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利用电子健康记录增强青少年照护专业人员之间的跨专业团队合作:一项混合方法干预研究。

Enhancing interprofessional teamwork between youth care professionals using an electronic health record; a mixed methods intervention study.

机构信息

Icare JGZ, department Jeugdgezondheidszorg, Meppel, the Netherlands.

Chair group Consumption and Healthy Lifestyles, Wageningen University and Research, Wageningen, the Netherlands.

出版信息

J Interprof Care. 2024 May-Jun;38(3):553-563. doi: 10.1080/13561820.2024.2314461. Epub 2024 Feb 27.

DOI:10.1080/13561820.2024.2314461
PMID:38414288
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11018063/
Abstract

We aimed to investigate whether using a shared electronic patient record (EPR-Youth) strengthened interprofessional teamwork among professionals in youth care and child healthcare. Using a mixed-methods design, we compared two partly overlapping samples of professionals, who completed questionnaires before the introduction of EPR-Youth ( = 117) and 24 months thereafter ( = 127). Five components of interprofessional teamwork (interdependence, newly created professional activities, flexibility, collective ownership of goals, and reflection on processes) were assessed for this study. Midway through the study period, focus groups were held with 12 professionals to examine how EPR-Youth contributed to interprofessional teamwork. Professionals reported significantly more flexibility after the introduction of EPR-Youth than before. Professionals scored slightly -but not significantly- more positively on the other components of teamwork. Focus group participants reported that using EPR-Youth strengthened their sense of interdependence and collective ownership of goals, and contributed to newly created professional activities. At baseline, levels of interprofessional teamwork differed between organizations. Focus group participants confirmed these differences and attributed them to differences in facilitation of interprofessional teamwork. Our findings suggest that using EPR-Youth can foster interprofessional teamwork. Organizational differences underline that implementing an EPR alone is inadequate: shared definitions of teamwork and organizational facilities are needed to strengthen interprofessional teamwork.

摘要

我们旨在研究使用共享电子患者记录(EPR-Youth)是否能增强青少年保健和儿童保健专业人员之间的跨专业团队合作。本研究采用混合方法设计,比较了 EPR-Youth 引入前( = 117)和引入后 24 个月( = 127)两组部分重叠的专业人员完成问卷的数据。本研究评估了跨专业团队合作的五个组成部分(相互依存、新创建的专业活动、灵活性、目标的集体所有权和对流程的反思)。在研究期间的中途,对 12 名专业人员进行了焦点小组讨论,以研究 EPR-Youth 如何促进跨专业团队合作。研究人员发现,EPR-Youth 引入后,专业人员的灵活性明显提高。专业人员在团队合作的其他组成部分上的评分略高 -但不显著-。焦点小组参与者报告称,使用 EPR-Youth 增强了他们的相互依存感和目标的集体所有权,并有助于新创建的专业活动。在基线时,不同组织之间的跨专业团队合作水平存在差异。焦点小组参与者证实了这些差异,并将其归因于促进跨专业团队合作的差异。我们的研究结果表明,使用 EPR-Youth 可以促进跨专业团队合作。组织差异强调,仅实施 EPR 是不够的:需要共享团队合作的定义和组织设施来加强跨专业团队合作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e5c/11018063/efed0207c86a/IJIC_A_2314461_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e5c/11018063/df18ae8865d2/IJIC_A_2314461_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e5c/11018063/efed0207c86a/IJIC_A_2314461_F0002_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e5c/11018063/df18ae8865d2/IJIC_A_2314461_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e5c/11018063/efed0207c86a/IJIC_A_2314461_F0002_OC.jpg

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Barriers for Inter-Organisational Collaboration: What Matters for an Integrated Care Programme?组织间合作的障碍:综合护理计划的关键因素是什么?
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Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents.儿童和青少年注意缺陷多动障碍的诊断、评估和治疗临床实践指南。
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