Excellence through evidence - Securing collegial/collaborative nurse-physician relationships, part 1
Excellence through evidence - Securing collegial/collaborative nurse-physician relationships, part 1
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DOI：
10.1097/00005110-200510000-00006
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发表时间：
2005-10-01
影响因子：
2
通讯作者：
Rapp, D
中科院分区：
文献类型：
--
作者：
Schmalenberg, C;Kramer, M;Rapp, D
多个护士-医生（RNMD）的关系共存的医院单位，合议和协作（C/C）的关系，积极影响，比其他人，病人的结果。这个多站点循证管理实践倡议的目标是确定能够实现C/C RNMD关系的结构。在第1部分中，作者讨论了方法和选择的141名医生，管理人员和护士从44个临床单位在5家医院，以前表现出广泛的C/C RNMD关系的样本。这141名专家接受了采访，以确定实现C/C RNMD关系的结构。第1部分介绍了实现C/C RNMD关系的结构，如文献中所描述和测试的。并描述了本研究中发现的临床单位、专家和C/C RNMD关系的特征。在第2部分中，专家们将提出确保C/C RNMD关系所需的结构，沿着提出实现的建议。协作是一个过程，而不是一个事件。当协作被视为核心价值并转化为行为时，协作就成为一种组织规范。(1)协作最好被看作是一种关系，一个由持续的互动组成的过程。护士和医生之间的关系各不相同（RNMD）。已知至少有5种类型在临床单位中共存。（2，3）合议和合作，2最有效的病人的结果，（4）是本文的重点。正是一种关系在其他关系中的比例和主导地位创造了一种单位氛围或环境，在这种氛围或环境中，合议和合作的护士-医生关系（C/C RNMD）可以成为普遍的规范。
Multiple nurse-physician (RNMD) relationships coexist on hospital units; collegial and collaborative (C/C) relationships positively impact, more than others, patient outcomes. The goal of this multisite evidence-based management practice initiative was to identify structures that enable C/C RNMD relationships. In part 1, the authors discuss the methodology and selection of the sample of 141 physicians, managers, and staff nurses from 44 clinical units in 5 hospitals that had previously demonstrated extensive C/C RNMD relationships. These 141 experts were interviewed to identify structures enabling C/C RNMD relationships. Part 1 presents the structures that enable C/C RNMD relationships as described and tested in the literature, as. well as a description of the characteristics of the clinical units, experts, and C/C RNMD relationships found in this study. In part 2, the structures identified by the experts as needed for securing C/C RNMD relationships will be presented, along with suggestions for attainment.Collaboration is a process, not an event. When embraced as a core value and translated into behavior, collaboration becomes an organizational norm.(1) Collaboration is best viewed as a relationship, a process consisting of ongoing interactions. Relationships vary among nurses and physicians (RNMD). At least 5 types are known to coexist on clinical units.(2,3) Collegiality and collaboration, the 2 most effective with respect to patient outcomes,(4) are the focus of this article. It is the proportion and dominance of one type of relationship over others that create a unit climate or environment in which collegial and collaborative nurse-physician relationships (C/C RNMD) can become the prevailing norm.