“医院中的团队合作”：一项应用人为因素方法的准实验研究方案
"Teamwork in hospitals": a quasi-experimental study protocol applying a human factors approach.
作者信息
Ballangrud Randi, Husebø Sissel Eikeland, Aase Karina, Aaberg Oddveig Reiersdal, Vifladt Anne, Berg Geir Vegard, Hall-Lord Marie Louise
机构信息
Department of Health Science Gjøvik, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Gjøvik, P.O. Box 191, 2802 Gjøvik, Norway.
Department of Health Studies, Faculty of Social Sciences, University of Stavanger, P.O. Box 8600 Forus, , 4036 Stavanger, Norway.
出版信息
BMC Nurs. 2017 Jun 29;16:34. doi: 10.1186/s12912-017-0229-z. eCollection 2017.
BACKGROUND
Effective teamwork and sufficient communication are critical components essential to patient safety in today's specialized and complex healthcare services. Team training is important for an improved efficiency in inter-professional teamwork within hospitals, however the scientific rigor of studies must be strengthen and more research is required to compare studies across samples, settings and countries. The aims of the study are to translate and validate teamwork questionnaires and investigate healthcare personnel's perception of teamwork in hospitals (Part 1). Further to explore the impact of an inter-professional teamwork intervention in a surgical ward on structure, process and outcome (Part 2).
METHODS
To address the aims, a descriptive, and explorative design (Part 1), and a quasi-experimental interventional design will be applied (Part 2). The study will be carried out in five different hospitals (A-E) in three hospital trusts in Norway. Frontline healthcare personnel in Hospitals A and B, from both acute and non-acute departments, will be invited to respond to three Norwegian translated teamwork questionnaires (Part 1). An inter-professional teamwork intervention in line with the TeamSTEPPS recommend Model of Change will be implemented in a surgical ward at Hospital C. All physicians, registered nurses and assistant nurses in the intervention ward and two control wards (Hospitals D and E) will be invited to to survey their perception of teamwork, team decision making, safety culture and attitude towards teamwork before intervention and after six and 12 months. Adult patients admitted to the intervention surgical unit will be invited to survey their perception of quality of care during their hospital stay before intervention and after six and 12 month. Moreover, anonymous patient registry data from local registers and data from patients' medical records will be collected (Part 2).
DISCUSSION
This study will help to understand the impact of an inter-professional teamwork intervention in a surgical ward and contribute to promote healthcare personnel's team competences with an opportunity to achieve changes in work processes and patient safety.
TRIAL REGISTRATION
Trial registration number (TRN) is ISRCTN13997367. The study was registered retrospectively with registration date 30.05.2017.
背景
在当今专业化且复杂的医疗服务中，有效的团队协作和充分的沟通是保障患者安全的关键要素。团队培训对于提高医院内跨专业团队协作效率至关重要，然而研究的科学严谨性必须加强，还需要更多研究来比较不同样本、环境和国家的研究。本研究的目的是翻译并验证团队协作调查问卷，并调查医护人员对医院团队协作的认知（第一部分）。进一步探索跨专业团队协作干预对外科病房的结构、流程和结果的影响（第二部分）。
方法
为实现这些目标，将采用描述性和探索性设计（第一部分）以及准实验性干预设计（第二部分）。该研究将在挪威三个医院信托机构的五家不同医院（A - E）中进行。来自医院A和B的一线医护人员，包括急症和非急症科室的人员，将被邀请回答三份挪威语翻译版的团队协作调查问卷（第一部分）。将在医院C的一个外科病房实施符合团队策略与工具提升绩效（TeamSTEPPS）推荐的变革模型的跨专业团队协作干预。干预病房以及两个对照病房（医院D和E）的所有医生、注册护士和助理护士将被邀请在干预前、干预后6个月和12个月调查他们对团队协作、团队决策、安全文化以及对团队协作态度的认知。入住干预外科病房的成年患者将被邀请在干预前、干预后6个月和12个月调查他们对住院期间护理质量的认知。此外，还将收集来自当地登记处的匿名患者登记数据以及患者病历数据（第二部分）。
讨论
本研究将有助于了解跨专业团队协作干预对外科病房的影响，并有助于提升医护人员的团队能力，有机会实现工作流程和患者安全的改变。
试验注册
试验注册号（TRN）为ISRCTN13997367。该研究于2017年5月30日进行回顾性注册。
Zotero 插件