes of nurse-nurse collaboration when transitioning older patients between sectors? The Nurse-Nurse Collaboration Scale (NNCS) subdomains informed the identification of selected studies.
Twelve papers were included with most coming from Scandinavian countries and the majority using qualitative methodologies. Communication, coordination and professionalism were found to be both facilitators and barriers of nurse-nurse collaboration. Gaps in the literature included conflict management, and the outcomes of collaboration which was only reported in one study.
The findings indicate there is limited study of collaboration among nurses when transitioning older patients between hospital and community settings. Future research should address the impact of conflict on nurses working in collaborative practice as well as conducting intervention studies to examine the outcomes of nurse-nurse collaboration.
老年患者在医疗保健部门之间的过渡需要提供高质量的护理。护士之间的协作被认为是过渡性护理的一个重要组成部分，但护士之间的协作却很少受到关注。
本研究旨在探讨在将老年患者从医院过渡到社区环境时，护士之间合作的程度、范围和性质，并确定文献中的差距。
采用阿特金和奥马利（国际社会研究方法杂志，2005 年第 8 期和 19 期）的框架进行范围综述，以回答研究问题：护士在将老年患者从医院过渡到社区环境时如何共同合作，以及在部门之间过渡老年患者时护士之间合作的促进因素、障碍和结果是什么？护士-护士合作量表（NNCS）的子领域为确定选定的研究提供了依据。
共纳入 12 篇论文，其中大多数来自斯堪的纳维亚国家，且多数采用定性方法。沟通、协调和专业精神被认为是护士之间合作的促进因素和障碍。文献中的空白包括冲突管理，以及仅在一项研究中报告的合作结果。
研究结果表明，在将老年患者从医院过渡到社区环境时，对护士之间合作的研究有限。未来的研究应解决冲突对从事协作实践的护士的影响，并开展干预研究，以检验护士之间合作的结果。
