Facilitators of an Interprofessional Approach to Care in Medical and Mixed Medical/Surgical ICUs: A Multicenter Qualitative Study
Facilitators of an Interprofessional Approach to Care in Medical and Mixed Medical/Surgical ICUs: A Multicenter Qualitative Study
复制标题
DOI：
10.1002/nur.21607
复制
发表时间：
2014-08-01
影响因子：
2
通讯作者：
Kahn, Jeremy M.
中科院分区：
文献类型：
--
作者：
Costa, Deena Kelly;Barg, Frances K.;Kahn, Jeremy M.
这项研究的目的是描述临床医生对重症监护病房中专业间协作的看法，并确定与专业间协作相关的因素。我们在7家医院对进行了半结构化访谈，访谈对象包括ICU护士、内科医生、呼吸治疗师、护士经理、临床药师和营养师。ICU临床医生认为重症监护中跨专业协作的促进者有两种不同类型：文化型和结构性。在重症护理环境中，文化和结构促进者既独立又协同工作，以创造有效的专业间协作。旨在建立和促进专业间协作的举措应侧重于文化和结构促进者，以改善病人护理和团队效力。(C)2014年威利期刊公司。
The purpose of this study was to describe clinicians' perceptions of interprofessional collaboration in the intensive care unit and identify factors associated with interprofessional collaboration. We performed 64 semi-structured interviews in seven hospitals with ICU nurses, physicians, respiratory therapists, nurse managers, clinical pharmacists, and dieticians. ICU clinicians perceived two distinct types of facilitators to interprofessional collaboration in critical care: cultural and structural. In the critical care setting, cultural and structural facilitators worked independently as well as in concert to create effective interprofessional collaboration. Initiatives aimed at creating and facilitating interprofessional collaboration should focus attention on cultural and structural facilitators to improve patient care and team effectiveness. (C) 2014 Wiley Periodicals, Inc.