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在创伤护理决策的边缘:一项关于放射技师跨专业协作经验的焦点小组研究。

On the edge of decision-making in trauma care: A focus group study on radiographers' experiences of interprofessional collaboration.

作者信息

Bäckström M, Leijon-Sundqvist K, Lundvall L-L, Jonsson K, Engström Å

机构信息

Division of Nursing and Medical Technology, Department of Health, Education and Technology, Luleå University of Technology, Sweden.

Division of Nursing and Medical Technology, Department of Health, Education and Technology, Luleå University of Technology, Sweden.

出版信息

Radiography (Lond). 2023 Oct;29(6):1123-1129. doi: 10.1016/j.radi.2023.09.010. Epub 2023 Oct 3.

DOI:10.1016/j.radi.2023.09.010
PMID:37797480
Abstract

INTRODUCTION

The temporary trauma teams in trauma alerts consist of a diverse group of unique professionals requiring interprofessional collaboration and coordination to achieve efficient, high-quality care. The uncertain situation and complex care environment impose high demands on team dynamics such as individual attitudes and team behaviours. Within interprofessional teams, interaction and coordination reflect the collective success of collaboration and the achievement of goals. Interactions with radiographers have increased in trauma teams given computed tomography's prominent role in providing crucial knowledge for decision-making in trauma care. This study aimed to explore radiographers' experiences of interprofessional collaboration during trauma alerts.

METHOD

The study was designed with focus group methodology, including 17 radiographers participating in five focus groups, analysed with an inductive focus group analysis.

RESULTS

An overarching theme, "On the edge of decision-making", emerged along with three sub-themes: "Feeling included requires acknowledgement", "Exclusion precludes shared knowledge", and "Experience and mutual awareness facilitate team interaction".

CONCLUSIONS

Interprofessional collaboration from the radiographer's perspective within trauma teams requires a sense of inclusion and the ability to interact with the team. Exclusion from vital decision-making obstructs radiographers' comprehension of situations and thereby the interdependence in interprofessional collaboration.

IMPLICATIONS FOR PRACTICE

Common platforms are needed for knowledge sharing and team practices, including radiographers' areas of responsibility and relational coordination to foster interprofessional relationships. Through these means interdependence through awareness and shared knowledge can be facilitated on trauma teams.

摘要

引言

创伤警报中的临时创伤团队由一群不同的专业人员组成,他们需要跨专业协作与协调,以实现高效、高质量的护理。不确定的情况和复杂的护理环境对团队动态提出了很高的要求,比如个人态度和团队行为。在跨专业团队中,互动与协调反映了协作的集体成功以及目标的实现。鉴于计算机断层扫描在为创伤护理决策提供关键知识方面的突出作用,创伤团队与放射技师的互动有所增加。本研究旨在探讨放射技师在创伤警报期间的跨专业协作经历。

方法

本研究采用焦点小组方法设计,包括17名放射技师参与五个焦点小组,并采用归纳式焦点小组分析进行分析。

结果

出现了一个总体主题“在决策边缘”以及三个子主题:“感到被包容需要得到认可”、“被排斥会妨碍知识共享”和“经验与相互了解促进团队互动”。

结论

从放射技师的角度来看,创伤团队中的跨专业协作需要有包容感以及与团队互动的能力。被排除在重要决策之外会阻碍放射技师对情况的理解,从而影响跨专业协作中的相互依存关系。

对实践的启示

需要有共同的平台用于知识共享和团队实践,包括放射技师的责任领域和关系协调,以促进跨专业关系。通过这些方式,可以在创伤团队中促进通过意识和共享知识实现的相互依存关系。

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