Frey-Vogel Ariel S, Pugsley Lori, Dzara Kristina
Department of Pediatrics, Harvard Medical School and Mass General for Children (AS Frey-Vogel), Boston, Mass.
Department of Nursing, Massachusetts General Hospital and Mass General for Children (L Pugsley), Boston, Mass.
Acad Pediatr. 2023 Mar;23(2):225-232. doi: 10.1016/j.acap.2022.05.001. Epub 2022 May 7.
The relationship between nurses and interns affects the quality of patient care; efforts to improve this relationship are necessary for optimal care. Previously, relationship formation was found to depend on mutual trust, respect, effective communication, and undergoing the process of role formation, all of which require time. This led to the hypothesis that instituting a Nurse/Intern Partnership Program (NIPP) would accelerate relationship formation.
Using a semi-structured interview guide, prior to NIPP implementation, one nurse (n = 5) and 2 second-year resident (total n = 6) focus groups were held. After implementation, one nurse (n = 6) and one intern (n = 9) focus group were held. The focus group data were analyzed using the 5 stages of qualitative research framework.
Thematic data analysis with 3 independent coders supported the previously developed model of relationship formation; the NIPP accelerated relationship formation between nurses and interns through creating an early ally, improving communication, and increasing role understanding. The program may have improved the culture of the pediatric unit. The interns reported more of a positive impact of the NIPP on nurse/intern relationship than the nurses.
The NIPP was positively received by pediatric residents and nurses and successfully accelerated relationship formation between the 2 groups.
护士与实习生之间的关系会影响患者护理质量；为实现最佳护理，努力改善这种关系很有必要。此前发现，关系的形成取决于相互信任、尊重、有效沟通以及经历角色形成过程，而所有这些都需要时间。由此提出假设，即设立护士/实习生合作项目（NIPP）将加速关系的形成。
在实施NIPP之前，使用半结构化访谈指南，分别召开了一次护士焦点小组（n = 5）和两次二年级住院医师焦点小组（共n = 6）。实施后，召开了一次护士焦点小组（n = 6）和一次实习生焦点小组（n = 9）。焦点小组数据采用定性研究框架的5个阶段进行分析。
由3名独立编码员进行的主题数据分析支持了先前建立的关系形成模型；NIPP通过建立早期盟友、改善沟通和增强角色理解，加速了护士与实习生之间关系的形成。该项目可能改善了儿科病房的文化氛围。实习生报告称，NIPP对护士/实习生关系的积极影响比护士更多。
儿科住院医师和护士对NIPP的评价良好，该项目成功加速了两组之间关系的形成。
