Zimansky Manuel, Ceylan Betül, Klukas Eduard, Hamacher Marie, van de Sand Heike, Gustaevel Malin, Wiegelmann Saskia, Hämel Kerstin
Fakultät für Gesundheitswissenschaften, Universität Bielefeld, Deuschland.
Pflege. 2024 Feb;37(1):11-18. doi: 10.1024/1012-5302/a000942. Epub 2023 Jun 15.
Interprofessional collaboration of general practitioners and nurses in primary care: A qualitative study There is a need to strengthen interprofessional collaboration of general practitioners and home care nurses in the primary care of people with chronic diseases and long-term care needs. This study investigated a) how general practitioners and nurses in Germany perceive their collaboration in primary care and b) which development perspectives of collaboration exist from their point of view. Expert interviews were conducted with seven general practitioners and eight home care nurses. The data were analysed using thematic-structured qualitative content analysis. The interviewees from both professional groups report that their collaboration is hindered by poor mutual accessibility. At the same time, they emphasise their appreciation of the professional exchange with the other professional group. Nevertheless, the perceptions of the professional competence of home care nurses differ. To improve their cooperation, the interviewees recommend the establishment of interprofessional meetings and cooperation in spatial proximity for regular professional exchange. They expect this to lead to a joint development of trust and competence and to an expansion of the area of responsibility of home care nurses in primary care. Binding communication structures, cooperation in spatial proximity and an expansion of the area of responsibility of home care nurses offer high potential for strengthening primary care in Germany.
一项定性研究
在慢性病患者及有长期护理需求者的初级保健中，有必要加强全科医生与家庭护理护士之间的跨专业协作。本研究调查了：a）德国的全科医生和护士如何看待他们在初级保健中的协作；b）从他们的角度来看，协作有哪些发展前景。对7名全科医生和8名家庭护理护士进行了专家访谈。采用主题结构化定性内容分析法对数据进行分析。两个专业组的受访者均表示，相互之间难以接触导致他们的协作受到阻碍。同时，他们强调对与另一专业组进行专业交流的赞赏。然而，对家庭护理护士专业能力的看法存在差异。为改善合作，受访者建议召开跨专业会议，并在空间上相近开展合作，以便定期进行专业交流。他们期望这能带来信任和能力的共同发展，并扩大家庭护理护士在初级保健中的责任范围。具有约束力的沟通结构、空间上相近的合作以及家庭护理护士责任范围的扩大，为加强德国的初级保健提供了巨大潜力。
