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患者护理、多专业团队中医师助理的整合与协作:一项混合方法研究。

Patient care, integration and collaboration of physician associates in multiprofessional teams: A mixed methods study.

机构信息

Centre for Interprofessional Practice, University of East Anglia, Norwich, UK.

Norwich Medical School, University of East Anglia, Norwich, UK.

出版信息

Nurs Open. 2023 Jun;10(6):3962-3972. doi: 10.1002/nop2.1655. Epub 2023 Feb 20.

Abstract

AIMS

The aim of the study was to explore the physician associate role in patient care, integration and collaboration with team members, within the hospital setting.

DESIGN

Convergent mixed methods case study design.

METHODS

Questionnaires with some open-ended questions and semi-structured interviews were analysed with descriptive statistics and thematic analysis.

RESULTS

Participants included 12 physician associates, 31 health professionals and 14 patients/relatives. Physician associates provide effective, safe and, importantly, continuity of care and patients received patient-centred care. Integration into teams was variable, and there was a lack of knowledge about the physician associate role amongst staff and patients. Views towards physician associates were mostly positive, but support for physician associates differed across the three hospitals.

CONCLUSION

This study further consolidates the role of physician associates to multiprofessional teams and patient care and emphasises the importance of providing support to individuals and teams when integrating new professions. Interprofessional learning throughout healthcare careers can develop interprofessional working within multiprofessional teams.

IMPACT

Leaders in healthcare will see that clarity about the role of physician associates must be given to staff members and patients. Employers and team members will see the need to properly integrate new professions and team members within the workplace and to enhance professional identities. The research will also impact on educational establishments to provide more interprofessional training.

PATIENT AND PUBLIC INVOLVEMENT

There is no patient and public involvement.

摘要

目的

本研究旨在探讨医师助理在医院环境中的患者护理、与团队成员的整合和协作中的作用。

设计

汇聚式混合方法案例研究设计。

方法

问卷调查结合一些开放性问题,并采用描述性统计和主题分析对半结构化访谈进行分析。

结果

参与者包括 12 名医师助理、31 名卫生专业人员和 14 名患者/家属。医师助理提供了有效、安全且重要的连续性护理,患者得到了以患者为中心的护理。团队整合情况各不相同,并且工作人员和患者对医师助理角色的了解有限。对医师助理的看法大多是积极的,但对医师助理的支持在三家医院之间存在差异。

结论

本研究进一步巩固了医师助理在多专业团队和患者护理中的作用,并强调在整合新职业时为个人和团队提供支持的重要性。整个医疗保健职业中的专业间学习可以在多专业团队中发展专业间的工作。

影响

医疗保健领域的领导者将看到必须向工作人员和患者阐明医师助理的角色。雇主和团队成员将看到需要在工作场所中适当整合新的专业和团队成员,并增强专业身份。该研究还将对教育机构产生影响,以提供更多的专业间培训。

患者和公众参与

没有患者和公众参与。

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本文引用的文献

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Interprofessional collaboration in hospitals: a critical, broad-based review of the literature.
J Interprof Care. 2020 Jul-Aug;34(4):509-519. doi: 10.1080/13561820.2019.1702515. Epub 2020 Jan 13.
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Patient satisfaction with physician assistant/associate care: an international scoping review.
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Contribution of physician assistants/associates to secondary care: a systematic review.
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Physician Assistants and the Expanding Global Health-Care Workforce.
Am J Trop Med Hyg. 2017 Sep;97(3):643-644. doi: 10.4269/ajtmh.17-0176. Epub 2017 Jul 19.
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Health professionals' experience of teamwork education in acute hospital settings: a systematic review of qualitative literature.
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