Battin Gudrun S, Romsland Grace I, Christiansen Bjørg
Department of Public Health, University of Stavanger, Stavanger, Norway.
Research department, Sunnaas Rehabilitation Hospital, Nesodden, Norway.
J Interprof Care. 2024 Jul-Aug;38(4):612-620. doi: 10.1080/13561820.2024.2343836. Epub 2024 May 8.
Communicating effectively, including the ability to negotiate, has been claimed to be key competencies in interprofessional practice. However, these day-to-day contributions to interprofessional teamwork are not yet sufficiently understood. The aim of this article is to explore the day-to-day interprofessional negotiations in biopsychosocial pain rehabilitation. A qualitative design with an ethnographic approach was applied to the overall study. Participant observation of interprofessional encounters and clinical encounters in a pain rehabilitation ward was undertaken in 2016 for a period of 19 weeks. Intermittent interviews with 12 professionals were conducted. Data were analyzed in an abductive process using thematic analysis. We present the results as two themes: 1) Silent conflicting interests in the office, and 2) Silent dissatisfaction with meetings. The study showed that the team members had opportunities to negotiate in interprofessional offices and meetings, while they perceived insufficient time for discussion, and their individual work being interrupted by each other in the offices. They did not discuss their dissatisfaction, but silently bargained on how to spend time together. Professionals can contribute to teamwork through silent bargains that can promote a low level of conflict and thereby preserve a good workflow.
有效沟通，包括协商能力，被认为是跨专业实践中的关键能力。然而，这些对跨专业团队合作的日常贡献尚未得到充分理解。本文旨在探讨生物心理社会疼痛康复中的日常跨专业协商。整体研究采用了具有人种志方法的定性设计。2016年，在一个疼痛康复病房对跨专业会诊和临床会诊进行了为期19周的参与观察。对12名专业人员进行了间歇性访谈。使用主题分析，通过溯因过程对数据进行了分析。我们将结果呈现为两个主题：1）办公室里无声的利益冲突，以及2）对会议的无声不满。研究表明，团队成员在跨专业办公室和会议中有协商的机会，然而他们觉得讨论时间不足，且在办公室里彼此的个人工作会被打断。他们没有讨论自己的不满，而是就如何共度时间进行无声的讨价还价。专业人员可以通过无声的讨价还价为团队合作做出贡献，这可以促进低水平的冲突，从而保持良好的工作流程。
