Centre of Integrative Medicine, University of Witten/Herdecke, Gerhard-Kienle-Weg 4, 58313 Herdecke, Germany.
BMC Complement Altern Med. 2010 Mar 9;10:10. doi: 10.1186/1472-6882-10-10.
Neurological rehabilitation is one of the most care-intensive challenges in the health care system requiring specialist therapeutic and nursing knowledge. In this descriptive pilot study, we investigated the effects of a team building process on perceived work environment, self-ascribed professional competence, life satisfaction, and client satisfaction in an anthroposophic specialized hospital for neurological rehabilitation. The team-building process consisted of didactic instruction and training in problem-solving, teambuilding and constructive conflict resolution.
Seventy seven staff members and 44 patients' relatives were asked to complete a survey that included the Work Environment Scale (WES-10), a Life Satisfaction Scale (BMLSS), the Conviction of Therapeutic Competency (CTC) scale and the Client Satisfaction Questionnaire (CSQ-8). To evaluate the outcome of the team building process, we analyzed changes over time in the WES-10 subscales. Additionally the interrelationship between the WES-10 subscales with other subscales and with sociodemographic parameters like age, gender was calculated by means of a bivariate correlation analysis.
The team building process had a significant positive effect on perceived work environment in only one area. There was a significant improvement in the ward staffs' perception of their ability to constructively resolve conflicts 3 years after inception of the team building process than there was before inception. However, even in a unit that utilized holistic treatment and nursing in the care of severely disable patients, such care necessitating a very heavy workload, the measurements on the Self Realization, Life Satisfaction and Conviction of Therapeutic Competency scales remained high and unchanged over the three year time period of the study.
Strategic interventions might be an option to improve interpersonal relationships and finally quality of patient care.
神经康复是医疗保健系统中最需要专业治疗和护理知识的高难度挑战之一。在这项描述性试点研究中，我们调查了团队建设过程对感知工作环境、自我认定的专业能力、生活满意度和客户满意度的影响，这是一家从事神经康复的人智学专科医院。团队建设过程包括解决问题、团队建设和建设性冲突解决方面的教学指导和培训。
77 名工作人员和 44 名患者家属被要求填写一份调查问卷，其中包括工作环境量表（WES-10）、生活满意度量表（BMLSS）、治疗能力信念量表（CTC）和客户满意度问卷（CSQ-8）。为了评估团队建设过程的结果，我们分析了 WES-10 子量表随时间的变化。此外，还通过双变量相关分析计算了 WES-10 子量表与其他子量表以及与年龄、性别等社会人口学参数之间的相互关系。
团队建设过程仅对一个领域的感知工作环境产生了显著的积极影响。在团队建设过程开始 3 年后，病房工作人员解决冲突的能力感知有了显著提高，而在团队建设过程开始之前，这种能力感知并没有提高。然而，即使在一个为严重残疾患者提供整体治疗和护理的单位，这种护理需要非常繁重的工作量，自我实现、生活满意度和治疗能力信念量表的测量值在研究的三年时间内仍然很高且保持不变。
战略干预措施可能是改善人际关系和最终提高患者护理质量的一种选择。
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