Department of Public Health, Aarhus University, Aarhus C, Denmark.
Department of Political Science, University of Southern Denmark, Odense M, Denmark.
J Interprof Care. 2024 Nov-Dec;38(6):1050-1061. doi: 10.1080/13561820.2024.2404640. Epub 2024 Oct 13.
Up to 175 conditions influencing interprofessional practices have been identified. Still, little is known about to what extent these conditions interact, influence communication, and vary across professional groups and settings. We explored these knowledge gaps by examining communication among staff in home care and home nursing units in two Danish municipalities, Herning and Holstebro. Conditions were categorized into two types (programme and context) and two levels (professional and organizational). Structural Equation Modeling was used with a sample of 395 staff and 21 managers to analyze the condition categories' interactions, influences on communication, and variations by unit type and municipality. Context conditions strongly influenced programme conditions on the professional and organizational levels. Organizational-level context conditions had no significant influence, organizational-level programme conditions had a weak influence, and professional-level programme and context conditions had moderate influences on communication. Lastly, professional-level programme conditions had the biggest influence on communication for staff in home care units and in Holstebro. In contrast, professional-level context conditions had the biggest influence on communication for staff in home nursing units and in Herning. These findings offer unique insights into conditions' interactions, influences, and variances, contributing to our understanding of what makes communication work and for whom.
已经确定了多达 175 个影响跨专业实践的条件。尽管如此，我们对于这些条件在多大程度上相互作用、影响沟通，以及在不同专业群体和环境中存在差异的了解甚少。我们通过考察丹麦赫宁和霍尔斯特布罗两个市的家庭护理和家庭护理单位的工作人员之间的沟通，来探索这些知识空白。条件分为两类（方案和背景）和两个层次（专业和组织）。我们使用 395 名员工和 21 名管理人员的样本，采用结构方程模型来分析条件类别之间的相互作用、对沟通的影响，以及单位类型和市之间的差异。背景条件强烈影响专业和组织层面的方案条件。组织层面的背景条件没有显著影响，组织层面的方案条件有较弱影响，专业层面的方案和背景条件对沟通有中等影响。最后，专业层面的方案条件对家庭护理单位的员工沟通影响最大，而对霍尔斯托布罗的员工沟通影响最大的是专业层面的背景条件。相比之下，对家庭护理单位的员工沟通影响最大的是专业层面的背景条件，对赫宁的员工沟通影响最大的是专业层面的方案条件。这些发现提供了对条件相互作用、影响和差异的独特见解，有助于我们理解是什么因素使得沟通起作用，以及对谁起作用。
