Beyond dyadic communication: Network of communication in inflammatory arthritis teams.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Chronic Illness Pub Date : 2023-09-01 Epub Date: 2022-05-29 DOI:10.1177/17423953221102629

Parisa Ghanouni, Kristy Inouye, Chelsey Gowan, Wendy Hartford, Annette McKinnon, Shanon McQuitty, Catherine L Backman, Linda C Li, Laura Nimmon

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引用次数: 0

Abstract

Objective: To explore how communication is perceived and care is negotiated amongst IA healthcare teams by drawing on the perspectives of each team member.

Method: This analysis drew on data from an ongoing three-year study exploring team-based IA care. We interviewed 11 participants including two men with IA and their family care providers and healthcare providers. We used a three-staged analytic process and integrated broad tenets of social network theory to understand the relational dimensions of team members experiences.

Result: Analysis revealed three themes regarding communication and care: (1) seeking/sharing information, (2) striving to coordinate unified care, and (3) providing patients a voice.

Discussion: This study emphasizes the importance of understanding team dynamics beyond the dyad of patient and care provider. Negotiating power and decision-making in IA care is a dynamic process involving shifting levels of responsibility amongst a care team. Communication-based strategies that extend dyadic interactions may enhance teamwork and health outcomes in chronic conditions.

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超越二元沟通：炎症性关节炎团队的沟通网络。

目的：通过借鉴每个团队成员的观点，探讨IA医疗团队之间如何感知沟通和协商护理。方法：该分析利用了一项正在进行的为期三年的研究的数据，该研究探索了基于团队的IA护理。我们采访了11名参与者，其中包括两名IA患者及其家庭护理提供者和医疗保健提供者。我们使用了一个三阶段的分析过程，并整合了社会网络理论的广泛原则，来理解团队成员经历的关系维度。结果：分析揭示了关于沟通和护理的三个主题：（1）寻求/共享信息，（2）努力协调统一的护理，以及（3）为患者提供声音。讨论：这项研究强调了在患者和护理人员之外理解团队动态的重要性。IA护理中的谈判权力和决策是一个动态过程，涉及护理团队之间责任级别的转变。扩展二元互动的基于沟通的策略可以增强团队合作和慢性病患者的健康结果。

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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来源期刊

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.