CAJ | 학술논문

目的为了提高医务人员合作意识和工作质量,增加病人和家属的满意度,对医护人员进行医护临床合作行为感知的调查及影响因素的研究.方法对哈尔滨医科大学附属第二临床医学院的医生和护理人员共200名,采用自行设计问卷和临床实务合作量表进行调查.结果医生和护理人员的临床合作行为总分皆处于中上等水平,2组比较差异无统计学意义(P＞0.05).护理人员在与医生沟通医嘱、明确责任、向医生提供护理建议等方面得分较高;医生在明确自身责任、站在护理角度看问题、主动沟通护理措施等方面得分较高;而医护人员在"共同讨论医疗护理知识"的得分皆为最低.所在科室、管理者重视合作的程度、医护配置合理度、合作意愿,是影响护士临床合作行为的因素;职称、所在科室、角色期望、文化程度、合作意愿对医生临床合作行为有影响.结论医生和护理人员的临床合作需要进一步加强,应该更注重在双方知识与信息的沟通的基础上互相理解支持对方的工作,为患者提供高质量的医疗护理服务.
목적 위료제고의무인원합작의식화공작질량,증가병인화가속적만의도,대의호인원진 행의호림상합작행위감지적조사급영향인소적연구.방법 대합이빈의과대학부속제이림상의학원적의생화호리인원공200명,채용자행설계문권화림상실무합작량표진행조사.결과 의생화호리인원적림상합작행위총분개처우중상등수평,2조비교차이무통계학의의(P＞0.05).호리인원재여의생구통의촉、명학책임、향의생제공호리건의등방면득분교고;의생재명학자신책임、참재호리각도간문제、주동구통호리조시등방면득분교고;이의호인원재"공동토론의료호리지식"적득분개위최저.소재과실、관리자중시합작적정도、의호배치합리도、합작의원,시영향호사림상합작행위적인소;직칭、소재과실、각색기망、문화정도、합작의원대의생림상합작행위유영향.결론 의생화호리인원적림상합작수요진일보가강,응해경주중재쌍방지식여신식적구통적기출상호상리해지지대방적공작,위환자제공고질량적의료호리복무.
Objective To raise awareness of nurse-doctor cooperation and quality of work, and to increase patient satisfaction, perception of clinical cooperation behaviors of doctors and nurses and corresponding influencing factors were investigated. Methods A total of 200 doctors and nurses in the second affiliated hospital of Harbin medical university were investigated with self-designed questionnaires and Collaborative Practice Scale (CPS). Results Total scores of clinical cooperation behaviors of the doctors and the nurses were both at upper-middle levels , with no significant difference between the two groups (P ＞ 0. 05 ). Nurses got higher scores on communicating with doctors on medical orders, clarifying responsibilities and providing nursing suggestions etc; Doctors got higher scores on clarifying self-responsibilities, looking at problems from nurses' perspective, communicating with nurses about nursing measures etc. However, both nurses and doctors got lowest scores on discussing health-care knowledge together. Factors influencing nurses' clinical cooperation behaviors included sections, the extent the administrative personnel attached importance to cooperation,rationality of human source configuration and cooperation willingness. Sections, titles, role expectations,education levels and cooperation willingness were the influencing factors of doctors' clinical cooperation behaviors. Conclusions Clinical cooperation of doctors and nurses should be further strengthened. In order to provide a high-quality health-care service, more attention should be paid to mutual understanding and supporting based on communication of knowledge and information.