脑卒中康复团队沟通合作的质性研究

doi:10.3969/j.issn.1006-9771.2023.12.012

Abstract

Abstract:

Objective To explore the obstacles and causes of communication and cooperation among doctors, nurses and rehabilitation therapists in a stroke rehabilitation team.

Methods From July to October, 2022, twelve rehabilitation evaluation meetings were observed using ethnographic research, based on Shared Mental Model theory. Semi-structured interviews were held with five doctors, ten nurses and four rehabilitation therapists.

Results Four themes and nine sub-themes were presented, namely equipment (poor interoperability of information system, limited knowledge of rehabilitation equipment for doctors and nurses), task (members were under time pressure to attend meeting, imperfect inter-discipline communication system), team interaction (insufficient information sharing, unfamiliar with roles/responsibilities, misunderstanding between specialties) and team member (less participation of nurses, limited multidisciplinary knowledge).

Conclusion The communication and cooperation among stroke rehabilitation team members is limited by many factors, such as equipment, task, team interaction and team members. It is suggested to improve interoperability of information systems, create a supportive environment, know each other's roles/responsibilities, strengthen interdisciplinary crossover, pay attention to and support the cultivation of nurses' ability, to promote efficient communication and cooperation among team members.

Key words: rehabilitation team, communication, cooperation, Shared Mental Model, rehabilitation evaluation meeting, stroke, qualitative research

CLC Number:

R743.3

WANG Xiaohe, XIAO Shuqin, ZHANG Lu. Communication and cooperation within a stroke rehabilitation team: a qualitative research[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(12): 1473-1480.

Figures/Tables 2

References 26

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编号	年龄/岁	学历	职称/职务	工作年限/年
D1	34	博士	主治医师/无	9
D2	39	博士	副主任医师/无	12
D3	41	博士	主治医师/无	12
D4	40	博士	主治医师/无	8
D5	36	博士	主治医师/无	7
N1	25	大专	护师/无	7
N2	27	大专	护师/无	6
N3	40	本科	主管护师/护士长	17
N4	36	本科	主管护师/质控护士长	15
N5	45	本科	主管护师/护理部主任	20
N6	35	本科	主管护师/无	12
N7	35	本科	主管护师/无	12
N8	34	本科	主管护师/无	8
N9	36	本科	主管护师/无	11
N10	37	本科	主管护师/无	14
R1	40	本科	主管治疗师/无	15
R2	38	硕士	主管治疗师/无	14
R3	40	本科	主管治疗师/无	12
R4	32	硕士	主管治疗师/无	8

Communication and cooperation within a stroke rehabilitation team: a qualitative research

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