Kilpatrick Kelley, Lavoie-Tremblay Mélanie, Ritchie Judith A, Lamothe Lise
Université du Québec en Outaouais, Saint-Jérôme, Québec, Canada.
Health Care Manag (Frederick). 2011 Jul-Sep;30(3):215-26. doi: 10.1097/HCM.0b013e318225e03a.
This article summarizes the results of an extensive review of the organizational and health care literature of advanced practice nursing (APN) roles, health care teams, and perceptions of team effectiveness. Teams have a long history in health care. Managers play an important role in mobilizing resources, guiding expectations of APN roles in teams and within organizations, and facilitating team process. Researchers have identified a number of advantages to the addition of APN roles in health care teams. The process within health care teams are dynamic and responsive to their surrounding environment. It appears that teams and perceptions of team effectiveness need to be understood in the broader context in which the teams are situated. Key team process are identified for team members to perceive their team as effective. The concepts of teamwork, perceptions of team effectiveness, and the introduction of APN roles in teams have been studied disparately. An exploration of the links between these concepts may further our understanding the health care team's perceptions of team effectiveness when APN roles are introduced. Such knowledge could contribute to the effective deployment of APN roles in health care teams and improve the delivery of health care services to patients and families.
本文总结了对高级实践护理（APN）角色、医疗团队以及团队有效性认知的组织和医疗保健文献进行广泛综述的结果。团队在医疗保健领域有着悠久的历史。管理者在调动资源、引导团队及组织内对APN角色的期望以及促进团队进程方面发挥着重要作用。研究人员已经确定了在医疗团队中增加APN角色的诸多优势。医疗团队内部的过程是动态的，并且对其周围环境有响应。似乎需要在团队所处的更广泛背景中理解团队及团队有效性认知。确定了关键的团队进程，以使团队成员将其团队视为有效团队。团队合作、团队有效性认知以及在团队中引入APN角色的概念一直是分开研究的。对这些概念之间联系的探索可能会进一步加深我们对引入APN角色时医疗团队对团队有效性认知的理解。此类知识有助于在医疗团队中有效部署APN角色，并改善向患者及其家庭提供的医疗服务。
