全球定位系统(GPs)、护士和医药公司在“主要护理”中具有主人之手:社会身份识别专家/家庭医生,职业护士和药房代表药品:基于社会身份方法的勘探

M. Weiss, Jo Platt, Ruth Riley, Susan Horrocks
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引用次数: 6

摘要

摘要采用社会认同方法探讨英国初级保健护士处方医师、药剂师处方医师和全科医生(gp)之间的专业间关系。我们调查了他们作为开处方者的社会身份,社会结构在实践环境中的影响以及对护士和药剂师开处方的进一步发展的影响。对来自英格兰南部初级保健的21名全科医生、护士开处方者和药剂师开处方者进行了访谈。五个主题出现了,包括一些护士和药剂师开处方的模棱两可的社会身份(“无人区”),约束的社会结构(“医生是国王”),全科医生的社会身份的内容(“微妙的处方”),护士和药剂师的社会身份的内容(“不仅仅是胜任”)和背景(“参与彼此的身份”)。在一些全科医生的实践中,人们愿意参与不同的社会身份,并在全科医生手术的组织背景下重新构建它们。在这些社会身份受到尊重和支持的场所,社会身份方法提供了洞察结果团队合作如何导致专注于多学科工作的共享实践身份。这项研究为如何增强和支持职业和组织身份提供了证据。此外,使用社会认同方法进行干预以改善患者护理的潜力。
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GPs, nurses and pharmacists as prescribers in primary care: an exploration using the social identity approach / Hausärzte/-innen, Diplomierte Pflegefachpersonen und Apotheker/-innen als Arzneimittelverschreiber/-innen: eine Exploration mit dem Ansatz der Sozialen Identität
Abstract The social identity approach was used to explore the inter-professional relations between nurse prescribers, pharmacist prescribers and general practitioners (GPs) in primary care in the United Kingdom. We investigated their social identities as prescribers, the influence of social structure in practice settings and the implications for further development of nurse and pharmacist prescribing. Interviews were conducted with 21 GPs, nurse prescribers and pharmacist prescribers in primary care from the south of England. Five themes emerged, including the ambiguous social identity of some nurse and pharmacist prescribers (‘a no man’s land’), constraining social structures (‘the doctor is king’), the content of GPs’ social identity (‘subtle prescribing’), the content of nurse and pharmacists’ social identity (‘more than just competent’) and context (‘engaging with each other’s identities’). At some GP practices, there was a willingness to engage with the different social identities and reframe them within the organisational context of a GP surgery. At these sites, where social identities were respected and supported, the social identity approach offered insight into how the resulting teamwork could lead to a shared practice identity focused on multi-disciplinary working. This research provides evidence of how professional and organisational identities can be enhanced and supported. Further, there is the potential for an intervention using the social identity approach to improve patient care.
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