跨专业团队成员的满意度:智利一家医院的混合方法研究。
Interprofessional team member's satisfaction: a mixed methods study of a Chilean hospital.
机构信息
School of Nursing, Andes University of Chile, Moseñor Alvaro de Portillo 12455, Las Condes, Santiago, Chile.
School of Nursing, Department of Professional Guidance, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar 419, Cerqueira Cesar, São Paulo, SP, 05403-000, Brazil.
出版信息
Hum Resour Health. 2018 Jul 11;16(1):30. doi: 10.1186/s12960-018-0290-z.
INTRODUCTION
The health organizations of today are highly complex and specialized. Given this scenario, there is a need for health professionals to work collaboratively within interprofessional work teams to ensure quality and safe care. To strengthen interprofessional teamwork, it is imperative that health organizations enhance strategic human resources management by promoting team member satisfaction.
OBJECTIVE
To analyze the satisfaction of members in interprofessional teams and to explore interpersonal relationships, leadership, and team climate in a hospital context.
METHODOLOGY
This study is an explanatory sequential mixed methods (quantitative/qualitative) study of 53 teams (409 professionals) at a university hospital in Santiago, Chile. The first phase involved quantitative surveys with team members examining team satisfaction, transformational leadership, and team climate. Social network analysis was used to identify interactions among team members (cohesion and centrality). The second phase involved interviews with 15 professionals belonging to teams with the highest and lowest team satisfaction scores. Findings of both phases were integrated.
RESULTS
Significant associations were found among variables, and the linear regression model showed that team climate (β = 0.26) was a better predictor of team satisfaction than team leadership (β = 0.17). Registered nurse was perceived as the profession with the highest score on the transformational leadership measure (mean = 64), followed by the physician (mean = 33). Team networks with the highest and lowest score of team satisfaction showed differences in cohesion and centrality measures. Analysis of interviews identified five themes: attributes of interprofessional work; collaboration, communication, and social interaction; interprofessional team innovation; shared leadership; and interpersonal relationship interface work/social. Integration of findings revealed that team member satisfaction requires participation and communication, common goals and commitment for patient-centered care, clear roles and objectives to support collaborative work, and the presence of a transformational leader to strengthen well-being, dialog, and innovation.
CONCLUSIONS
Results have the potential to contribute to the planning and decision-making in the field of human resources, providing elements to promote the management of health teams and support team member satisfaction. In turn, this could lead to job permanence especially where the local health needs are more urgent.
简介
当今的卫生组织高度复杂和专业化。在这种情况下,需要卫生专业人员在跨专业工作团队中协作,以确保提供高质量和安全的护理。为了加强跨专业团队合作,卫生组织必须通过提高团队成员满意度来加强战略人力资源管理。
目的
分析跨专业团队成员的满意度,并探讨医院环境中的人际关系、领导力和团队氛围。
方法
这是一项在智利圣地亚哥一所大学医院进行的 53 个团队(409 名专业人员)的解释性顺序混合方法(定量/定性)研究。第一阶段涉及对团队成员进行团队满意度、变革型领导力和团队氛围的定量调查。使用社会网络分析来识别团队成员之间的相互作用(内聚性和中心性)。第二阶段涉及对来自团队满意度得分最高和最低的 15 名专业人员进行访谈。整合了两个阶段的研究结果。
结果
发现变量之间存在显著关联,线性回归模型表明团队氛围(β=0.26)比团队领导力(β=0.17)更好地预测团队满意度。注册护士被认为是变革型领导力衡量标准中得分最高的专业(均值=64),其次是医生(均值=33)。团队网络中团队满意度得分最高和最低的团队在凝聚力和中心性测量方面存在差异。访谈分析确定了五个主题:跨专业工作的属性;合作、沟通和社会互动;跨专业团队创新;共享领导力;以及人际关系界面工作/社交。研究结果的整合表明,团队成员的满意度需要参与和沟通、共同的目标和对以患者为中心的护理的承诺、明确的角色和目标以支持协作工作,以及变革型领导者的存在,以加强幸福感、对话和创新。
结论
研究结果有可能为人力资源规划和决策做出贡献,提供促进卫生团队管理和支持团队成员满意度的要素。反过来,这可能会导致永久性就业,特别是在当地卫生需求更为紧迫的地方。