Research Group Nursing Diagnostics, School of Nursing, Hanze University of Applied Sciences, Groningen, The Netherlands.
Department of Internal Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Scand J Caring Sci. 2023 Dec;37(4):1109-1122. doi: 10.1111/scs.13185. Epub 2023 May 29.
Families are introduced as new partners in interprofessional communication and collaboration during hospitalisation of an adult patient. Their introduction into the healthcare team has consequences for the roles and responsibilities of all healthcare professionals. Role clarification is thus needed to create optimal communication and collaboration with families.
To gain insight into how physicians and nurses view their own roles and each other's roles in communication and collaboration with families in the care of adult patients.
A qualitative interpretive interview design was used. Fourteen semi-structured interviews, with seven physicians and seven nurses, were conducted. Data were analysed according to the steps of thematic analysis. For the study design and analysis of the results, the guidelines of the consolidated criteria for reporting qualitative studies (COREQ) were followed. The ethical committee of the University Medical Center Groningen approved the study protocol (research number 202100640).
Thematic analysis resulted in three themes, each consisting of two or three code groups. Two themes "building a relationship" and "sharing information" were described as roles that both nurses and physicians share regarding communication and collaboration with families. The role expectations differed between physicians and nurses, but these differences were not discussed with each other. The theme "providing support to family" was regarded a nurse-specific role by both professions.
Physicians and nurses see a role for themselves and each other in communication and collaboration with families. However, the division of roles and expectations thereof are different, overlapping, and unclear. To optimise the role and position of family during hospital care, clarification and division of the roles between physicians and nurses in this partnership is necessary.
在成人患者住院期间，家庭被引入为跨专业沟通和协作的新伙伴。他们被引入医疗团队对所有医疗保健专业人员的角色和责任都产生了影响。因此，需要明确角色，以实现与家庭的最佳沟通和协作。
了解医生和护士如何看待自己在与成人患者家属沟通和协作中的角色，以及彼此的角色。
采用定性解释性访谈设计。对 7 名医生和 7 名护士进行了 14 次半结构化访谈。数据根据主题分析的步骤进行分析。为了研究设计和结果分析，遵循了定性研究报告的统一标准（COREQ）指南。格罗宁根大学医学中心的伦理委员会批准了该研究方案（研究编号 202100640）。
主题分析产生了三个主题，每个主题由两个或三个代码组组成。两个主题“建立关系”和“分享信息”被描述为护士和医生在与家属沟通和协作方面共同承担的角色。医生和护士对角色的期望存在差异，但彼此之间并未对此进行讨论。主题“为家庭提供支持”被两种职业都视为护士的特定角色。
医生和护士都认为自己和彼此在与家属沟通和协作方面具有一定的角色。然而，角色的分工和期望是不同的、重叠的和不明确的。为了在住院护理期间优化家庭的角色和地位，有必要在医生和护士之间明确这种伙伴关系中的角色分工。
