Collaborative Practice between Doctors and Nurses in Patients Management: Attitude of Teamwork

Wiwik Kusumawati, Romdzati Romdzati
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Abstract

Background: Interprofessional collaboration is essential in providing higher-quality health services and ensuring patient safety.Objective: This study aims to assess the attitude of cooperation between doctors and nurses as first line health workers in an academic health facility and explore their perspectives on the collaboration attitude between doctors and nurses.Methods: This study used a mixed-method design. The quantitative sample was chosen randomly but with total sampling for the primary clinic. Data on the attitude of cooperation between doctors and nurses from the questionnaire results were analyzed descriptively. The sample for the qualitative study was selected purposively, each health service consisted of 1 doctor and one nurse, so the number of informants was six. The qualitative data were transcribed verbatim and analyzed qualitatively using the constant comparative method.Results: The results showed that of 84 respondents, 54 doctors, and 30 nurses, 95% showed a good teamwork attitude. Some respondents (5%) showed a bad attitude, especially on three items, namely item no 4 (doctors do not have the right to change the treatment plan that has been made), 13 (doctors do not have to be the final determinant) and 18 (possibility of other professions to become leaders). The results of the qualitative analysis show that there are five final themes, namely: 1. teamwork is good; 2. the role of the profession; 3. the importance of interprofessional communication; 4. openness to receive feedback; 5—patient safety and PCC.Conclusion: Both professions have distinct but equal and complementary roles in patient management, each with their own advantages or capabilities. Open communication, which includes getting criticism, can help overcome a poor cooperative attitude.
医生和护士在病人管理中的合作实践:团队合作的态度
背景:跨专业协作对于提供更高质量的卫生服务和确保患者安全至关重要。目的:本研究旨在评估学术医疗机构一线医护人员的医护合作态度,并探讨医护人员对医护合作态度的看法。方法:采用混合方法设计。定量样本随机选取,但以总抽样为主。对问卷调查结果中关于医护人员合作态度的数据进行描述性分析。定性研究的样本是有目的选择的,每个卫生服务机构由1名医生和1名护士组成,因此被调查者为6人。将定性资料逐字抄录,并采用恒量比较法进行定性分析。结果:84名受访医生54名,护士30名,95%的受访医生表现出良好的团队合作态度。部分受访者(5%)的态度不太好,特别是在三项上,即第4项(医生无权改变已经制定的治疗方案),第13项(医生不必成为最终决定因素)和第18项(其他职业成为领导者的可能性)。定性分析的结果表明,最终有五个主题,即:1。团队合作很好;2. 专业的作用;3.跨专业沟通的重要性;4. 乐于接受反馈;5 .患者安全和PCC。结论:两种职业在患者管理中各有优势或能力,作用不同,但又平等互补。开放的沟通,包括接受批评,可以帮助克服不良的合作态度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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