Rudberg Ingela, Olsson Annakarin, Thunborg Charlotta, Salzmann-Erikson Martin
Department of Health and Caring Sciences, Faculty of Health and Occupational Studies, University of Gävle, Gävle, Sweden.
Division of Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Issues Ment Health Nurs. 2024 Apr;45(4):417-428. doi: 10.1080/01612840.2024.2308556. Epub 2024 Apr 2.
Communication in healthcare extends beyond patient care, impacting the work environment and job satisfaction. Interprofessional communication is essential for fostering collaboration, but challenges arise from differences in training, roles, and hierarchies. The study aimed to explore psychiatric outpatient clinicians' experiences of interprofessional communication and their perceptions of how the communication intersects the organizational and social work environment of healthcare. Qualitative research involved focus group interviews with clinicians from five psychiatric outpatient units in Central Sweden, representing diverse professions. The authors analyzed semi-structured interview data thematically to uncover clinicians' perspectives on interprofessional communication. An overarching theme, "Adjustment of communication," with subthemes "Synchronized communication" and "Dislocated communication," emerged. Clinicians adapted communication strategies based on situations and needs, with synchronized communication promoting collaboration and dislocated communication hindering it. Communicating with each other was highly valued, as it contributed to a positive work environment. The study underscores the importance of an open, supportive environment that fosters trust, and respect among healthcare clinicians. Consistent with prior research, collaboration gaps underscore the urgent need to improve interprofessional communication.
医疗保健中的沟通不仅限于患者护理，还会影响工作环境和工作满意度。跨专业沟通对于促进协作至关重要，但培训、角色和等级制度的差异会带来挑战。该研究旨在探讨精神科门诊临床医生的跨专业沟通经历，以及他们对这种沟通如何与医疗保健的组织和社会工作环境相互交织的看法。定性研究包括对瑞典中部五个精神科门诊单元的临床医生进行焦点小组访谈，这些临床医生代表了不同的专业。作者对半结构化访谈数据进行了主题分析，以揭示临床医生对跨专业沟通的看法。出现了一个总体主题“沟通的调整”，以及子主题“同步沟通”和“错位沟通”。临床医生根据情况和需求调整沟通策略，同步沟通促进协作，错位沟通则阻碍协作。相互沟通受到高度重视，因为它有助于营造积极的工作环境。该研究强调了一个开放、支持性环境的重要性，这种环境能促进医疗保健临床医生之间的信任和尊重。与先前的研究一致，协作差距凸显了改善跨专业沟通的迫切需求。
