Rochon Andrea, Heale Roberta, Hunt Elena, Parent Michele
Clinical Nurse Specialist, Gerontology, Providence Care, Kingston, ON.
Associate Professor, Laurentian University School of Nursing, Sudbury, ON.
Nurs Leadersh (Tor Ont). 2015 Jun;28(2):28-39. doi: 10.12927/cjnl.2015.24352.
The literature suggests that effective teamwork among patient care teams can positively impact work environment, job satisfaction and quality of patient care. The purpose of this study was to determine the perceived level of nursing teamwork by registered nurses, registered practical nurses, personal support workers and unit clerks working on patient care teams in one acute care hospital in northern Ontario, Canada, and to determine if a relationship exists between the staff scores on the Nursing Teamwork Survey (NTS) and participant perception of adequate staffing. Using a descriptive cross-sectional research design, 600 staff members were invited to complete the NTS and a 33% response rate was achieved (N=200). The participants from the critical care unit reported the highest scores on the NTS, whereas participants from the inpatient surgical (IPS) unit reported the lowest scores. Participants from the IPS unit also reported having less experience, being younger, having less satisfaction in their current position and having a higher intention to leave. A high rate of intention to leave in the next year was found among all participants. No statistically significant correlation was found between overall scores on the NTS and the perception of adequate staffing. Strategies to increase teamwork, such as staff education, among patient care teams may positively influence job satisfaction and patient care on patient care units.
文献表明,患者护理团队之间的有效协作能够对工作环境、工作满意度及患者护理质量产生积极影响。本研究旨在确定加拿大安大略省北部一家急症护理医院中,参与患者护理团队的注册护士、注册实用护士、个人护理员及科室文员对护理团队协作的认知水平,并确定护理团队协作调查(NTS)中的员工得分与参与者对人员配备充足的认知之间是否存在关联。采用描述性横断面研究设计,邀请600名工作人员完成NTS,回复率为33%(N = 200)。重症监护病房的参与者在NTS上的得分最高,而住院手术(IPS)科室的参与者得分最低。IPS科室的参与者还表示经验较少、年龄较轻、对当前职位的满意度较低且离职意愿较高。在所有参与者中,发现明年的离职意愿率较高。NTS的总体得分与对人员配备充足的认知之间未发现统计学上的显著相关性。患者护理团队中提高团队协作的策略,如员工教育,可能会对患者护理科室的工作满意度和患者护理产生积极影响。