退伍军人健康管理社区生活中心的协作能力和以病人为中心的护理。

IF 0.8 Q4 NURSING
Jennifer L Sullivan, Dana Beth Weinburg, Stefanie Gidmark, Ryann L Engle, Victoria A Parker, Denise A Tyler
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引用次数: 4

摘要

引言:先前在急性护理环境中的研究表明,协作能力,定义为提供者作为平等团队成员合作的方式,可以通过组织支持其员工和团队的方式来提高。本观察性横断面研究考察了合作能力与养老院的支持性组织环境、主管支持和以人为本的护理之间的关系,以确定是否存在类似的关系。方法:我们改编了疗养院护理协调调查,并对20个VA社区生活中心的临床工作人员进行了调查。我们使用随机效应模型来检验支持性组织环境、主管支持和以人为中心的护理与协作能力结果(包括员工互动质量、任务独立性和协作影响)之间的关系。结果:共有723名社区生活中心临床工作人员参与了护理协调调查,回复率为29%。我们发现团队合作和协作——以任务相互依赖、互动质量和协作影响来衡量——在社区生活中心之间没有显著差异,但在职业群体之间确实存在显著差异。此外,工作人员的团队合作经验与支持性组织环境和以人为本的护理呈正相关。讨论:我们的研究结果表明,组织环境的要素对促进协作能力很重要。此外,在人员配备、奖励和以人为本的护理方面进行投资可能会提高团队合作水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Collaborative capacity and patient-centered care in the Veterans' Health Administration Community Living Centers.

Introduction: Previous research in acute care settings has shown that collaborative capacity, defined as the way providers collaborate as equal team members, can be improved by the ways in which an organization supports its staff and teams. This observational cross-sectional study examines the association between collaborative capacity and supportive organizational context, supervisory support, and person-centered care in nursing homes to determine if similar relationships exist.

Methods: We adapted the Care Coordination Survey for nursing homes and administered it to clinical staff in 20 VA Community Living Centers. We used random effects models to examine the associations between supportive organizational context, supervisory support, and person-centered care with collaborative capacity outcomes including quality of staff interactions, task independence, and collaborative influence.

Results: A total of 723 Community Living Center clinical staff participated in the Care Coordination Survey resulting in a response rate of 29%. We found that teamwork and collaboration-measured as task interdependence, quality of interactions and collaborative influence-did not differ significantly between Community Living Centers but did differ significantly across occupational groups. Moreover, staff members' experiences of teamwork and collaboration were positively associated with supportive organizational context and person-centered care.

Discussion: Our findings suggest that elements of organizational context are important to facilitating collaborative capacity. Additionally, investing in staffing, rewards, and person-centered care may improve teamwork.

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来源期刊
CiteScore
3.10
自引率
14.30%
发文量
15
期刊介绍: The International Journal of Care Coordination (formerly published as the International Journal of Care Pathways) provides an international forum for the latest scientific research in care coordination. The Journal publishes peer-reviewed original articles which describe basic research to a multidisciplinary field as well as other broader approaches and strategies hypothesized to improve care coordination. The Journal offers insightful overviews and reflections on innovation, underlying issues, and thought provoking opinion pieces in related fields. Articles from multidisciplinary fields are welcomed from leading health care academics and policy-makers. Published articles types include original research, reviews, guidelines papers, book reviews, and news items.
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