Nygaard Anne Mette, Haugdahl Hege Selnes, Brinchmann Berit Støre, Lind Ranveig
Department of Health and Care Sciences, UiT, the Arctic University of Norway, Tromso, Norway.
Department of Public Health and Nursing, Levanger Hospital, Nord-Trøndelag Hospital Trust and NTNU Norwegian University of Science and Technology, Norway.
J Interprof Care. 2023 Jan-Feb;37(1):11-20. doi: 10.1080/13561820.2022.2038548. Epub 2022 Mar 13.
The aim of this study was to explore how interprofessional family care by ICU teams was reflected in their daily work. Data were collected from four ICUs in Norway. Fieldwork and focus groups with ICU nurses and physicians were conducted in addition to dyadic and individual interviews of surgeons and internists. In line with a constructivist grounded theory approach, the core category was constructed. Together with three sub-categories, and , this core category conceptualizes interprofessional family care as a form of contradictory cooperation where physicians and nurses alternate between working alone and as a team. The sub-categories reveal three notable characteristics of interprofessional family care: (1) it is emotionally challenging, affected by proximity and distance to the families and between the clinicians, (2) it is silent, at a strategic and organizational level, and (3) nurses and family members have an essential role as a connecting link in the ICU team. Interprofessional family care needs strong involvement by an organization that supports and prioritizes family care, includes family members as an active part of the ICU team and emphasizes interprofessional dialogue.
本研究的目的是探讨重症监护病房（ICU）团队的跨专业家庭护理在其日常工作中是如何体现的。数据收集自挪威的四个ICU。除了对外科医生和内科医生进行二元和个人访谈外，还对ICU护士和医生进行了实地调查和焦点小组访谈。根据建构主义扎根理论方法，构建了核心类别。这个核心类别与三个子类别一起，将跨专业家庭护理概念化为一种矛盾合作的形式，即医生和护士在单独工作和团队合作之间交替。这些子类别揭示了跨专业家庭护理的三个显著特征：（1）它在情感上具有挑战性，受到与家庭以及临床医生之间距离远近的影响；（2）在战略和组织层面上它是无声的；（3）护士和家庭成员在ICU团队中作为连接纽带起着至关重要的作用。跨专业家庭护理需要一个支持并优先考虑家庭护理的组织的大力参与，该组织要将家庭成员纳入ICU团队的积极组成部分，并强调跨专业对话。
