Piers Ruth D, Versluys Karen J J, Devoghel Johan, Lambrecht Sophie, Vyt André, Van Den Noortgate Nele J
Department of Geriatric Medicine, Ghent University Hospital, Ghent, Belgium.
Department of Geriatric Medicine, St. Jan Hospital Bruges, Bruges, Belgium.
J Am Geriatr Soc. 2017 Sep;65(9):2064-2070. doi: 10.1111/jgs.14958. Epub 2017 Jun 20.
To explore the quality of interprofessional teamwork in acute geriatric care and to build a model of team types.
Cross-sectional multicenter study.
Acute geriatric units in Belgium.
Team members of different professional backgrounds.
Perceptions of interprofessional teamwork among team members of 55 acute geriatric units in Belgium were measured using a survey covering collaborative practice and experience, managerial coaching and open team culture, shared reflection and decision-making, patient files facilitating teamwork, members' belief in the power of teamwork, and members' comfort in reporting incidents. Cluster analysis was used to determine types of interprofessional teamwork. Professions and clusters were compared using analysis of variance.
The overall response rate was 60%. Of the 890 respondents, 71% were nursing professionals, 20% other allied health professionals, 5% physicians, and 4% logistic and administrative staff. More than 70% of respondents scored highly on interprofessional teamwork competencies, consultation, experiences, meetings, management, and results. Fewer than 55% scored highly on items about shared reflection and decision-making, reporting incidents from a colleague, and patient files facilitating interprofessional teamwork. Nurses in this study rated shared reflection and decision-making lower than physicians on the same acute geriatric units (P < .001). Using the mean score on each of the six areas, four clusters that differed significantly in all areas were identified using hierarchical cluster analysis and scree plot analysis (P < .001).
Interprofessional teamwork in acute geriatric units is satisfactory, but shared reflection and decision-making needs improvement. Four types of interprofessional teamwork are identified and can be used to benchmark the teamwork of individual teams.
探讨老年急性护理中跨专业团队合作的质量，并构建团队类型模型。
横断面多中心研究。
比利时的老年急性护理单元。
不同专业背景的团队成员。
使用一项涵盖协作实践与经验、管理指导与开放团队文化、共同反思与决策、促进团队合作的患者档案、成员对团队合作力量的信念以及成员报告事件时的舒适度的调查，对比利时55个老年急性护理单元的团队成员对跨专业团队合作的认知进行测量。采用聚类分析来确定跨专业团队合作的类型。使用方差分析对专业和聚类进行比较。
总体回复率为60%。在890名受访者中，71%为护理专业人员，20%为其他专职医疗专业人员，5%为医生，4%为后勤和行政人员。超过70%的受访者在跨专业团队合作能力、咨询、经验、会议、管理和成果方面得分较高。在关于共同反思与决策、报告同事的事件以及促进跨专业团队合作的患者档案等项目上，得分高于70%的受访者不到55%。在同一老年急性护理单元中，本研究中的护士对共同反思与决策的评分低于医生（P < .001）。使用六个领域中每个领域的平均得分，通过层次聚类分析和碎石图分析确定了在所有领域均有显著差异的四个聚类（P < .001）。
老年急性护理单元中的跨专业团队合作令人满意，但共同反思与决策仍需改进。确定了四种跨专业团队合作类型，可用于对各个团队的团队合作进行基准评估。
