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护理团队在医疗体系中的合作:一项多地点研究。

Nursing teamwork in a health system: A multisite study.

机构信息

Spectrum Health, Grand Rapids, MI, USA.

Helen DeVos Children's Hospital, Grand Rapids, MI, USA.

出版信息

J Nurs Manag. 2018 Jul;26(5):555-562. doi: 10.1111/jonm.12582. Epub 2018 Jan 16.

DOI:10.1111/jonm.12582
PMID:29336502
Abstract

AIM

The aim of this study was to examine how the facets of teamwork exist among nurse-only teams in acute and continuing care settings.

BACKGROUND

The health care 'team' conventionally describes the interdisciplinary team in both literature and practice. Nursing-specific teams are rarely considered in the literature. An examination of this specific professional cohort is important to understand how teamwork exists among those who provide the majority of patient care.

METHOD

This was a descriptive, comparative, cross-sectional study using the Nursing Teamwork Survey to measure teamwork of nursing-based teams among 1414 participants in multiple acute care environments across a large Midwestern health system.

RESULTS

The characteristics of nursing teams were analysed. The results from the subscales within the teamwork model showed that nursing teams had a good understanding of the various roles and responsibilities. However, nurse team members held a more individualistic rather than collective team-oriented mindset.

CONCLUSIONS AND IMPLICATIONS FOR NURSING MANAGEMENT

Increased teamwork has a positive effect on job satisfaction, staffing efficiencies, retention and care delivery. Nurse leaders can use the information provided in this study to target the aspects of highly functioning teams by improving team orientation, trust and backup behaviours.

摘要

目的

本研究旨在探讨在急症和持续护理环境中,仅由护士组成的团队中存在的团队合作方面。

背景

在文献和实践中,传统的医疗保健“团队”描述的是跨学科团队。文献中很少考虑到特定于护理的团队。对这一特定专业群体进行考察,对于了解提供大部分患者护理的人员之间的团队合作方式非常重要。

方法

这是一项描述性、比较性、横断面研究,使用护理团队调查来衡量在一个大型中西部医疗系统的多个急症护理环境中,1414 名参与者的基于护理的团队的团队合作情况。

结果

分析了护理团队的特征。团队合作模型中的子量表的结果表明,护理团队对各种角色和责任有很好的理解。然而,护士团队成员持有更个人主义而不是集体团队导向的思维方式。

结论和对护理管理的启示

增加团队合作对工作满意度、人员配置效率、保留率和护理提供有积极影响。护理领导者可以利用本研究提供的信息,通过改善团队导向、信任和支持行为来针对高功能团队的各个方面。

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