Enabling interprofessional collaboration in delirium management / Interprofessionelle Zusammenarbeit im Delir-Management gestalten

Andrea Moser, Uta Grosse, Susanne Knüppel Lauener
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引用次数: 2

Abstract

Abstract Introduction Interprofessional collaboration (IPC) is dependent on different expectations and communication styles. IPC is a meaningful approach to accomplish treatment goals, especially in patients with delirium. Delirium affects approximately 50 % of patients older than 65 years in acute care settings. The constant attention and effort needed to care for patients suffering from delirium is challenging and cannot be provided by one profession alone. Instead, there is a need for IPC. Aim This study aims to analyse the structure of IPC in the treatment of patients suffering from delirium. Method Data was collected by conducting three group interviews and six individual interviews with members of different professions in an acute care hospital, and analysed by Charmaz's (2014) grounded theory approach. Results A model called enabling IPC in delirium management was developed. This model shows how mutual respect and appreciation, being in dialog and dealing with challenges in IPC interact with each other and also affect each other. Mutual respect and appreciation are common baseline values that have a pivotal effect on the dialog between professions and the management of IPC challenges. Being in dialog and dealing with challenges in IPC are essential values for enabling IPC, as well as mutual respect and appreciation. Conclusion Mutual respect and appreciation is fundamental for enabling IPC in the treatment of patients suffering from delirium. Interprofessional education, structured interprofessional care conferences and standardised communication can offer opportunities to foster mutual respect and appreciation which, in turn enable IPC.
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国际技巧管理/专业合作学院
跨专业合作(IPC)依赖于不同的期望和沟通方式。IPC是实现治疗目标的有意义的方法,特别是对谵妄患者。谵妄影响大约50%的65岁以上的患者在急性护理设置。持续的关注和努力需要照顾谵妄患者是具有挑战性的,不能由一个专业单独提供。相反,我们需要IPC。目的分析IPC在谵妄患者治疗中的结构。方法采用Charmaz(2014)扎根理论方法,对某急症护理医院不同专业人员进行3次小组访谈和6次个人访谈,收集数据。结果建立了谵妄管理中启用IPC的模型。这个模式展示了IPC中相互尊重和欣赏、对话和应对挑战是如何相互影响的。相互尊重和欣赏是共同的基本价值观,对专业人员之间的对话和IPC挑战的管理具有关键作用。在IPC中进行对话和应对挑战是实现IPC的基本价值观,以及相互尊重和欣赏。结论相互尊重和欣赏是IPC治疗谵妄患者的基础。跨专业教育、结构化的跨专业护理会议和标准化的沟通可以提供促进相互尊重和欣赏的机会,从而促进IPC的发展。
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