Interprofessional Collaboration in Complex Patient Care Transition: A Qualitative Multi-Perspective Analysis.
Interprofessional Collaboration in Complex Patient Care Transition: A Qualitative Multi-Perspective Analysis.
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DOI：
10.3390/healthcare11030359
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发表时间：
2023-01-27
期刊：
影响因子：
2.8
通讯作者：
Schmitt, Kai-Uwe
中科院分区：
文献类型：
--
作者：
Geese, Franziska;Schmitt, Kai-Uwe
关键词：
医疗保健专业人员在护理过渡期间经常受到复杂患者和相关护理需求的挑战。在这种情况下，跨专业合作被认为是一种有效的方法。然而，分散的医疗保健系统可能会限制IPC。本研究探讨了瑞士医疗保健专业人员在复杂患者护理过渡和IPC潜力方面的经验。包括护理、医学、心理学、物理治疗、营养学和营养学、社会服务、职业治疗和语言治疗等专业人员。定性方法之间的三角设计，两个焦点小组讨论和10个单独的访谈。不同数据收集方法的结合使我们能够探索复杂的患者护理过渡，并系统地添加来自不同护理环境的医疗保健专业人员的观点。确定了三个主要主题：（1）参与者描述了他们对理想的复杂患者护理过渡的愿景，即，他们希望看到的实施状态;（2）参与者报告了今天经历的复杂患者护理过渡中的挑战;（3）参与者建议了IPC改善复杂患者护理过渡的方法。这项研究强调，医疗保健专业人员认为IPC是一种有效的干预措施，以改善复杂的病人护理过渡。目前在瑞士，各护理组织可持续实施IPC的情况有限。在医疗保健系统没有强有力和直接促进IPC的情况下，临床实践中的专业人员可以通过找到克服组织边界的实际解决方案来进一步促进IPC。
Healthcare professionals often feel challenged by complex patients and the associated care needs during care transition. Interprofessional collaboration (IPC) is considered an effective approach in such situations. However, a fragmented healthcare system can limit IPC. This study explored experiences of Swiss healthcare professionals regarding complex patient care transition and the potential of IPC. Professionals from nursing, medicine, psychology, physiotherapy, dietetics and nutrition, social service, occupational therapy, and speech therapy were included. A qualitative between-method triangulation design was applied, with two focus group discussions and ten individual interviews. The combination of different data-collection methods allowed us to explore complex patient care transition and to systematically add perspectives of healthcare professionals from different care settings. Three main themes were identified: (1) Participants described their vision of an ideal complex patient care transition, i.e., the status they would like to see implemented; (2) participants reported challenges in complex patient care transition as experienced today; and (3) participants suggested ways to improve complex patient care transition by IPC. This study highlighted that healthcare professionals regarded IPC as an effective intervention to improve complex patient care transition. It emerged that sustainable implementation of IPC across care organizations is currently limited in Switzerland. In the absence of strong and direct promotion of IPC by the healthcare system, professionals in clinical practice can further promote IPC by finding hands-on solutions to overcome organizational boundaries.
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