The relationships that care home staff have with their co-workers are a key influence on the way they feel about their work and how they perform in their roles. This has a direct influence on quality of care and life as experienced by residents. However, care home providers face a challenge to promote co-worker relationships because: (a) the care home workforce often lack human resource oversight; (b) registered managers (and nurses), who often lack leadership training, are tasked with managing the working relationships of staff, the majority of whom are care workers of different ages, ethnicity and cultural beliefs; and (c) most (care workers) do not have any formal qualifications and are not routinely provided with the communication skills to facilitate collaborative working in dynamic and pressured climates. In this forum article, we consider these challenges and their implications for collaborative co-worker relationships, before highlighting opportunities for research, policy and practice. An important starting point is to focus on developing the leadership skills of staff at all levels and provide care workers with the skills they require to manage their working relationships and support them in their everyday work for the benefit of residents.

护理之家工作人员与同事之间的关系对他们对工作的感受以及他们在角色中的表现有关键影响。这直接影响居民的护理质量和生活。然而，护理院提供者在促进同事关系方面面临着挑战，因为： (a) 护理院员工往往缺乏人力资源监督；(b) 注册管理人员（和护士）往往缺乏领导力培训，他们的任务是管理工作人员的工作关系，其中大多数是不同年龄、种族和文化信仰的护理人员；(c) 大多数（护理人员）没有任何正式资格，也没有定期获得沟通技巧，以促进在动态和压力环境下的协作工作。在这篇论坛文章中，我们首先考虑这些挑战及其对协作同事关系的影响，然后再强调研究、政策和实践的机会。一个重要的起点是注重培养各级工作人员的领导技能，并为护理人员提供管理工作关系和支持他们日常工作所需的技能，以造福居民。