Nelson Marlborough District Health Board, New Zealand.
University of Otago, Christchurch, New Zealand.
West J Nurs Res. 2020 Jan;42(1):61-75. doi: 10.1177/0193945919834896. Epub 2019 Mar 10.
It is imperative to understand the factors that contribute to effective surgical teams. The aim of this integrative review was to evaluate the aids and barriers for perioperative teams in functioning effectively, preventing adverse events, and fostering a culture of safety. The literature search was undertaken of 15 databases, which resulted in 70 articles being included. It was found perioperative teamwork was not widely understood. Findings indicated barriers to effective surgical teams comprised of confusion in tasks and responsibilities, existing hierarchies and prevailing misconceptions and understanding among team members. Although numerous quality initiatives exist, the introduction of protocols and checklists, team effectiveness in the perioperative setting is still insufficient and challenges in establishing effective surgical teams continue. Further research is recommended to obtain a comprehensive perception of environmental influences and barriers surgical teams encounter in the delivery of safe quality care.
了解有助于提高手术团队效率的因素至关重要。本综述的目的在于评估围手术期团队在有效运作、预防不良事件和培养安全文化方面的辅助手段和障碍。文献检索涵盖了 15 个数据库，最终纳入了 70 篇文章。研究发现，人们对围手术期团队合作的理解并不广泛。研究结果表明，有效的手术团队存在障碍，包括任务和职责混淆、现有的等级制度以及团队成员之间普遍存在的误解和理解。尽管存在许多质量改进措施，包括引入协议和核对清单，但围手术期团队的有效性仍然不足，建立有效的手术团队仍然面临挑战。建议进行进一步研究，以全面了解手术团队在提供安全高质量护理过程中遇到的环境影响和障碍。
