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.

译文

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。

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