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The Long Way Toward Cooperation: Nurses and Family Physicians in Northern Germany

机译：合作的漫长道路：德国北部的护士和家庭医生

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To better understand why cooperation between health care professionals is still often problematic, we carried out 25 semistructured face-to-face expert interviews with physicians and nurses in different rural and urban areas in northern Germany. Using Mayringa??s qualitative content analysis method to analyze the data collected, we found that doctors and nurses interpreted interprofessional conflicts differently. Nursing seems to be caught in a paradoxical situation: An increasing emphasis is placed on achieving interprofessional cooperation but the core areas of nursing practice are subject to increasing rationalization in the current climate of health care marketization. The subsequent and systematic devaluation of nursing work makes it difficult for physicians to acknowledge nursesa?? expertise. We suggest that to ameliorate interprofessional cooperation, nursing must insist on its own logic of action thereby promoting its professionalization; interprofessional cooperation cannot take place until nursing work is valued by all members of the health care system.
机译：为了更好地理解为什么医疗保健专业人员之间的合作仍然仍然存在问题，我们与德国北部不同城乡地区的医生和护士进行了25次半结构化的面对面专家访谈。使用Mayringa的定性内容分析方法来分析收集的数据，我们发现医生和护士对专业间冲突的理解不同。护理似乎陷入了一种自相矛盾的局面：越来越强调实现专业间的合作，但在当前医疗保健市场化的形势下，护理实践的核心领域越来越趋于合理化。随后和系统的护理工作贬值使医生很难承认护士。专业知识。我们建议，要改善跨专业合作，护理人员必须坚持自己的行动逻辑，从而促进其专业化;只有在医疗保健系统的所有成员都重视护理工作之前，才能开展专业合作。

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