Grover Elise, Porter Joanne E, Morphet Julia
Peninsula Health, Frankston Hospital, Hastings Rd, Frankston, Victoria 3199, Australia; Monash University, Nursing and Midwifery, Peninsula Campus, McMahons Road, Frankston, Victoria 3199, Australia.
Federation University Australia, Gippsland Campus, Northways Rd, Churchill, Victoria, 3841, Australia.
Australas Emerg Nurs J. 2017 May;20(2):92-97. doi: 10.1016/j.aenj.2017.01.003. Epub 2017 Feb 11.
Teamwork may assist with increased levels of efficiency and safety of patient care in the emergency department (ED), with emergency nurses playing an indispensable role in this process.
A descriptive, exploratory approach was used, drawing on principles from phenomenology and symbolic interactionism. Convenience, purposive sampling was used in a major metropolitan ED. Semi structured interviews were conducted, audio recorded, and transcribed verbatim. Transcripts were analysed using thematic analysis.
Three major themes emerged from the data. The first theme 'when teamwork works' supported the notion that emergency nurses perceived teamwork as a positive and effective construct in four key areas; resuscitation, simulation training, patient outcomes and staff satisfaction. The second theme 'team support' revealed that back up behaviour and leadership were critical elements of team effectiveness within the study setting. The third theme 'no time for teamwork' centred around periods when teamwork practices failed due to various contributing factors including inadequate resources and skill mix.
Outcomes of effective teamwork were valued by emergency nurses. Teamwork is about performance, and requires a certain skill set not necessarily naturally possessed among emergency nurses. Building a resilient team inclusive of strong leadership and communication skills is essential to being able to withstand the challenging demands of the ED.
团队合作可能有助于提高急诊科患者护理的效率和安全性，急诊护士在这一过程中发挥着不可或缺的作用。
采用描述性、探索性方法，借鉴现象学和符号互动主义的原则。在一个主要大都市的急诊科采用便利抽样和目的抽样。进行了半结构化访谈，进行了录音，并逐字转录。使用主题分析法对转录本进行分析。
数据中出现了三个主要主题。第一个主题“团队合作发挥作用时”支持了急诊护士在四个关键领域将团队合作视为积极有效的结构这一观点；复苏、模拟培训、患者结局和员工满意度。第二个主题“团队支持”表明，在研究环境中，后备行为和领导力是团队有效性的关键要素。第三个主题“没时间搞团队合作”围绕着由于包括资源不足和技能组合不当等各种促成因素导致团队合作实践失败的时期。
急诊护士重视有效团队合作的成果。团队合作关乎绩效，需要一套急诊护士不一定天生具备的特定技能。建立一个具备强大领导力和沟通技能的有韧性的团队对于能够承受急诊科的挑战性需求至关重要。
