Larsson Roger, Erlingsdóttir Gudbjörg, Persson Johanna, Rydenfält Christofer
Lund University, Lund, Sweden.
Glob Qual Nurs Res. 2024 Sep 27;11:23333936241273145. doi: 10.1177/23333936241273145. eCollection 2024 Jan-Dec.
This qualitative study explores how communication practice affects Swedish home care nurses' psychosocial work environment. Data consisted of interviews and field observations, analyzed from the perspective of Media Synchronicity Theory and the Job-Demand-Control-Support model. Individual home care nurses were found to manage an interorganizational communication web. The results indicated that this web could have a protective function for the nurses. Synchronous communication was found important to control the work situation. Nevertheless, asynchronous communication was enforced when communicating with other health care organizations. This reduced the level of control for the nurses. However, when possible, the nurses also arranged their communication practice to gain control. Thus, local optimization for one group could result in suboptimization for others. We conclude that communication practice should be designed holistically and promote synchronous communication to foster well-functioning interprofessional teamwork and to create a healthy psychosocial work environment for both home care nurses and their collaborators.
这项定性研究探讨了沟通实践如何影响瑞典居家护理护士的心理社会工作环境。数据包括访谈和实地观察，从媒体同步性理论和工作需求-控制-支持模型的角度进行分析。研究发现，个体居家护理护士管理着一个跨组织沟通网络。结果表明，这个网络可能对护士具有保护作用。同步沟通被认为对控制工作局面很重要。然而，在与其他医疗保健组织沟通时，异步沟通是必要的。这降低了护士的控制水平。不过，护士们在可能的情况下也会安排他们的沟通实践以获得控制权。因此，一组的局部优化可能导致其他组的次优。我们得出结论，沟通实践应进行整体设计，并促进同步沟通，以促进良好的跨专业团队合作，并为居家护理护士及其合作者创造一个健康的心理社会工作环境。
