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创建手术室患者安全与团队合作培训环境:一项准实验研究。

Creating an environment for patient safety and teamwork training in the operating theatre: A quasi-experimental study.

作者信息

Wallin Carl-Johan, Kalman Sigridur, Sandelin Annika, Färnert May-Lena, Dahlstrand Ursula, Jylli Leena

机构信息

Karolinska University Hospital , Sweden .

出版信息

Med Teach. 2015 Mar;37(3):267-76. doi: 10.3109/0142159X.2014.947927. Epub 2014 Sep 2.

Abstract

INTRODUCTION

Positive safety and a teamwork climate in the training environment may be a precursor for successful teamwork training. This pilot project aimed to implement and test whether a new interdisciplinary and team-based approach would result in a positive training climate in the operating theatre.

METHOD

A 3-day educational module for training the complete surgical team of specialist nursing students and residents in safe teamwork skills in an authentic operative theatre, named Co-Op, was implemented in a university hospital. Participants' (n=22) perceptions of the 'safety climate' and the 'teamwork climate', together with their 'readiness for inter-professional learning', were measured to examine if the Co-Op module produced a positive training environment compared with the perceptions of a control group (n=11) attending the conventional curriculum.

RESULTS

The participants' perceptions of 'safety climate' and 'teamwork climate' and their 'readiness for inter-professional learning' scores were significantly higher following the Co-Op module compared with their perceptions following the conventional curriculum, and compared with the control group's perceptions following the conventional curriculum.

CONCLUSION

The Co-Op module improved 'safety climate' and 'teamwork climate' in the operating theatre, which suggests that a deliberate and designed educational intervention can shape a learning environment as a model for the establishment of a safety culture.

摘要

引言

培训环境中的积极安全性和团队合作氛围可能是成功进行团队合作培训的先决条件。这个试点项目旨在实施并测试一种新的跨学科且基于团队的方法是否会在手术室营造出积极的培训氛围。

方法

在一家大学医院实施了一个为期3天的教育模块,名为“合作(Co-Op)”,用于培训专科护理学生和住院医师组成的完整手术团队在真实手术室中的安全团队合作技能。测量了参与者(n = 22)对“安全氛围”和“团队合作氛围”的感知,以及他们的“跨专业学习准备度”,以检验与参加传统课程的对照组(n = 11)的感知相比,Co-Op模块是否营造了积极的培训环境。

结果

与传统课程后的感知相比,以及与对照组在传统课程后的感知相比,参与者在Co-Op模块后的“安全氛围”和“团队合作氛围”感知以及“跨专业学习准备度”得分显著更高。

结论

Co-Op模块改善了手术室中的“安全氛围”和“团队合作氛围”,这表明经过精心设计的教育干预可以塑造一个学习环境,作为建立安全文化的典范。

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