Hwang Jee-In, Ahn Jeonghoon
College of Nursing Science, Kyung Hee University, Seoul, South Korea.
Office of Health Services Research, National Evidence-based Healthcare Collaborating Agency, Seoul, South Korea.
Asian Nurs Res (Korean Soc Nurs Sci). 2015 Mar;9(1):14-20. doi: 10.1016/j.anr.2014.09.002. Epub 2015 Feb 7.
To examine levels of teamwork and its relationships with clinical error reporting among Korean hospital nurses.
The study employed a cross-sectional survey design. We distributed a questionnaire to 674 nurses in two teaching hospitals in Korea. The questionnaire included items on teamwork and the reporting of clinical errors. We measured teamwork using the Teamwork Perceptions Questionnaire, which has five subscales including team structure, leadership, situation monitoring, mutual support, and communication. Using logistic regression analysis, we determined the relationships between teamwork and error reporting.
The response rate was 85.5%. The mean score of teamwork was 3.5 out of 5. At the subscale level, mutual support was rated highest, while leadership was rated lowest. Of the participating nurses, 522 responded that they had experienced at least one clinical error in the last 6 months. Among those, only 53.0% responded that they always or usually reported clinical errors to their managers and/or the patient safety department. Teamwork was significantly associated with better error reporting. Specifically, nurses with a higher team communication score were more likely to report clinical errors to their managers and the patient safety department (odds ratio = 1.82, 95% confidence intervals [1.05, 3.14]).
Teamwork was rated as moderate and was positively associated with nurses' error reporting performance. Hospital executives and nurse managers should make substantial efforts to enhance teamwork, which will contribute to encouraging the reporting of errors and improving patient safety.
调查韩国医院护士的团队合作水平及其与临床错误报告的关系。
本研究采用横断面调查设计。我们向韩国两家教学医院的674名护士发放了问卷。问卷包括团队合作和临床错误报告的项目。我们使用团队合作认知问卷来衡量团队合作，该问卷有五个子量表，包括团队结构、领导能力、情况监测、相互支持和沟通。通过逻辑回归分析，我们确定了团队合作与错误报告之间的关系。
回复率为85.5%。团队合作的平均得分为3.5分（满分5分）。在子量表层面，相互支持得分最高，而领导能力得分最低。在参与调查的护士中，522人表示在过去6个月中至少经历过一次临床错误。其中，只有53.0%的人表示他们总是或通常会向经理和/或患者安全部门报告临床错误。团队合作与更好的错误报告显著相关。具体而言，团队沟通得分较高的护士更有可能向经理和患者安全部门报告临床错误（优势比=1.82，95%置信区间[1.05，3.14]）。
团队合作被评为中等水平，与护士的错误报告表现呈正相关。医院管理人员和护士长应大力努力加强团队合作，这将有助于鼓励错误报告并提高患者安全。
