Department of Nephrology, Hypertension and Kidney Transplantation, Medical University of Lodz, Poland.
Student Scientific Society affiliated with the Department of Nephrology, Hypertension and Kidney Transplantation, Medical University of Lodz, Poland.
Adv Clin Exp Med. 2022 Jul;31(7):749-755. doi: 10.17219/acem/146777.
The role of interprofessional collaboration (IPC) in healthcare is increasingly emphasized. Due to significant comorbidity in renal patients who require highly specialized procedures, proper IPC is an essential component in renal care. During the coronavirus disease 2019 (COVID-19) pandemic, the existing and proven collaboration mechanisms were put to the test.
To assess IPC in the renal care settings in the era of COVID-19 pandemic.
The survey consisted of the Assessment of Interprofessional Team Collaboration Scale II (AITCS-II) (3 subscales - partnership, cooperation and coordination, maximum of 5 points), questions about work conditions and factors influencing work during the pandemic, as well as demographic data. The survey was distributed in 8 renal care settings (4 hospital wards with dialysis units and 4 individual dialysis units); 127 participants filled out the survey; 26.8% of participants were physicians, 68.5% nurses and 4.7% other staff members, i.e., administrative assistants. Mean work experience in their current team was 16.8 ±11.7 years among nurses and 11.6 ±9.7 years among physicians.
Interprofessional collaboration was assessed by physicians and nurses, respectively, as follows: partnership 4.03 ±0.79 compared to 3.58 ±0.73 (p = 0.003), cooperation 4.28 ±0.59 compared to 3.71 ±0.72 (p = 0.0002), and coordination 3.83 ±0.87 compared to 3.48 ±0.82 (p = 0.04). The specific workplace did not influence the IPC rates; 49.9% of physicians and 40.1% of nurses agreed or strongly agreed that the collaboration worsened during the pandemic; 47% of physicians and 42.4% of nurses admitted that the communication has significantly deteriorated. An increased level of stress, new procedures and fear of getting infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) were, according to the participants, the most significant factors for the worsening of IPC.
The exceptional circumstances faced during the pandemic have a significant impact on IPC, which may influence patients' satisfaction and safety. An active support for healthcare teams in the field of IPC is especially important in this challenging reality.
跨专业协作（IPC）在医疗保健中的作用越来越受到重视。由于需要高度专业化治疗的肾脏患者合并症严重，因此适当的 IPC 是肾脏护理的重要组成部分。在 2019 年冠状病毒病（COVID-19）大流行期间，现有的和经过验证的协作机制经受了考验。
评估 COVID-19 大流行期间肾脏护理环境中的 IPC。
该调查包括《跨专业团队协作评估量表 II（AITCS-II）》（3 个子量表-伙伴关系、合作和协调，最高 5 分），有关工作条件和大流行期间工作影响的问题，以及人口统计学数据。该调查在 8 个肾脏护理环境（4 个带透析单位的医院病房和 4 个独立透析单位）中进行；有 127 名参与者填写了调查；26.8%的参与者是医生，68.5%的参与者是护士，4.7%的参与者是行政助理等其他工作人员。护士在当前团队中的平均工作经验为 16.8 ±11.7 年，医生为 11.6 ±9.7 年。
医生和护士分别评估 IPC 如下：伙伴关系分别为 4.03 ±0.79 和 3.58 ±0.73（p = 0.003），合作分别为 4.28 ±0.59 和 3.71 ±0.72（p = 0.0002），协调分别为 3.83 ±0.87 和 3.48 ±0.82（p = 0.04）。特定的工作场所并没有影响 IPC 水平；49.9%的医生和 40.1%的护士同意或强烈同意在大流行期间合作恶化；47%的医生和 42.4%的护士承认沟通明显恶化。根据参与者的说法，压力增加、新程序和担心感染严重急性呼吸综合征冠状病毒 2（SARS-CoV-2）是导致 IPC 恶化的最重要因素。
大流行期间的特殊情况对 IPC 产生了重大影响，这可能会影响患者的满意度和安全性。在这一充满挑战的现实中，为医疗团队提供积极的 IPC 支持尤为重要。
