Strasser D C, Falconer J A, Martino-Saltzmann D
Emory University School of Medicine, Atlanta, GA.
Arch Phys Med Rehabil. 1994 Feb;75(2):177-82.
Although inpatient rehabilitation is an interdisciplinary activity organized around a treatment team, there is a limited understanding of the workings of the interdisciplinary process. To elucidate staff perceptions of key aspects of the rehabilitation treatment process, we surveyed staff (n = 113) from selected inpatient teams. The staff completed social psychological instruments that measure perceptions of the hospital environment (The Ward Atmosphere Scale [WAS]), the team's environment (the Group Environment Scale [GES]), and interprofessional relations (Interprofessional Perception Scale [IPS]). Rehabilitation staff generally endorse the team approach, but express concerns over professional boundaries. Interprofessional difficulties seemed to be independent of team membership or professional training. Compared with published data from other settings, rehabilitation teams resembled task-oriented groups, but showed significant differences across teams in their perceptions of the team and hospital environments. The task-oriented character of rehabilitation teams, team-specific characteristics, and discord in interprofessional relationships may need to be considered in studies of rehabilitation teams effectiveness.
尽管住院康复是围绕治疗团队组织的一项跨学科活动,但对于跨学科过程的运作了解有限。为了阐明工作人员对康复治疗过程关键方面的看法,我们对选定住院团队的工作人员(n = 113)进行了调查。工作人员完成了社会心理工具的测试,这些工具用于测量对医院环境的看法(病房氛围量表[WAS])、团队环境(团体环境量表[GES])以及跨专业关系(跨专业认知量表[IPS])。康复工作人员普遍认可团队方法,但对专业界限表示担忧。跨专业困难似乎与团队成员身份或专业培训无关。与其他环境下公布的数据相比,康复团队类似于任务导向型群体,但在对团队和医院环境的认知方面,各团队存在显著差异。在研究康复团队的有效性时,可能需要考虑康复团队的任务导向特征、团队特定特征以及跨专业关系中的不和谐因素。