社区肢体康复护理协调的质性研究

IF 0.8 Q4 NURSING
J. Symons, Julie Jamison, Jane Dening, L. Murray, Sue Pearson
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引用次数: 2

摘要

本研究探讨影响社区肢体康复服务有效照护协调的因素。回答的两个研究问题是“什么是有效的护理协调?”以及“障碍和促成因素是什么?”方法本定性研究受跨专业技能框架的影响,在澳大利亚的一个区域服务中进行。参与者为35名专职健康、护理和客户管理团队成员。个人访谈、小组观察和焦点小组生成数据。本文将介绍描述性专题分析的方法和结果。结果:护理协调源于一套非正式和正式的工具,使患者的康复过程更加顺利。有效性和效率与以客户为中心,整体,灵活而一致的护理协调方法一起寻求。所有员工都承担了与其管理、临床或行政支持角色相关的护理协调工作。许多人和过程的参与需要有效的团队合作,特别是沟通、协作、协调和对涉众差异的导航。护理协调的障碍和推动因素是服务的资源,包括综合工作空间、运输和通信系统,以及个人的资源,包括临床推理技能,以及对护理协调和康复的熟悉和购买。工作人员认为护理协调是康复工作的重要组成部分,所有工作人员都有责任分担。利益相关者需要额外的时间和支持来制定其指定的护理协调角色。有效的护理协调要求工作人员在跨专业协作方面接受培训和胜任。需要有效使用和鼓励问责制的制度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A qualitative study of care coordination in community physical rehabilitation
Introduction This study explored the factors influencing effective care coordination in a community physical rehabilitation service. The two research questions answered were “What was effective care coordination?” and “What were the barriers and enablers?” Methods This qualitative study, influenced by an interprofessional skill framework, was conducted in a regional service in Australia. Participants were 35 allied health, nursing, and client administration team members. Individual interviews, group observations, and focus groups generated data. This article will present the descriptive thematic analysis method and results. Results Care coordination resulted from a suite of informal and formal tools that smoothed the client’s rehabilitation journey. Effectiveness and efficiency were sought alongside client-centred, holistic, and flexible yet consistent approaches to care coordination. All staff undertook care coordination relevant to their managerial, clinical, or administration support roles. The involvement of many people and processes required effective teamwork, notably communication, collaboration, coordination, and navigation of stakeholder differences. The barriers to and enablers of care coordination were the service’s resources including integrated workspaces, transport and communication systems, and the individuals’ resources including clinical reasoning skills in, and familiarity and buy in with care coordination and rehabilitation. Discussion Staff viewed care coordination as an integral and valued part of rehabilitation, with some responsibilities shared by all staff. Additional time and support were required for stakeholders to enact their assigned care coordination roles. Effective care coordination required staff to be trained and competent in interprofessional collaboration. Systems that were efficient to use and encouraged accountability were desired.
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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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