Use of the Time, Interaction and Performance Theory to Study Hospice Interdisciplinary Team Meetings.
Use of the Time, Interaction and Performance Theory to Study Hospice Interdisciplinary Team Meetings.
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DOI：
10.1097/01.njh.0000319195.16778.ac
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发表时间：
2008-01-01
期刊：
影响因子：
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通讯作者：
Wittenberg-Lyles, Elaine
中科院分区：
文献类型：
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作者：
Demiris, George;Washington, Karla;Wittenberg-Lyles, Elaine
临终关怀机构需要安排和进行跨学科小组会议，但是，很少有指导存在这些会议应该如何进行。本研究的目的是应用时间、互动与绩效理论，以更好地了解跨学科团队会议。在2006年12月至2007年4月的时间范围内，共对24名患者进行了81次由四个跨学科临终关怀小组进行的患者护理讨论进行了录像和转录。共记录了1 982次发言。话语分析采用主题内容分析法。护士在团队生产、确定患者需求和满足既定目标方面的发言最多。此外，护士有最多的话语有关的调度和同步的活动。注意到需要加强的两个具体领域，即改进对小组成员的支持和提高沟通效率。未来针对这些需求领域的干预措施可能会增加服务的协调，从而使患者和家庭满意，并降低整体医疗保健成本。
Hospice agencies are required to schedule and conduct Interdisciplinary Team meetings; however, little guidance exists as to how these meetings should be conducted. The purpose of this study was to apply the Time, Interaction and Performance theory to gain a better understanding of Interdisciplinary Team meetings. A total of 81 patient care discussions on 24 patients by four interdisciplinary hospice teams were videotaped in the time frame from December 2006 to April 2007 and transcribed. A total of 1,982 utterances were recorded. The utterances were analyzed using thematic content analysis. Nurses had the most utterances in relation to team production, defining patient needs and meeting defined goals. Additionally, nurses had the most utterances in relation to scheduling and synchronization of activities. Two specific areas in need of enhancement were noted, improvement in team member support and communication effectiveness. Future interventions targeting these areas of need may increase coordination of services which results in patient and family satisfaction and reduced overall health care costs.