Lyndon Audrey
Department of Family Health Care Nursing at University of California San Francisco School of Nursing, USA.
J Obstet Gynecol Neonatal Nurs. 2006 Jul-Aug;35(4):538-46. doi: 10.1111/j.1552-6909.2006.00074.x.
To identify evidence on the role of assertiveness and teamwork and the application of aviation industry techniques to improve patient safety for inpatient obstetric care.
Studies limited to research with humans in English language retrieved from CINAHL, PubMed, Social Science Abstracts, and Social Sciences Citation Index, and references from reviewed articles.
A total of 13 studies were reviewed, including 5 studies of teamwork, communication, and safety attitudes in aviation; 2 studies comparing these factors in aviation and health care; and 6 studies of assertive behavior and decision making by nurses. Studies lacking methodological rigor or focusing on medication errors and deviant behavior were excluded.
Pilot attitudes regarding interpersonal interaction on the flight deck predicted effective performance and were amenable to behavior-based training to improve team performance. Nursing knowledge was inconsistently accessed in decision making. Findings regarding nurse assertiveness were mixed.
Adaptation of training concepts and safety methods from other fields will have limited impact on perinatal safety without an examination of the contextual experiences of nurses and other health care providers in working to prevent patient harm.
确定关于自信和团队合作的作用以及应用航空业技术以提高住院产科护理患者安全的证据。
从护理学与健康领域数据库（CINAHL）、医学期刊数据库（PubMed）、社会科学文摘数据库和社会科学引文索引中检索到的仅限于以英文发表的关于人类研究的文献，以及综述文章的参考文献。
共审查了13项研究，包括5项关于航空领域团队合作、沟通和安全态度的研究；2项比较航空和医疗保健领域这些因素的研究；以及6项关于护士自信行为和决策的研究。排除了缺乏方法严谨性或专注于用药错误和异常行为的研究。
飞行员对驾驶舱内人际互动的态度可预测有效表现，并且适合接受基于行为的培训以提高团队表现。在决策过程中，护理知识的获取情况并不一致。关于护士自信的研究结果喜忧参半。
如果不审视护士和其他医疗保健提供者在努力预防患者伤害方面的实际情况，从其他领域借鉴培训理念和安全方法对围产期安全的影响将有限。
