The physical environment and multi-professional teamwork in three newly built stroke units

被引:3
作者
Anaker, Anna [1 ]
von Koch, Lena [2 ,3 ]
Eriksson, Gunilla [2 ,4 ]
Sjostrand, Christina [3 ,5 ]
Elf, Marie [1 ,2 ,6 ]
机构
[1] Dalarna Univ, Sch Educ Hlth & Social Studies, Falun, Sweden
[2] Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
[3] Karolinska Univ Hosp, Dept Neurovasc Dis, Stockholm, Sweden
[4] Uppsala Univ, Dept Neurosci, Rehabil Med, Uppsala, Sweden
[5] Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden
[6] Chalmers Univ Technol, Dept Architecture & Civil Engn, Sch Architecture, Gothenburg, Sweden
基金
瑞典研究理事会;
关键词
Evidence-based design; multi-professional; physical environment; rehabilitation; stroke unit; teamwork; CARE; REHABILITATION; COMMUNICATION; FRAMEWORK;
D O I
10.1080/09638288.2020.1793008
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Purpose To explore multi-professional teamwork in relation to the physical environment in three newly built or renovated stroke units. Materials and methods An observational study was undertaken. The participants were all staff members of a multi-professional team working in the reviewed stroke units. The data were collected using behavioural mapping and semi-structured observations, and they were analysed by content analysis and descriptive statistics. Results Out of all the observations in the behavioural mapping, very few were of two or more members from the team together with a patient. None of the included stroke units had a co-location for all the members of the multi-professional team. Three main categories emerged from the analysis of the interviews: (i) the hub of the unit; (ii) the division of places; and (iii) power imbalance. All the categories reflected the teamwork in relation to parts of the physical environment. Conclusion The design of the physical environment is important for multi-professional teamwork. Emphasis must be placed on better understanding the impact of the physical environment and on incorporating the evidence related to multi-professional teamwork during the design of stroke units.
引用
收藏
页码:1098 / 1106
页数:9
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