关键词: Nurse practitioner collaboration general practitioner homecare services trust

来  源:   DOI:10.1080/02813432.2024.2381064

Abstract:
UNASSIGNED: Nurse practitioners (NPs) have recently been introduced in Norwegian homecare services. The NP role is still in an early implementation phase without standardized role descriptions. NPs are dependent on collaborating with general practitioners (GPs) in the care and treatment of patients. However, little is known about how NPs in Norway experience this collaboration. This study aims to explore how NPs working in homecare services describe their collaborative experiences with GPs, and what influence this collaboration.
UNASSIGNED: The study had a qualitative descriptive design, applying individual, semi structured interviews to generate data from five Norwegian nurse practitioners working in homecare services. Data were analyzed using systematic text condensation.
UNASSIGNED: The NPs had varied experiences regarding the collaboration with GPs. NPs stated their role as unclear, lacking standards and job descriptions. The NPs experienced that some GPs were uncertain about the NPs competence, which inhibited collaboration and restricted the NPs utilization of their full capability.NPs experienced a higher degree of collaboration with GPs they knew, and they indicated that trust was the key to facilitate collaboration. The NPs also noted the challenges of establishing relationships with GPs due to the lack of formal meetings and the physical separation of their workplaces.
UNASSIGNED: Interpersonal dynamics, organizational structures and systemic frameworks influenced the collaboration between GPs and NPs in homecare services. Trust was identified as an important prerequisite for collaboration.
摘要:
最近在挪威家庭护理服务中引入了护士从业人员(NPs)。NP角色仍处于早期实施阶段,没有标准化的角色描述。NP依赖于在患者的护理和治疗中与全科医生(GP)的合作。然而,对于挪威的NP如何体验这种合作知之甚少。这项研究旨在探索在家庭护理服务中工作的NP如何描述他们与全科医生的协作体验,以及是什么影响了这次合作。
这项研究采用了定性的描述性设计,申请个人,半结构化访谈,以生成来自五名从事家庭护理服务的挪威护士从业人员的数据。使用系统的文本凝聚对数据进行分析。
NPs在与GP的合作方面有不同的经验。NPs表示他们的角色不清楚,缺乏标准和工作描述。NPs经历了一些GP对NPs的能力不确定,这抑制了合作,限制了NP对其全部能力的利用。NPs与他们认识的全科医生的合作程度更高,他们表示信任是促进合作的关键。NPs还指出,由于缺乏正式会议和工作场所的实际分离,与全科医生建立关系面临挑战。
人际动态,组织结构和系统框架影响了GP和NP在家庭护理服务中的协作。信任被认为是合作的重要先决条件。
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