Weiss Johanna, Hof Bernadette, Burkhalter Hanna
Leitung Pflege, Spitex Chur, Schweiz.
Bereichsleitung Pflege und Entwicklung, Spitex Oberthurgau, Amriswil, Schweiz.
Pflege. 2023;36(5):296-305. doi: 10.1024/1012-5302/a000900. Epub 2022 Jul 29.
Interprofessional corporation between registered community nurses and general practitioner: A qualitative study The quality and effectiveness of the work of certified nurses and physicians in the inpatient setting is significantly influenced by interprofessional collaboration (IPC). There is a lack of knowledge about IPC in outpatient primary care at home. In highlighting the differences between inpatient and outpatient settings, the challenges of IPC for the outpatient setting should become clear. The data for this study was collected in interprofessional group discussions. The data were methodically extracted by knowledge mapping and structuring content analysis according to Kuckartz (2018). The results were compared with the meta-matrix for interprofessional collaboration in inpatient settings by Schärli et al. (2017). The qualitative analysis showed that the outpatient IPC of qualified nurses and general practitioners is challenged by structural conditions, which are given in the inpatient area by the form of organization. Lack of agreements and coordination of processes complicate IPC in outpatient health care, as there is no recognized common management structure. In order to ensure that IPC in the outpatient setting is not dependent on the individual commitment of individuals, nurses and GPs must jointly define criteria for their IPC, define processes and communication channels, and develop a common approach and team spirit.
一项定性研究
住院环境中,注册护士和医生工作的质量与成效受跨专业协作(IPC)的显著影响。国内门诊初级保健领域对IPC的了解匮乏。强调住院和门诊环境的差异后,门诊环境中IPC面临的挑战应会清晰显现。本研究的数据收集自跨专业小组讨论。依据库卡茨(2018年)的方法,通过知识图谱和结构化内容分析对数据进行系统提取。研究结果与沙尔利等人(2017年)针对住院环境中跨专业协作的元矩阵进行了对比。定性分析表明,合格护士与全科医生在门诊的IPC受到结构条件的挑战,而住院区域的组织形式则不存在此类挑战。由于缺乏公认的共同管理结构,协议缺失和流程协调不足使门诊医疗保健中的IPC变得复杂。为确保门诊环境中的IPC不依赖于个人的单独投入,护士和全科医生必须共同为其IPC确定标准,明确流程和沟通渠道,并培养共同的方法和团队精神。