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首页> 外文期刊>Journal of Health Services Research & Policy >Interprofessional collaboration in the hospital: strategies and meanings
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Interprofessional collaboration in the hospital: strategies and meanings

机译：医院内部的跨专业合作：策略和意义

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Objectives: Interprofessional collaboration is widely advocated in health and social care policies. However, existingnresearch provides a relatively poor understanding of how professionals collaborate or the meanings they attach tontheir collaborative work. This paper aims to contribute to understanding of this activity by providing an in-depthnaccount of interprofessional collaboration on medical wards in a large teaching hospital.nMethods: Ethnographic methods were used, including individual and group interviews with health and social carenstaff (i.e. doctors, nurses, therapists, social workers; n ?49) and participant observations of ward-based work.nResults: The organisation of medical teams, who cared for patients across a number of wards, and the taskorientednnature of medical work, limited opportunities for collaboration with other professionals (e.g. nurses,ntherapists) who were usually based on a single ward. Consequently, collaboration tended to be task-based, terse andnformalistic. Staff employed a range of informal and formal communication strategies to overcome these constraints.nProfessionals also gave contrasting accounts of collaboration: doctors viewed collaboration primarily as an activityninvolving work with their medical colleagues, whereas other professionals saw it more as an interprofessionalnactivity.nConclusions: Temporospatial constraints and contrasting notions of ‘collaboration’ are important factors innshaping the nature of interprofessional collaboration. Policies that promote this activity cannot assume that sharednunderstanding of collaboration exists. They also need to be mindful of the practical constraints that affectncollaboration in hospital wards.
机译：目标：在健康和社会护理政策中广泛提倡专业间合作。但是，现有研究对专业人员如何协作或他们对协作工作的意义了解得相对较差。本文旨在通过对大型教学医院内医疗病房的跨专业合作的深入了解，为了解这一活动做出贡献。n方法：使用人种学方法，包括对健康和社会陪伴人员（即医生，护士）的个人和小组访谈，治疗师，社会工作者； n？49）和参与者对病房工作的观察结果。n结果：医疗团队的组织，他们照顾多个病房的病人，以及医疗工作的任务导向性质，与其他人合作的机会有限通常基于一个病房的专业人员（例如护士，理疗师）。因此，协作倾向于基于任务，简洁和形式主义。员工采用了一系列非正式和正式的沟通策略来克服这些限制。n专业人士还给出了对比鲜明的协作说明：医生主要将协作视为与医务人员一起开展的一项活动，而其他专业人员则将协作更多地视为一种跨专业的活动。与“协作”概念形成鲜明对比是塑造跨行业协作本质的重要因素。促进该活动的策略不能假定存在对协作的共同理解。他们还需要注意影响医院病房合作的实际限制。

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