Background: Care is a team effort that its continuity is not possible by a person alone. Nurses and physicians should have collaboration with other professions to solve care complex problems. Aim: We conducted a revie...Background: Care is a team effort that its continuity is not possible by a person alone. Nurses and physicians should have collaboration with other professions to solve care complex problems. Aim: We conducted a review of the literature to evaluate clinical nurses collaboration with other disciplines examined by qualitative approach. Method: We searched all articles that published from 1995 to 2014 in both English and Persian which had been performed interdisciplinary collaboration processes in the clinical nursing. These articles were done with qualitative approach for nurse’s collaboration with other disciplines. We searched using databases of Proquest, Scopus, pub Med, Science Direct, and Iranian databases of Sid, Magiran, Iran Medex. This review was performed using keywords matching with MESH terms such as interdisciplinary relations, nurse-physician relations, care team, collaboration, and their Persian equivalents at the first separately and then with AND/OR as combination. In most studies, the main structure was three components of collaboration process, context of collaboration and consequences that they were emphasized. Results & Conclusions: However context and processes were different but most studies reported outcomes similarity of interdisciplinary collaboration. Thus to achieve common goals between different disciplines working together is essential for effective care in clinical settings.展开更多
目的系统评价医生-护士-药师协作干预心血管疾病患者治疗效果。方法计算机检索MEDLINE,EMbase,CENTRAL,Wan Fang,CNKI,VIP数据库,查找医生-护士-药师协作干预心血管疾病患者的随机对照试验(RCT),检索时限截至2015年3月。采用Rev Man 5....目的系统评价医生-护士-药师协作干预心血管疾病患者治疗效果。方法计算机检索MEDLINE,EMbase,CENTRAL,Wan Fang,CNKI,VIP数据库,查找医生-护士-药师协作干预心血管疾病患者的随机对照试验(RCT),检索时限截至2015年3月。采用Rev Man 5.3.0软件进行Meta分析。结果最终纳入12个RCT。协作组较常规组显著降低患者收缩压和舒张压[RR=-0.41,95%CI(-0.68,-0.14),P=0.003]和[RR=-0.10,95%CI(-0.14,-0.06),P<0.000 01];协作组较常规组显著降低患者的总胆固醇[RR=-0.44,95%CI(-0.72,-0.16),P=0.002]。两组患者的病死率和住院率,差异无统计学意义(P>0.05)。结论医生-护士-药师协作对于心血管疾病患者的血压和血脂控制有效,但远期疗效有待更多高质量、大样本、长期随访的RCT加以验证。展开更多
目的:探究"医-药-护"多方协作提高重症监护病房患者肠外营养液规范应用水平的效果。方法:选取2017年3月至2018年3月在哈尔滨医科大学附属第一医院重症加强护理病房(intensive care unit,ICU)接受肠外营养的危重症患者124例,...目的:探究"医-药-护"多方协作提高重症监护病房患者肠外营养液规范应用水平的效果。方法:选取2017年3月至2018年3月在哈尔滨医科大学附属第一医院重症加强护理病房(intensive care unit,ICU)接受肠外营养的危重症患者124例,按照随机数表法分为观察组和对照组,每组62例。对照组患者采用ICU肠外营养常规治疗及护理方法,观察组在对照组的基础上采用"医-药-护"多方协作的方法。比较两组患者的血红蛋白、前白蛋白、白蛋白及软铁蛋白等指标水平变化情况,感染、操作不当导致的气胸、代谢性并发症等并发症发生情况和护理满意度。结果:干预后,观察组患者平均血红蛋白、前白蛋白、白蛋白及软铁蛋白水平分别为(121.23±13.25)、(0.26±0.07)、(36.80±5.69)及(1.98±0.39) g/L,均明显高于对照组的(117.82±12.91)、(0.23±0.08)、(35.17±4.70)及(1.62±0.32) g/L,差异均有统计学意义(P<0.05);观察组患者并发症发生率为8.06%(5/62),明显低于对照组的25.81%(16/62),差异有统计学意义(P<0.05);观察组患者总体护理满意度为88.71%(55/62),明显高于对照组的74.19%(46/62),差异有统计学意义(P<0.05)。结论:"医-药-护"多方协作可以有效提高ICU使用肠外营养液患者的营养指标水平,降低并发症发生率,提高患者满意度。展开更多
文摘Background: Care is a team effort that its continuity is not possible by a person alone. Nurses and physicians should have collaboration with other professions to solve care complex problems. Aim: We conducted a review of the literature to evaluate clinical nurses collaboration with other disciplines examined by qualitative approach. Method: We searched all articles that published from 1995 to 2014 in both English and Persian which had been performed interdisciplinary collaboration processes in the clinical nursing. These articles were done with qualitative approach for nurse’s collaboration with other disciplines. We searched using databases of Proquest, Scopus, pub Med, Science Direct, and Iranian databases of Sid, Magiran, Iran Medex. This review was performed using keywords matching with MESH terms such as interdisciplinary relations, nurse-physician relations, care team, collaboration, and their Persian equivalents at the first separately and then with AND/OR as combination. In most studies, the main structure was three components of collaboration process, context of collaboration and consequences that they were emphasized. Results & Conclusions: However context and processes were different but most studies reported outcomes similarity of interdisciplinary collaboration. Thus to achieve common goals between different disciplines working together is essential for effective care in clinical settings.
文摘目的系统评价医生-护士-药师协作干预心血管疾病患者治疗效果。方法计算机检索MEDLINE,EMbase,CENTRAL,Wan Fang,CNKI,VIP数据库,查找医生-护士-药师协作干预心血管疾病患者的随机对照试验(RCT),检索时限截至2015年3月。采用Rev Man 5.3.0软件进行Meta分析。结果最终纳入12个RCT。协作组较常规组显著降低患者收缩压和舒张压[RR=-0.41,95%CI(-0.68,-0.14),P=0.003]和[RR=-0.10,95%CI(-0.14,-0.06),P<0.000 01];协作组较常规组显著降低患者的总胆固醇[RR=-0.44,95%CI(-0.72,-0.16),P=0.002]。两组患者的病死率和住院率,差异无统计学意义(P>0.05)。结论医生-护士-药师协作对于心血管疾病患者的血压和血脂控制有效,但远期疗效有待更多高质量、大样本、长期随访的RCT加以验证。
文摘目的:探究"医-药-护"多方协作提高重症监护病房患者肠外营养液规范应用水平的效果。方法:选取2017年3月至2018年3月在哈尔滨医科大学附属第一医院重症加强护理病房(intensive care unit,ICU)接受肠外营养的危重症患者124例,按照随机数表法分为观察组和对照组,每组62例。对照组患者采用ICU肠外营养常规治疗及护理方法,观察组在对照组的基础上采用"医-药-护"多方协作的方法。比较两组患者的血红蛋白、前白蛋白、白蛋白及软铁蛋白等指标水平变化情况,感染、操作不当导致的气胸、代谢性并发症等并发症发生情况和护理满意度。结果:干预后,观察组患者平均血红蛋白、前白蛋白、白蛋白及软铁蛋白水平分别为(121.23±13.25)、(0.26±0.07)、(36.80±5.69)及(1.98±0.39) g/L,均明显高于对照组的(117.82±12.91)、(0.23±0.08)、(35.17±4.70)及(1.62±0.32) g/L,差异均有统计学意义(P<0.05);观察组患者并发症发生率为8.06%(5/62),明显低于对照组的25.81%(16/62),差异有统计学意义(P<0.05);观察组患者总体护理满意度为88.71%(55/62),明显高于对照组的74.19%(46/62),差异有统计学意义(P<0.05)。结论:"医-药-护"多方协作可以有效提高ICU使用肠外营养液患者的营养指标水平,降低并发症发生率,提高患者满意度。
