Quality of health care and interdisciplinary collaboration from the perspective of employees and patients

M. Šimec, Sabina Krsnik, K. Erjavec
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Abstract

Abstract Introduction. Cooperation in an interdisciplinary team is an important aspect of ensuring the quality and safety of patient care, although the interaction of individuals from different disciplines in the clinical environment can also be hampered by inadequate communication. Aim. This study attempts to fill the research gap and identify professionals’ perceptions of interdisciplinary collaboration and quality measures, the impact of interdisciplinary collaboration on the quality of care in a general hospital and clarify the perspective of patients and healthcare professionals. Material and methods. The case study was conducted using a survey of healthcare professionals (N = 150) and a qualitative approach by interviewing healthcare professionals (N = 47) and patients (N = 20). Results and conclusions. The results of the survey show that the nurses rated all the criteria of interdisciplinary cooperation and individual quality criteria the highest, and the quality of care in general the worst, as they were not satisfied with the implementation due to the lack of staff. The exchange of information did not affect the quality of care because organizational and national authorities did not sufficiently consider the views of staff. In in-depth interviews, patients rate teamwork as poor because they do not get enough explanation and do not feel treated as equal members of the medical team. In in-depth interviews, patients and healthcare professionals are aware of the lack of teamwork among themselves, as well as of the quality of care due to staff shortages in general and especially during the pandemic.
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从员工和患者的角度看医疗质量和跨学科合作
摘要 简介。跨学科团队的合作是确保病人护理质量和安全的一个重要方面,但来自不同学科的个人在临床环境中的互动也可能因沟通不足而受到阻碍。研究目的本研究试图填补研究空白,确定专业人员对跨学科合作和质量措施的看法、跨学科合作对综合医院护理质量的影响,并阐明患者和医护人员的观点。材料和方法。案例研究通过对医护专业人员(N = 150)进行调查,以及对医护专业人员(N = 47)和患者(N = 20)进行访谈的定性方法进行。结果和结论。调查结果显示,护士对跨学科合作的所有标准和单项质量标准的评分最高,对总体护理质量的评分最差,因为人手不足,他们对实施情况不满意。信息交流对护理质量没有影响,因为组织和国家当局没有充分考虑工作人员的意见。在深入访谈中,病人认为团队合作很差,因为他们没有得到足够的解释,也不觉得自己是医疗团队的平等成员。在深入访谈中,病人和医护专业人员都意识到他们之间缺乏团队合作,以及在一般情况下,特别是在大流行病期间,由于人员短缺而导致的护理质量问题。
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