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马拉维姆祖祖中心医院和恩特切乌地区医院医护人员在跨专业协作实践中的经验。

Experiences of health care workers' on interprofessional collaborative practice at Mzuzu Central and Ntcheu District hospitals.

机构信息

Zomba Mental Hospital, Malawi Ministry of Health.

Faculty of Applied Health Studies, Kamuzu College of Nursing, University of Malawi/Kamuzu University of Health Sciences.

出版信息

Malawi Med J. 2021 Apr;33(Postgraduate Supplementary Iss):10-15. doi: 10.4314/mmj.v33iS.3.

Abstract

BACKGROUND

Interprofessional collaborative practice (ICP) is a new approach to delivery of health care. It is the practice which happens when healthcare providers work together with different professionals such as nurse/midwives, medical officers towards a common goal to improve patient outcomes.There is no evidence on healthcare workers' experiences on ICP in Malawi and a study on healthcare workers experiences would provide insight towards ICP. The objective of this study was to describe healthcare workers' experiences on ICP in model wards.

METHODS

We conducted a qualitative exploratory descriptive study at Mzuzu Central and Ntcheu District Hospitals. We purposely selected nurses, clinical officers and medical doctors out of 25 sampled healthcare workers working in model wards. Data were collected through in-depth interviews using a semi-structured interview guide. Hospital authorities provided permission to conduct the study in their sites. Informed consent was obtained from participants before interviews. The study was approved by College of Medicine Research Committee (COMREC). Content analysis was utilized to analyse data.

RESULTS

Four key themes emerged describing healthcare workers experiences on ICP:Increased management/leadership support in terms of resources and structures, good communication among staff, learning together as group of qualified healthcare workers and students and increased teamwork.

CONCLUSION

This study highlights healthcare workers' experiences on ICP: management support, communication, learning together of healthcare workers and teamwork. Findings can be used to inform management and practice for the development and implementation of ICP in service delivery.

摘要

背景

跨专业协作实践(ICP)是一种提供医疗保健的新方法。当医疗保健提供者与护士/助产士、医师等不同专业人员一起为改善患者结果的共同目标而合作时,就会出现这种实践。马拉维没有关于医疗保健工作者在 ICP 方面的经验的证据,对医疗保健工作者经验的研究将为 ICP 提供深入了解。本研究的目的是描述模范病房中医疗保健工作者在 ICP 方面的经验。

方法

我们在姆祖祖中央医院和恩钦加区医院进行了一项定性探索性描述性研究。我们从模范病房中随机抽取的 25 名医疗保健工作者中,有针对性地选择了护士、临床医生和医生。通过使用半结构化访谈指南进行深入访谈来收集数据。医院当局允许在其场所进行研究。在访谈之前,从参与者那里获得了知情同意。该研究获得了医学院研究委员会(COMREC)的批准。利用内容分析法对数据进行分析。

结果

出现了四个关键主题,描述了医疗保健工作者在 ICP 方面的经验:在资源和结构方面增加了管理/领导支持、员工之间的良好沟通、作为一组合格的医疗保健工作者和学生一起学习以及增加了团队合作。

结论

本研究强调了医疗保健工作者在 ICP 方面的经验:管理支持、沟通、医疗保健工作者的共同学习和团队合作。研究结果可用于为服务提供中 ICP 的开发和实施提供管理和实践依据。

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The qualitative content analysis process.定性内容分析过程。
J Adv Nurs. 2008 Apr;62(1):107-15. doi: 10.1111/j.1365-2648.2007.04569.x.

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