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跨专业协作在新生儿重症监护疼痛管理中的应用:一项横断面调查。

Interprofessional Collaboration in the Context of Pain Management in Neonatal Intensive Care: A Cross-Sectional Survey.

机构信息

University of Oulu, Faculty of Medicine, Research Unit of Nursing Science and Health Management, Oulu, Finland.

University of Oulu, Faculty of Medicine, Research Unit of Nursing Science and Health Management, Oulu, Finland.

出版信息

Pain Manag Nurs. 2022 Dec;23(6):759-766. doi: 10.1016/j.pmn.2022.08.006. Epub 2022 Sep 11.

Abstract

PURPOSE

Describe interprofessional collaboration (IPC) in the context of pain management in neonatal intensive care based on healthcare team members' perceptions of partnership, cooperation and coordination.

DESIGN

A descriptive cross-sectional study design was used.

BACKGROUND

IPC improves the quality of pain management for neonates. IPC is teamwork involving both professionals and the neonates' parents. Parents play an important role in the holistic care of their infant, which includes pain management.

METHODS

Data was collected with Assessment of Interprofessional Collaboration Scale (AITCS-II) from the healthcare teams featuring representatives (n = 132) of multiple professional groups who were working in neonatal intensive care units (n = 4) in Finland. Descriptive statistical methods and the Mann-Whitney or Kruskal-Wallis nonparametric tests were used to analyze the data.

RESULTS

The results were examined in three subscales of IPC (partnership, cooperation and coordination) on three different levels: "need to focus on developing collaborative practice", "moving towards collaboration" and "good collaboration". Participants perceived all the subscales as well as the overall level of IPC for pain management in neonatal intensive care to be at level "moving towards collaboration".

CONCLUSION

Participants appreciated each other as professionals and were willing to cooperate, but they had different perceptions of parental involvement in IPC. Attention should be paid to IPC in specific contexts such as pain management.

摘要

目的

基于医疗团队成员对合作关系、协作和协调的看法,描述新生儿重症监护中疼痛管理的跨专业合作(IPC)。

设计

采用描述性的横断面研究设计。

背景

IPC 可提高新生儿疼痛管理的质量。IPC 是一种涉及专业人员和新生儿父母的团队合作。父母在婴儿的整体护理中起着重要作用,其中包括疼痛管理。

方法

从芬兰 4 家新生儿重症监护病房(NICU)的医疗团队中,使用跨专业合作评估量表(AITCS-II)收集了数据,该团队代表了多个专业群体(n=132)。使用描述性统计方法和 Mann-Whitney 或 Kruskal-Wallis 非参数检验来分析数据。

结果

在 IPC 的三个子量表(伙伴关系、合作和协调)的三个不同水平上(“需要专注于发展协作实践”、“向协作迈进”和“良好的协作”)检查了结果。参与者认为所有子量表以及新生儿重症监护中疼痛管理的整体 IPC 水平都处于“向协作迈进”的水平。

结论

参与者认为彼此是专业人士,并愿意合作,但他们对父母参与 IPC 的看法不同。应关注特定背景下的 IPC,例如疼痛管理。

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