团队合作对护理缺失的影响。

The impact of teamwork on missed nursing care.

机构信息

University of Michigan, School of Nursing, 400 N. Ingalls Street, Ann Arbor, MI 48109, USA.

出版信息

Nurs Outlook. 2010 Sep-Oct;58(5):233-41. doi: 10.1016/j.outlook.2010.06.004.

DOI:10.1016/j.outlook.2010.06.004

PMID:20934078

Abstract

Previous studies have shown that missed nursing care is a significant problem in acute care hospitals. Other studies have demonstrated that teamwork is a critical element in assuring patient safety and quality of care. The purpose of this study was to determine if the level of nursing teamwork impacts the extent and nature of missed nursing care. A sample of 2 216 nursing staff members on 50 acute care patient care units in 4 hospitals completed the Nursing Teamwork Survey and the MISSCARE Survey. The response rate was 59.7%. Controlling for occupation of staff members (eg, RN/LPN, NA) and staff characteristics (eg, education, shift worked, experience, etc), teamwork alone accounted for about 11% of missed nursing care. The results of this study show that the level of nursing teamwork impacts the nature and extent of missed nursing care. The study results point to a need to invest in methods of enhancing teamwork in these settings.

摘要

先前的研究表明，护理缺失是急性护理医院的一个重大问题。其他研究表明，团队合作是确保患者安全和护理质量的关键因素。本研究旨在确定护理团队合作的水平是否会影响护理缺失的程度和性质。在 4 家医院的 50 个急性护理病房中，对 2216 名护理人员进行了抽样调查，他们完成了护理团队合作调查和 MISSCARE 调查。回复率为 59.7%。在控制了员工职业（例如，注册护士/执业护士、护士助理）和员工特征（例如，教育、轮班工作、经验等）后，仅团队合作就占护理缺失的 11%左右。这项研究的结果表明，护理团队合作的水平会影响护理缺失的性质和程度。研究结果表明，需要在这些环境中投入资源来加强团队合作的方法。