Bennett Ariana H, Hassinger Jane A, Martin Lisa A, Harris Lisa H, Gold Marji
Department of Family and Social Medicine, Albert Einstein College of Medicine.
Institute for Research on Women and Gender, University of Michigan.
Fam Syst Health. 2015 Sep;33(3):203-12. doi: 10.1037/fsh0000106.
Research indicates that health care teams are good for staff, patients, and organizations. The characteristics that make teams effective include shared objectives, mutual respect, clarity of roles, communication, trust, and collaboration. We were interested in examining how teams develop these positive characteristics. This paper explores the role of sharing stories about patients in developing patient-centered teams. Data for this paper came from 1 primary care clinic as part of a larger Providers Share Workshop study conducted by the University of Michigan. Each workshop included 5 facilitated group sessions in which staff met to talk about their work. This paper analyzes qualitative data from the workshops. Through an iterative process, research team members identified major themes, developed a coding scheme, and coded transcripts for qualitative data analysis. One of the most powerful ways group members connected was through sharing stories about their patients. Sharing clinical cases and stories helped participants bond around their shared mission of patient-centered care, build supportive relationships, enhance compassion for patients, communicate and resolve conflict, better understand workflows and job roles, develop trust, and increase morale. These attributes highlighted by participants correspond to those documented in the literature as important elements of teambuilding and key indicators of team effectiveness. The sharing of stories about patients seems to be a promising tool for positive team development in a primary care clinical setting and should be investigated further.
研究表明，医疗团队对员工、患者和组织都有益处。使团队高效的特征包括共同目标、相互尊重、角色明确、沟通、信任和协作。我们感兴趣的是探究团队如何培养这些积极的特征。本文探讨了分享患者故事在发展以患者为中心的团队中所起的作用。本文的数据来自一家初级保健诊所，该诊所是密歇根大学开展的一项规模更大的“提供者分享研讨会”研究的一部分。每个研讨会包括5次小组促进会议，员工们在会上讨论他们的工作。本文分析了研讨会上的定性数据。通过一个反复的过程，研究团队成员确定了主要主题，制定了编码方案，并对定性数据的转录本进行编码以进行分析。团队成员建立联系的最有力方式之一是分享他们患者的故事。分享临床病例和故事有助于参与者围绕以患者为中心的共同使命建立联系，建立支持性的关系，增强对患者的同情心，沟通和解决冲突，更好地理解工作流程和工作职责，建立信任，并提高士气。参与者强调的这些属性与文献中记载的作为团队建设重要要素和团队有效性关键指标的属性相符。在初级保健临床环境中，分享患者故事似乎是促进团队积极发展的一个有前景的工具，值得进一步研究。
