Can relational coordination theory be used to understand and improve interprofessional care coordination in schools? A pilot study.

Can relational coordination theory be used to understand and improve interprofessional care coordination in schools? A pilot study.
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DOI:
10.1080/13561820.2021.1997951
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发表时间:
2022-09
影响因子:
2.7
通讯作者:
Blakeney, Erin Abu-Rish
Blakeney, Erin Abu-Rish
中科院分区:
医学3区
文献类型:
--
作者:
Willgerodt, Mayumi A.;Blakeney, Erin Abu-Rish

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照顾患有慢性病的学生的健康需求需要家长、教育工作者、管理人员和学校保健专业人员之间流畅的信息交流和协调。以前的研究经常忽略学校护士在这种交流中的作用,尽管她们的作用是成功结果的关键。关系协调(RC)理论认为,有凝聚力的关系有助于支持沟通,使利益相关者能够协调他们的工作。本文利用已有的定性数据,初步探讨RC领域是否与学校卫生环境相关。使用演绎和归纳分析方法分析焦点小组会议的回应。使用7个RC域作为先验码对数据进行编码。频繁、及时、准确的沟通成为传播领域的主旋律。共享知识是关系领域内的一个主要主题。解决问题的沟通、共同的目标和相互尊重是次要的主题。结果表明,使用RC理论知情的干预措施改善慢性病儿童的专业间协作(IPC)和健康结果将对于加深对这些不同领域如何相互作用和影响学生健康结果的理解将是重要的。
Attending to the health needs of students with chronic conditions requires a fluid exchange of information and coordination between parents, educators, administrators and school healthcare professionals. Previous research often omits school nurses in this exchange, although their role is key to successful outcomes. Relational Coordination (RC) theory posits that cohesive relationships help support communication, enabling stakeholders to coordinate their work. This paper preliminarily explores whether RC domains might be relevant in school health settings, utilizing existing qualitative data. Responses from focus group sessions were analyzed using a deductive and inductive analytic approach. Data was coded using the 7 RC domains as a priori codes. Frequent, timely, and accurate communication emerged as major themes in the communication domain. Shared knowledge was a major theme within the relationship domain. Problem-solving communication, shared goals, and mutual respect were minor themes. The results suggest that improving interprofessional collaboration (IPC) and health outcomes in children with chronic conditions using RC theory-informed interventions will be important to deepen the understanding of how these different domains interact and influence student health outcomes.
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