• 【合作促进影响: 使用基于艺术的方法共同创建劳动力发展工具包。】 复制标题 收藏 收藏
    DOI:10.5334/ijic.5377 复制DOI
    作者列表:Rayment J,Sidhu M,Wright P,Brown P,Greenfield S,Jeffreys S,Gale N
    BACKGROUND & AIMS: Introduction:The identification, communication and management of health risk is a core task of Community Health Workers who operate at the boundaries of community and primary care, often through not-for-profit community interest companies. However, there are few opportunities or resources for workforce development. Publicly funded researchers have an obligation to be useful to the public and furthermore, university funding is increasingly contingent on demonstrating the social impact of academic research. Collaborative work with participants and other stakeholders can have reciprocal benefits to all but may be daunting to some researchers, unused to such approaches. Methods:This case study is an account of the co-creation of a (freely accessible) workforce development toolkit, as part of a collaboration between academics, community interest companies, patients and services users and arts practitioners. Results:Our collaborative group produced three short films, fictionalising encounters between Community Health Workers and their clients. These were used within a series of five discussion-led workshops with facilitator guidance to explore issues generated by the films. Two collaborating community-based, not-for-profit organisations piloted the toolkit before its launch. Conclusion:We aim to encourage other academics to maximise the impact of their own research through collaborative projects with those outside of academia, including research participants and to consider the potential value of arts-based approaches to explore and facilitate reflection on complex tasks and tensions that make up daily work practices. Whilst publication of findings from such projects may be commonplace, accounts of the process are unusual. This detailed account highlights some of the benefits and challenges involved.
    背景与目标:
  • 【实施减少导管相关尿路感染的国家计划: 州立医院协会,学术医疗中心,专业协会和政府机构的质量改进合作。】 复制标题 收藏 收藏
    DOI:10.1086/673149 复制DOI
    作者列表:Fakih MG,George C,Edson BS,Goeschel CA,Saint S
    BACKGROUND & AIMS: :Catheter-associated urinary tract infection (CAUTI) represents a significant proportion of healthcare-associated infections (HAIs). The US Department of Health and Human Services issued a plan to reduce HAIs with a target 25% reduction of CAUTI by 2013. Michigan's successful collaborative to reduce unnecessary use of urinary catheters and CAUTI was based on a partnership between diverse hospitals, the state hospital association (SHA), and academic medical centers. Taking the lessons learned from Michigan, we are now spreading this work throughout the 50 states. This national spread leverages the expertise of different groups and organizations for the unified goal of reducing catheter-related harm. The key components of the project are (1) centralized coordination of the effort and dissemination of information to SHAs and hospitals, (2) data collection based on established definitions and approaches, (3) focused guidance on the technical practices that will prevent CAUTI, (4) emphasis on understanding the socioadaptive aspects (both the general, unit-wide issues and CAUTI-specific challenges), and (5) partnering with specialty organizations and governmental agencies who have expertise in the relevant subject area. The work may serve in the future as a model for other large improvement efforts to address other hospital-acquired conditions, such as venous thromboembolism and falls.
    背景与目标: : 导管相关尿路感染 (CAUTI) 在医疗保健相关感染 (HAIs) 中占很大比例。美国卫生与公共服务部发布了一项减少HAIs的计划,目标是25% 减少CAUTI 2013年。密歇根州成功地合作减少了不必要的导尿管和CAUTI的使用,这是基于多元化医院,州立医院协会 (SHA) 和学术医疗中心之间的合作伙伴关系。借鉴密歇根州的经验教训,我们现在将这项工作推广到50个州。这种全国性的传播利用了不同团体和组织的专业知识,以实现减少导管相关危害的统一目标。该项目的关键组成部分是 (1) 集中协调工作并向SHAs和医院传播信息,(2) 基于既定定义和方法的数据收集,(3) 重点指导将防止CAUTI的技术实践,(4) 强调了解社会适应性方面 (包括一般的,整个单位范围的问题和特定于CAUTI的挑战),以及 (5) 与在相关主题领域具有专业知识的专业组织和政府机构合作。这项工作将来可能会成为其他大型改进工作的典范,以解决其他医院获得的疾病,例如静脉血栓栓塞和跌倒。
  • 【客户对心理治疗纠正经验的回顾性分析: 国际、多站点合作。】 复制标题 收藏 收藏
    DOI:10.1002/jclp.22427 复制DOI
    作者列表:Constantino MJ,Angus L
    BACKGROUND & AIMS: :This article introduces a series of 4 original research reports that used varied qualitative methods for understanding an internationally diverse sample of clients' own accounts of corrective experiences (CEs), as they looked back on their completed psychotherapy. The basis for all studies, which were conducted across 4 different countries, was the Patients' Perceptions of Corrective Experiences in Individual Therapy (PPCEIT) semistructured interview protocol (Constantino, Angus, Friedlander, Messer, & Moertl, 2011). The PPCEIT interview assesses clients' retrospective accounts of aspects of self, other, and/or relationships that may have been corrected, and what they perceived as corrective experiences that facilitated such transformations. It also asks for specific, detailed examples of these accounts and experiences. Across all studies, the PPCEIT interview generated rich clinical material and resulting empirically generated themes that may inform clinical practice. After briefly defining the CE construct and highlighting a lack of research on clients' own accounts of such experiences, we describe the development of the PPCEIT interview (and provide the full interview manual and question protocol as appendices). We then summarize the foci of the culturally diverse reports in this series.
    背景与目标: : 本文介绍了一系列4份原始研究报告,这些报告使用了各种定性方法来了解客户自己的纠正经验 (CEs) 的国际样本,因为他们回顾了他们完成的心理治疗。在4个不同国家进行的所有研究的基础是患者对个体治疗 (PPCEIT) 半结构化访谈协议 (Constantino,Angus,Friedlander,Messer和Moertl,2011) 中纠正经验的看法。PPCEIT访谈评估了客户对自我,其他和/或关系的方面的回顾性描述,这些方面可能已得到纠正,以及他们认为是促进这种转变的纠正性经历。它还要求提供这些说明和经验的具体、详细的例子。在所有研究中,PPCEIT访谈产生了丰富的临床材料,并根据经验产生了可能为临床实践提供信息的主题。在简要定义CE结构并强调缺乏对客户自己的此类经验的研究之后,我们描述了PPCEIT访谈的发展 (并提供完整的访谈手册和问题协议作为附录)。然后,我们总结了本系列中不同文化报道的重点。
  • 【Cockcroft-Gault的性能,肾脏疾病研究中的饮食改良和慢性肾脏疾病流行病学协作方程在预测庆大霉素清除率中的作用。】 复制标题 收藏 收藏
    DOI:10.1177/0004563213492320 复制DOI
    作者列表:Chin PK,Florkowski CM,Begg EJ
    BACKGROUND & AIMS: BACKGROUND:It is unclear which renal function equation, employing an isotope dilution mass spectrometry (IDMS)-aligned creatinine assay, best predicts gentamicin clearance. METHODS:The performances of the Cockcroft-Gault, Modification of Diet in Renal Disease (MDRD) Study and Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equations for predicting gentamicin clearances were assessed retrospectively in 240 patients treated with gentamicin during 2011-2012, when the local creatinine assay was IDMS-aligned. Comparisons were based on the percentage within 30% of gentamicin clearance (P 30) and the root-mean-square error (RMSE) of each equation. Gentamicin clearance was calculated from plasma concentrations using a one-compartment model. RESULTS:The Cockcroft-Gault equation and the CKD-EPI equation corrected for individual body surface area (BSA) were associated with the highest P 30 (69% and 67%, respectively) and lowest RMSE (39 and 36 mL/min, respectively) in the 240 patients. Correction for individual BSA improved the performances of the MDRD Study and CKD-EPI equations in patients with body mass indices <18.5 or ≥30 kg/m(2). The equations systematically underestimated gentamicin clearance as gentamicin clearance increased, with performance being inferior with gentamicin clearance ≥90 versus <90 mL/min. CONCLUSIONS:The CKD-EPI equation corrected for individual BSA, and the Cockcroft-Gault equation, provided the best estimates of gentamicin clearance. The CKD-EPI and MDRD Study equations should be corrected for individual BSA at the extremes of body size, if used for guiding gentamicin therapy. The performances of the equations were inferior in patients with higher values of gentamicin clearance.
    背景与目标:
  • 【皮肤病的有效合作始于医学教育。】 复制标题 收藏 收藏
    DOI:10.1097/ACM.0000000000001598 复制DOI
    作者列表:Hussain A,Kaiser R
    BACKGROUND & AIMS: -2
    背景与目标: -2
  • 【谁从国际结核病合作中获益?】 复制标题 收藏 收藏
    DOI: 复制DOI
    作者列表:Rieder HL
    BACKGROUND & AIMS: -2
    背景与目标: -2
  • 【国家结核病课程联盟: 多学科教育合作的模式。】 复制标题 收藏 收藏
    DOI: 复制DOI
    作者列表:Harrity S,Jackson M,Hoffman H,Catanzaro A
    BACKGROUND & AIMS: :The National Tuberculosis Curriculum Consortium (NTCC) seeks to instill knowledge, skills, and appropriate attitudes in the management and control of tuberculosis (TB) among students in the health professions. Unlike other organizations that have produced quality educational materials aimed at practicing clinicians, public health workers, and the general public, the NTCC is primarily focused on undergraduate and graduate education. The NTCC includes geographically disparate faculty from schools of medicine, nursing, pharmacy, public health, respiratory therapy, clinical laboratory sciences, and physician assistant who are experts in the areas of TB, curriculum development, and educational computing. Collaboration occurs through meetings, phone conferences and an innovative web portal that provides a work zone used to develop, organize, and archive products and resources. A critical accomplishment of the Consortium has been the development of core competencies for TB education for graduates in each of the health care disciplines. Those for medical schools are presented in this article. Current NTCC efforts are directed at developing interactive materials for TB education that can be accessed by multi-disciplinary faculty, nationally and abroad. The collaborative effort of the NTCC serves as a model for future endeavors to strengthen curricula, particularly pertaining to health concerns that are best served by multi-disciplinary approaches.
    背景与目标: : 国家结核病课程联盟 (NTCC) 旨在向卫生专业的学生灌输知识,技能和适当的态度来管理和控制结核病 (TB)。与其他组织制作了针对临床医生,公共卫生工作者和公众的高质量教育材料的组织不同,NTCC主要专注于本科和研究生教育。NTCC包括来自医学,护理,药学,公共卫生,呼吸治疗,临床实验室科学和医师助理学院的地理位置不同的教师,他们是结核病,课程开发和教育计算领域的专家。通过会议,电话会议和创新的web门户进行协作,该门户提供了用于开发,组织和存档产品和资源的工作区。该联盟的一项重要成就是为每个卫生保健学科的毕业生开发了结核病教育的核心能力。本文介绍了医学院的那些。NTCC当前的工作旨在开发用于结核病教育的交互式材料,国内外的多学科教师都可以使用这些材料。NTCC的合作努力是未来努力加强课程的典范,特别是与多学科方法最能解决的健康问题有关的课程。
  • 【学术和临床实践伙伴关系模型: 合作进行RNs的学士学位准备。】 复制标题 收藏 收藏
    DOI:10.3928/01484834-20200323-05 复制DOI
    作者列表:Petges N,Sabio C,Hickey K
    BACKGROUND & AIMS: BACKGROUND:In response to the call for a baccalaureate-prepared nursing workforce versed in enhanced critical thinking, clinical judgment, and complex decision making, an innovative and highly accessible model for developing academic and clinical practice partnerships among stake-holders in nursing education was developed and implemented. METHOD:Participatory action research informed the qualitative research methodology for implementing the model. The model allows for a number of data collection points to ensure the needs and concerns of stakeholders were considered. RESULTS:Implementation of the model resulted in six new academic partnership agreements and two new clinical practice partnerships. CONCLUSION:Academic and clinical practice partnerships are integral to fostering mutual respect among stakeholder institutions, enhancing collaboration toward evidence-based practice and joint research efforts, and creating seamless pathways to academic progression in the nursing profession. Such collaborative efforts are paramount to easing the barriers to baccalaureate and advanced-degree preparation in nursing. [J Nurs Educ. 2020;59(4):203-209.].
    背景与目标:
  • 【教育、精神卫生和公共卫生系统之间的合作,以促进青年精神卫生。】 复制标题 收藏 收藏
    DOI:10.1176/appi.ps.52.10.1348 复制DOI
    作者列表:Weist MD,Lowie JA,Flaherty LT,Pruitt D
    BACKGROUND & AIMS: :The authors discuss the growing movement in the United States to develop expanded school mental health programs. These programs represent partnerships between schools and community mental health agencies to expand the range of mental health services provided by schools. Such programs emphasize effective prevention, assessment, and intervention. The authors describe efforts that have been undertaken to improve the fragmented and incomplete nature of children's services and to proactively identify and address children's emotional and behavioral problems. They also discuss a strategy to improve youth mental health programs, which includes needs assessments and an analysis of existing programs in a community. They describe the augmenting roles played by the mental health and public health systems in expanding and improving school-based mental health services. The authors outline steps to minimize or avoid the turfism and negative attitudes that may arise among professionals from different disciplines when they collaborate to expand and improve school-based programs.
    背景与目标: 作者讨论了美国发展扩大学校精神卫生项目的日益增长的运动。这些方案代表了学校和社区精神卫生机构之间的伙伴关系,以扩大学校提供的精神卫生服务的范围。此类计划强调有效的预防,评估和干预。作者描述了为改善儿童服务的零散和不完整的性质以及主动识别和解决儿童的情感和行为问题所做的努力。他们还讨论了改善青年精神卫生计划的战略,其中包括需求评估和对社区现有计划的分析。他们描述了精神卫生和公共卫生系统在扩大和改善校本精神卫生服务方面发挥的增强作用。作者概述了一些步骤,以最大程度地减少或避免来自不同学科的专业人员在合作以扩大和改善学校课程时可能出现的草皮主义和消极态度。
  • 【“DGPPN队列”: 德国精神病学和心理治疗协会 (DGPPN) 的一项国家合作计划,旨在建立大规模的精神病患者队列。】 复制标题 收藏 收藏
    DOI:10.1007/s00406-013-0401-8 复制DOI
    作者列表:
    BACKGROUND & AIMS: :The German Association for Psychiatry and Psychotherapy (DGPPN) has committed itself to establish a prospective national cohort of patients with major psychiatric disorders, the so-called DGPPN-Cohort. This project will enable the scientific exploitation of high-quality data and biomaterial from psychiatric patients for research. It will be set up using harmonised data sets and procedures for sample generation and guided by transparent rules for data access and data sharing regarding the central research database. While the main focus lies on biological research, it will be open to all kinds of scientific investigations, including epidemiological, clinical or health-service research.
    背景与目标: : 德国精神病学和心理治疗协会 (DGPPN) 已承诺建立一个前瞻性的全国主要精神疾病患者队列,即所谓的DGPPN队列。该项目将使精神病患者的高质量数据和生物材料的科学开发用于研究。它将使用统一的数据集和样本生成程序进行设置,并以有关中央研究数据库的数据访问和数据共享的透明规则为指导。虽然主要重点是生物学研究,但它将对各种科学调查开放,包括流行病学,临床或卫生服务研究。
  • 【挪威市政当局的公共卫生护理和专业间合作: 一项问卷研究。】 复制标题 收藏 收藏
    DOI:10.1111/j.1471-6712.2012.01079.x 复制DOI
    作者列表:Clancy A,Gressnes T,Svensson T
    BACKGROUND & AIMS: :The purpose of this study was to examine collaboration relating to public health nursing in different sized Norwegian municipalities. It sought to gain insight into factors that are important for successful collaboration, frequency of meeting points for collaborating activities and missing professionals in different sized municipalities. A cross-sectional e-post questionnaire study was carried out on a national sample of public health nurses and their collaborators. A total of 849 public health nurses (43.64%), 113 doctors at clinics and school health services (54.8%), 519 child protection workers (16.34%) and 115 midwives (41.3%) returned the questionnaire. The data were analysed using descriptive and inferential statistics. Analysis of variance (anova), Kruskal-Wallis H and chi-square tests were used to tests differences between groups. Trust, respect and collaborative competence were ranked highest by all the respondents and formalised structures, economy and leadership ranked least important in collaborative activity. The majority of the respondents stated that they do not have fewer meeting points compared with 5 years ago. Collaboration with mental health services was missed most by all respondents. There were associations between frequency of meeting points and statements on collaboration related to municipality size. Norway is in the throes of a major coordination reform. The fact that relational factors were deemed most important for successful collaboration is an important finding at a time when focus is on structural change. The findings indicate the need for further in depth qualitative studies on reasons for 'missing collaborators,' on professional cultures in different sized municipalities and on interpersonal relationships. Qualitative enquiry is necessary to gain a greater understanding of how relational concepts of respect, trust and conflict are understood by municipal public health professionals.
    背景与目标: : 这项研究的目的是研究挪威不同规模城市中与公共卫生护理有关的合作。它试图深入了解对成功合作至关重要的因素、合作活动集合点的频率以及不同规模城市的专业人员失踪。对全国公共卫生护士及其合作者进行了横断面电子邮件问卷调查。共有849名公共卫生护士 (43.64% 名),诊所和学校卫生服务的113名医生 (54.8% 名),519名儿童保护工作者 (16.34% 名) 和115名助产士 (41.3% 名) 返回了调查表。数据采用描述性统计和推断性统计进行分析。方差分析 (anova),Kruskal-Wallis H和卡方检验用于检验组之间的差异。信任,尊重和协作能力在所有受访者中排名最高,而正式的结构,经济和领导力在协作活动中排名最不重要。大多数受访者表示,与5年前相比,他们的聚会点并不少。所有受访者最怀念与精神卫生服务的合作。会议地点的频率与与市政规模有关的合作声明之间存在关联。挪威正处于重大协调改革的阵痛之中。在关注结构变化的时候,关系因素被认为是成功合作最重要的事实是一个重要的发现。研究结果表明,需要对 “缺少合作者” 的原因,不同规模的城市的专业文化以及人际关系进行进一步的深入定性研究。必须进行定性调查,以更好地了解市政公共卫生专业人员如何理解尊重,信任和冲突的关系概念。
  • 【学生主导的跨专业教育与合作的发展。】 复制标题 收藏 收藏
    DOI:10.3109/13561820.2013.790882 复制DOI
    作者列表:VanderWielen LM,Enurah AS,Osburn IF,LaCoe KN,Vanderbilt AA
    BACKGROUND & AIMS: :Prominent healthcare organizations have called upon the academic and health communities to utilize interprofessional education (IPE) and collaboration to meet the changing needs of patients worldwide. Two student-led initiatives have overcome the various barriers that have historically impeded IPE and have embraced the call to improve the health of local and international underserved patients. This short report describes these two organizations, the International Health Service Collaborative at the University of South Florida and the Inter Health Professionals Alliance at Virginia Commonwealth University, and aims to encourage emerging health professional students and educators to embrace student-led IPE.
    背景与目标: : 著名的医疗保健组织呼吁学术界和卫生界利用专业间教育 (IPE) 和协作来满足全球患者不断变化的需求。两项由学生主导的举措克服了历史上阻碍IPE的各种障碍,并接受了改善当地和国际服务不足患者健康的呼吁。这份简短的报告描述了这两个组织,南佛罗里达大学的国际卫生服务合作组织和弗吉尼亚联邦大学的国际卫生专业人员联盟,旨在鼓励新兴的卫生专业学生和教育工作者接受学生领导的IPE。
  • 【2004-2014年中美实验室合作: 改善对中国和世界流感威胁的应对。】 复制标题 收藏 收藏
    DOI:10.1186/s12889-019-6776-3 复制DOI
    作者列表:Shu Y,Song Y,Wang D,Greene CM,Moen A,Lee CK,Chen Y,Xu X,McFarland J,Xin L,Bresee J,Zhou S,Chen T,Zhang R,Cox N
    BACKGROUND & AIMS: :The emergence of severe acute respiratory syndrome (SARS) underscored the importance of influenza detection and response in China. From 2004, the Chinese National Influenza Center (CNIC) and the United States Centers for Disease Control and Prevention (USCDC) initiated Cooperative Agreements to build capacity in influenza surveillance in China.From 2004 to 2014, CNIC and USCDC collaborated on the following activities: 1) developing human technical expertise in virology and epidemiology in China; 2) developing a comprehensive influenza surveillance system by enhancing influenza-like illness (ILI) reporting and virological characterization; 3) strengthening analysis, utilization and dissemination of surveillance data; and 4) improving early response to influenza viruses with pandemic potential.Since 2004, CNIC expanded its national influenza surveillance and response system which, as of 2014, included 408 laboratories and 554 sentinel hospitals. With support from USCDC, more than 2500 public health staff from China received virology and epidemiology training, enabling > 98% network laboratories to establish virus isolation and/or nucleic acid detection techniques. CNIC established viral drug resistance surveillance and platforms for gene sequencing, reverse genetics, serologic detection, and vaccine strains development. CNIC also built a bioinformatics platform to strengthen data analysis and utilization, publishing weekly on-line influenza surveillance reports in English and Chinese. The surveillance system collects 200,000-400,000 specimens and tests more than 20,000 influenza viruses annually, which provides valuable information for World Health Organization (WHO) influenza vaccine strain recommendations. In 2010, CNIC became the sixth WHO Collaborating Centre for Influenza. CNIC has strengthened virus and data sharing, and has provided training and reagents for other countries to improve global capacity for influenza control and prevention.The collaboration's successes were built upon shared mission and values, emphasis on long-term capacity development and sustainability, and leadership commitment.
    背景与目标: : 严重急性呼吸系统综合症 (传染性非典型肺炎) 的出现凸显了中国流感检测和应对的重要性。从2004年起,中国国家流感中心 (CNIC) 和美国疾病控制与预防中心 (USCDC) 启动了合作协议,以建设中国的流感监测能力。从2004 2014年开始,CNIC和USCDC合作开展了以下活动: 1) 在中国发展人类在病毒学和流行病学方面的技术专长; 2) 通过加强流感样疾病 (ILI) 报告和病毒学表征来开发全面的流感监测系统; 3) 加强监测数据的分析,利用和传播; 和4) 改善对流感病毒的早期反应。自2004年以来,CNIC扩大了其国家流感监测和应对系统,2014年包括408个实验室和554个哨点医院。在美国疾病预防控制中心的支持下,来自中国的2500多名公共卫生人员接受了病毒学和流行病学学培训,使>   98% 个网络实验室能够建立病毒分离和/或核酸检测技术。CNIC建立了病毒耐药性监测和基因测序,反向遗传学,血清学检测和疫苗株开发平台。CNIC还建立了一个生物信息学平台,以加强数据分析和利用,每周发布中英文在线流感监测报告。该监测系统每年收集200,000-400,000份标本并检测超过20,000种流感病毒,为世卫组织流感疫苗株推荐提供了有价值的信息。2010年,CNIC成为世卫组织第六个流感合作中心。CNIC加强了病毒和数据共享,并为其他国家提供了培训和试剂,以提高全球控制和预防流感的能力。合作的成功建立在共同的使命和价值观,强调长期能力发展和可持续性以及领导承诺的基础上。
  • 【促进护理本科生的合作。】 复制标题 收藏 收藏
    DOI:10.3928/01484834-20191021-08 复制DOI
    作者列表:Nielson MH,Warren L,Graham D
    BACKGROUND & AIMS: BACKGROUND:The role of the nurse educator is to prepare students to collaborate and practice competently and safely. One way of promoting collaboration is with the use of students as standardized patients (SPs). METHOD:This exercise used undergraduate nursing students in collaboration with graduate nurse practitioner (NP) students in an advanced health assessment course. Undergraduate students were assigned a specific disease process to review, then as SPs were asked to describe symptoms and answer questions regarding the disease by the NP students. At the end of a combined group debriefing, a survey was given to evaluate the process. RESULTS:Analysis of the survey identified the following themes: Positive Learning Method, "Aha" Moments, Improvement in Critical Thinking, and Communication. CONCLUSION:Using undergraduate nursing students as SPs helped create real-life scenarios for both the undergraduate and graduate nursing students to learn from. [J Nurs Educ. 2019;58(11):657-660.].
    背景与目标:
  • 【重症监护病房的医生,护士和呼吸治疗师在医疗紧急情况下的专业间合作: 现象学研究方案。】 复制标题 收藏 收藏
    DOI:10.1111/jan.14244 复制DOI
    作者列表:Lin YP,Chan LYC,Chan EY
    BACKGROUND & AIMS: AIM:The aim of this study was to explore the lived experiences of interprofessional collaboration among nurses, doctors, and respiratory therapists during medical emergencies in the intensive care unit. DESIGN:Descriptive phenomenological study. METHOD:Participants will be recruited through purposive sampling with maximum variation across the ICUs in a tertiary hospital in Singapore. Guided by data saturation, data collection will include individual semi-structured interviews with ICU nurses, physicians, and respiratory therapist who have attended to medical emergencies such as cardiopulmonary arrest or difficult airway management in the ICUs. Interviews will be audio recorded, transcribed verbatim, and analysed via Colaizzi's descriptive phenomenology method. Research Ethics Committee approval was sought from the National Healthcare Group, Domain Specific Review Board (April 2019). The study is funded by the National Healthcare Group - Health Outcomes and Medical Education Research Grant (April 2019). The study is expected to be concluded by April 2020. DISCUSSION:Whilst interprofessional collaboration remains a major interest among nursing research, there is a paucity of evidence surrounding interprofessional collaboration in the specific context of medical emergencies in the ICUs. This is especially crucial as the failure of interprofessional collaboration during medical emergencies can be catastrophic to patient safety. Hence, this study will adopt a qualitative approach to contribute to the evidence base surrounding this lesser known phenomenon. The findings generated from this study will inform future team training initiatives, advance nursing leadership initiatives, and identify barriers and facilitators towards fostering greater interprofessional collaboration during medical emergencies. IMPACT:The evidence gained from this study contributes to the limited knowledge base of interprofessional collaboration during medical emergencies. Findings will have vast impact on nursing and interprofessional programs such as crisis leadership and management. The findings could also inform practice frameworks during medical emergencies to support interprofessional collaboration and optimize patient care. :目的: 本研究旨在探讨在重症监护病房医疗紧急情况下护士、医生和呼吸治疗师之间的专业间合作的现实经历。 设计: 描述性现象学研究。 方法: 在新加坡三级医院的重症监护病房中通过有目的抽样尽可能多地招募参与者。受实现数据饱和目标的引领,数据收集将包括对重症监护病房护士、内科医生和呼吸治疗师进行个人半结构式访谈。因为他们曾在重症监护病房处理过紧急医疗事件,如心肺骤停和气道管理困难。访谈将被录音,然后逐字转录,并采用Colaizzi的描述现象学方法进行分析。研究伦理委员会经过国家卫生保健集团特定领域审查委员会(2019年4月)批准。此研究由国家医疗保健集团-健康结果和医学教育研究提供资金支持(2019年4月)。这项研究预计将于2020年4月完成。 讨论: 虽然跨专业合作仍然是护理研究的一个主要兴趣领域,但是目前在重症监护病房的医疗紧急情况的特定背景下的有关跨专业合作的证据非常缺乏。这一点非常关键,因为在医疗紧急情况下,跨专业合作的失败可能对病人的生命造成灾难性影响。因此,本研究将采用定性的方法来为这一鲜为人知的现象提供证据基础。这项研究的结果将为未来的团队培训计划提供信息,推进护理领导计划,并确定在医疗紧急情况下识别障碍和促进更大的专业间合作。 影响: 从研究中获得的证据将有助于扩大有限的医疗紧急情况下专业间合作知识库。研究结果将对护理和诸如危机领导和管理等跨专业合作项目产生巨大影响。研究结果还可以为医疗紧急情况下的实践框架提供信息,以支持专业间的协作和优化患者护理。.
    背景与目标:

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