从多专业医疗团队的角度看医院环境中的床边查房。

IF 1.2 Q3 NURSING
Revista Brasileira De Enfermagem Pub Date : 2024-11-22 eCollection Date: 2024-01-01 DOI:10.1590/0034-7167-2023-0493
Tauana Wazir Mattar E Silva, Marília Alves, Isabela Silva Câncio Velloso, Carolina da Silva Caram, Kateryna Metersky, Rita de Cássia Oliveira
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引用次数: 0

摘要

目的分析医院床边查房过程中多专业团队之间的权力关系配置:定性研究,基于米歇尔-福柯的理论框架,通过话语分析对数据进行分析。2022 年 9 月至 12 月,我们对巴西米纳斯吉拉斯州贝洛奥里藏特市一家医院的多专业团队进行了访谈和实地观察,并对 37 名专业人员进行了半结构化定性访谈:结果:参与者指出,参与床边查房的专业人员的经验取决于医生如何主持查房过程,而以医生为中心的查房过程使得团队中的其他专业人员难以参与其中:医院组织床边查房的方式并不能促进专业人员的知识表达。最后的思考:医院组织床边查房的方式并不能促进专业人员的知识交流,它阻碍了权力的流通,损害了跨学科工作,使医生始终是临床决策的主要参与者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bedside rounds in the hospital environment from the perspective of multiprofessional health teams.

Objective: To analyze the configuration of power relations among the multiprofessional team in the bedside round process in the hospital.

Methods: Qualitative research with data analyzed through discourse analysis, based on Michel Foucault's theoretical framework. From September to December 2022, we conducted interviews and field observations with the multiprofessional team at a hospital in Belo Horizonte, Minas Gerais, Brazil, as well as qualitative, semi-structured interviews with 37 professionals.

Results: The participants pointed out that the experiences of the professionals involved in bedside rounds depend on how the physician conducts the process, and the physician-centered process makes it difficult for other professionals in the team to participate.

Final considerations: The way hospitals organize bedside rounds does not promote knowledge articulation for their professionals. It hinders the circulation of power and harms interdisciplinary work in a process that maintains the physician as the main actor in clinical decisions.

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来源期刊
CiteScore
2.30
自引率
7.70%
发文量
477
审稿时长
21 weeks
期刊介绍: The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.
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