Kalisch Beatrice Jean, Labelle Aimee Elizabeth, Boqin Xie
School of Nursing, University of Michigan, Ann Arbor, Michigan 48109, USA.
Rev Lat Am Enfermagem. 2013 Jan-Feb;21 Spec No:242-9. doi: 10.1590/s0104-11692013000700030.
The aim of this exploratory study was to determine whether the level of nursing teamwork is correlated to call light answering time in acute care hospital patient care units.
Teamwork has been shown to improve productivity. In this study, we examine the relationship between unit call light response time as a measure of productivity and the level of teamwork on the unit.
The Nursing Teamwork Survey was administered to nursing staff on 18 inpatient units in 3 hospitals. In addition to the overall teamwork score, the NTS has 5 subscales. Call light response times were collected from electronic systems which measures the time it takes for nursing staff on a given unit to respond to patient call lights.
There was no significant relationship between call light response time and teamwork overall or on the five subscales. Shared mental models, which comprise the conceptual understanding of the roles and responsibilities of each team member, however was moderately correlated with call-light answering times.
It is logical that shared mental models would be associated with call light response time since a common problem in patient units is the "it's not my job syndrome" where nursing staff do not answer call lights for patients assigned to someone else. More research with a larger number of patient units is needed to validate these findings.
本探索性研究旨在确定急性护理医院病房护理团队协作水平与呼叫灯应答时间之间是否存在关联。
团队协作已被证明可提高工作效率。在本研究中，我们考察作为工作效率衡量指标的病房呼叫灯响应时间与病房团队协作水平之间的关系。
对3家医院18个住院病房的护理人员进行了护理团队协作调查。除了总体团队协作得分外，护理团队协作调查还有5个分量表。呼叫灯响应时间从电子系统收集，该系统测量特定病房护理人员响应患者呼叫灯所需的时间。
呼叫灯响应时间与总体团队协作或五个分量表之间均无显著关系。然而，由对每个团队成员角色和职责的概念理解组成的共享心智模型与呼叫灯应答时间呈中度相关。
共享心智模型与呼叫灯响应时间相关是合乎逻辑的，因为病房中常见的一个问题是“这不是我的工作综合征”，即护理人员不为分配给其他人的患者应答呼叫灯。需要对更多病房进行进一步研究以验证这些发现。
