نوع مقاله: مقاله پژوهشی

نویسندگان

1 استادیار و عضو هیئت علمی، مرکز تحقیقات مراقبتهای روان جامعه نگر، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شیراز، شیراز، ایران

2 استاد و عضو هیئت علمی، مرکز تحقیقات سالمندی شیراز، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شیراز، شیراز، ایران

چکیده

مقدمه: همکاری بین حرفه ای از جمله استراتژی‌های کلیدی در ارتباطات محسوب می‌شود که خطاهای وارده بر بیمار را به حداقل می‌رساند. لذا سنجش آن به لحاظ سهیم شدن پزشکان و پرستاران در تصمیم‌گیری و همچنین تأثیر آن بر بیمار و کاهش ایجاد ناخوشی در وی اهمیت بسزایی دارد. این مطالعه با هدف تعیین رفتارهای بین حرفه‌ای پرستاران و پزشکان از دیدگاه پرستاران بخش‌های مراقبت ویژه انجام شد.مواد و روش: مطالعه از نوع مطالعه توصیفی مقطعی بود. نمونه گیری به صورت در دسترس انجام شد. 109 نفر از پرستاران شاغل در بخش‌های مراقبت ویژه دانشگاه علوم پزشکی شیراز در مطالعه شرکت کردند. پرسشنامه تعیین رفتار بین حرفه ای استیچلر در این مطالعه استفاده شد. داده‌ها با استفاده از نرم افزارSPSS ویرایش 22و از طریق آزمون تی مستقل، آزمون توکی، همبستگی پیرسون، آنالیز واریانس یکطرفه) تجریه و تحلیل شد.یافته‌ها: دیدگاه پرستاران مشارکت‌کننده در خصوص رفتارهای بین حرفه‌ای پزشکان و پرستاران در حد متوسط (میانگین=22/1±07/46) بود. تعـداد معدودی از پرستاران نیز این ارتباطات را در حد مطلوب یا نامطلوب گزارش کردند. بین رفتار بین حرفه‌ای پرستاران و بیمارستان محل اشتغال آن‌ها تفاوت وجود داشت (0001/0> Pو34/7=F).بحث و نتیجه‌گیری: نتایج مطالعه گویای متوسط بودن رفتارهای بین حرفه‌ای از دیدگاه پرستاران بود. لذا برنامه‌ریزی منسجمی در خصوص ارتقای رفتارهای بین حرفه ای الزام می‌یابد و در این راستا مواردی نظیر برگزاری کارگاه‌ها، دوره‌های آموزشی مشترک بین دانشجویان و اساتید گروه‌های پرستاری و پزشکی جهت شناخت رفتارهای بین حرفه‌ای توصیه می‌شود.

کلیدواژه‌ها

عنوان مقاله [English]

Nurses and Physicians’ Collaborative Behaviors in Intensive Care Units

نویسندگان [English]

  • Niloufar Pasyar 1
  • Farkhondeh Sharif 2
  • Masoumeh Rambod 1

1 PhD, Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran

2 PhD, Shiraz Geriatric Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran

چکیده [English]

Background: Collaboration is a basic strategy in relationships, which minimizes medical errors on patients. Therefore, it is measured in terms of engaging both physicians and nurses in decision-making, influencing patients, and minimizing the disease burden. This study aimed to analyze the perception of inter-professional relationship from the viewpoint of nurses working in Intensive Care Units (ICUs).
Method: This descriptive, cross-sectional study was conducted on 109 nurses working in ICUs at Shiraz University of Medical Sciences selected through convenience sampling. The data were collected using Stichler’s Collaborative Behavior Scale. Then, the data were entered into the SPSS statistical software (v. 22) and were analyzed using Tukey’s test, independent t-test, Pearson’s correlation, and one-way ANOVA.
Results: The nurses had dominantly a moderate viewpoint toward physician-nurse inter-professional behaviors (mean: 46.07±1.22). Besides, few nurses evaluated such behaviors as desirable or undesirable. Moreover, a significant relationship was observed between the nurses’ inter-professional behaviors and their workplace (F=7.34, P<0.0001).
Conclusion: The results revealed moderate intra-professional behaviors from the nurses’ viewpoints. Therefore, it is essential to design a comprehensive plan to promote inter-professional behaviors. In this context, holding workshops and training courses for nursing and medical professors as well as students is recommended to identify professional values.

کلیدواژه‌ها [English]

  • Nurse
  • Physician
  • Intensive care unit
  • Intersectional collaboration

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