Vatn Line, Dahl Berit Misund
Department of Public Health and Nursing, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Trondheim, Norway.
Department of Health Sciences in Ålesund, Faculty of Medicine and Health Sciences, NTNU - Norwegian University of Science and Technology, Ålesund, Norway.
J Interprof Care. 2022 Mar-Apr;36(2):186-194. doi: 10.1080/13561820.2021.1890703. Epub 2021 May 13.
Interprofessional collaboration will be one of the main factors in the effort to increase patient safety in the coming years. Research has identified several challenges to interprofessional collaboration between nurses and doctors, where fragmentation of both education and clinical practice contributes to a strong affiliation to one's own profession with little emphasis on collaboration. The aim of this study was to generate more knowledge about how nurses and doctors experience interprofessional collaboration in observation and treatment of patients on a surgical ward. The study was conducted in 2018 and used an explorative qualitative design that was based on four semi-structured focus group interviews. The respondents were 11 nurses and seven doctors with experience from different surgical specialties and employed in three different surgical wards in a Norwegian hospital. The data were analyzed using systematic text-condensation. The following three main categories, each with two subcategories, emerged: 1) Organization and culture: a lack of interprofessional meeting places and experience-based hierarchy; 2) Communication: use of communication tools and little room for professional discussions; and 3) Trust and respect: dependence and recognition and a blurred distribution of responsibility. Both nurses and doctors wished for closer interprofessional collaboration in observation and treatment in the surgical ward; however, organizational limitations with few interprofessional meeting places and time pressure made this difficult.
跨专业协作将是未来几年提高患者安全工作的主要因素之一。研究已经确定了护士与医生之间跨专业协作面临的若干挑战，其中教育和临床实践的碎片化导致各自强烈依附于自身职业，而很少强调协作。本研究的目的是获取更多关于护士和医生在外科病房观察和治疗患者过程中如何体验跨专业协作的知识。该研究于2018年开展，采用了基于四次半结构化焦点小组访谈的探索性定性设计。受访者为11名护士和7名医生，他们来自不同的外科专科，就职于挪威一家医院的三个不同外科病房。数据采用系统文本浓缩法进行分析。出现了以下三大类，每类又包含两个子类：1) 组织与文化：缺乏跨专业交流场所和基于经验的等级制度；2) 沟通：沟通工具的使用以及专业讨论空间狭小；3) 信任与尊重：依赖与认可以及责任分配模糊。护士和医生都希望在外科病房的观察和治疗中加强跨专业协作；然而，跨专业交流场所少和时间压力等组织限制使得这一点难以实现。
