Department of Biobehavioral Nursing and Health Informatics, School of Nursing, University of Washington, Seattle, Washington.
J Clin Nurs. 2019 Feb;28(3-4):430-443. doi: 10.1111/jocn.14605. Epub 2018 Aug 2.
To explore clinical nurses' experiences and perceptions following a purposeful interprofessional (IP) team intervention in practice.
Despite increasing interest in IP collaborative practice to improve teamwork, nursing outcomes and quality of care, there has been little research that focused on nurses' perspectives of IP collaboration after a purposeful IP team intervention.
A qualitative descriptive study using focus group interviews of registered nurses who care for patients with advanced heart failure.
This study is part of a larger study that conducted and evaluated a purposeful IP team intervention. Registered nurses (n = 10) were invited to participate in three focus groups following the IP team intervention. Data were audio-recorded, transcribed and analysed using a conventional content analysis approach and constant comparative method.
We identified six interrelated themes: (a) IP team building, (b) psychological safety and cultural change, (c) efficiency in delivery of care, (d) quality of patient care, (e) job outcomes and (f) team challenges. Notably, participants reported that they could better understand the patient's care plan of the day because every team member was "on the same page at the same time." Registered nurses perceived that they were more satisfied with their job through improved IP team performance, enhanced psychological safety and cultural change, efficient workflow and better quality of patient care.
The IP team intervention contributed to enhancing IP team functioning as well as improving registered nurse job satisfaction. To sustain the improved perceptional and behavioural changes, team strategies to improve workflow and communication should be considered.
Effective teamwork and communication between multiple healthcare professionals including nurses are the cornerstones to improve care delivery, nursing outcomes and quality of patient care in clinical settings.
探讨有目的的跨专业（IP）团队干预实践后临床护士的经验和看法。
尽管越来越关注 IP 协作实践以改善团队合作、护理结果和护理质量，但几乎没有研究关注有目的的 IP 团队干预后护士对 IP 协作的看法。
使用焦点小组访谈对照顾晚期心力衰竭患者的注册护士进行定性描述性研究。
这是一项更大规模研究的一部分，该研究实施并评估了有目的的 IP 团队干预。在 IP 团队干预后，邀请注册护士（n=10）参加了三个焦点小组。使用常规内容分析方法和恒定性比较方法对音频记录、转录和分析的数据进行分析。
我们确定了六个相互关联的主题：（a）IP 团队建设，（b）心理安全和文化变革，（c）护理提供效率，（d）患者护理质量，（e）工作结果和（f）团队挑战。值得注意的是，参与者报告说，他们可以更好地了解患者当天的护理计划，因为每个团队成员都“同时在同一页上”。注册护士认为，通过改善 IP 团队绩效、增强心理安全和文化变革、提高工作流程效率和提高患者护理质量，他们对工作更加满意。
IP 团队干预有助于增强 IP 团队的功能，提高注册护士的工作满意度。为了维持改善的感知和行为变化，应考虑改善工作流程和沟通的团队策略。
有效的团队合作和多个医疗保健专业人员（包括护士）之间的沟通是改善临床环境中护理提供、护理结果和患者护理质量的基石。
