Masten Marjorie, Sommerfeldt Susan, Gordan Suzanne, Greubel Elizabeth, Canning Caroline, Lioy Janet, Chuo John
Children's Hospital of Philadelphia, Philadelphia (Ms Masten and Drs Lioy and Chuo); University of Pennsylvania School of Nursing, Philadelphia (Ms Masten); Faculty of Nursing, University of Alberta, Edmonton, Canada (Dr Sommerfeldt); Drexel University, Philadelphia, Pennsylvania (Ms Greubel); Darmouth College, Hanover, New Hampshire (Ms Canning); and University of Pennsylvania Perelman School of Medicine, Philadelphia (Drs Lioy and Chuo).
Adv Neonatal Care. 2019 Aug;19(4):285-293. doi: 10.1097/ANC.0000000000000604.
A unified vision of team mission, psychologically safe practice environment, effective communication, and respect among team members are key characteristics of an effective interdisciplinary neonatal intensive care unit (NICU) team.
A quality improvement team in a quaternary NICU surveyed parents, physicians, and nurses on perceptions of teamwork to identify opportunities for improvement.
DESIGN/METHODS: Parents and healthcare staff (n = 113) completed an anonymous survey from May to July of 2014 to assess team roles and membership, team qualities, shared mission, psychological safety, hierarchy, communications, and conflict awareness. An expert panel assigned questions into one or more characteristics of team intelligence.
Physicians, nurses, and parents perceive their roles and the composition of the healthcare team differently. Most providers reported a shared mission and having a cooperative spirit as their teams' best attributes. While most nurses chose safety as most important, the majority of doctors chose treatment plan. Parents consider tenderness toward their infant, providing medical care and answers to their questions important. All expressed varying concerns about psychological safety, conflict resolution, and miscommunications.
This survey identifies strengths and gaps of teamwork in our NICU and provides insight on necessary changes that need to be made to improve collaboration among the interdisciplinary care team including parents.
This quality improvement report identifies aspects of team care delivery in NICUs that require further study. The concept of team intelligence and its impact on team effectiveness invites in-depth exploration.
团队使命的统一愿景、心理安全的实践环境、有效的沟通以及团队成员之间的相互尊重是有效的跨学科新生儿重症监护病房（NICU）团队的关键特征。
一家四级NICU的质量改进团队对家长、医生和护士进行了关于团队合作认知的调查，以确定改进的机会。
设计/方法：家长和医护人员（n = 113）在2014年5月至7月期间完成了一项匿名调查，以评估团队角色和成员、团队品质、共同使命、心理安全、层级、沟通以及冲突意识。一个专家小组将问题归类为团队智慧的一个或多个特征。
医生、护士和家长对他们的角色以及医疗团队的组成有不同的认知。大多数提供者报告称共同使命和合作精神是他们团队的最佳属性。虽然大多数护士选择安全最为重要，但大多数医生选择治疗方案。家长认为对其婴儿的关爱、提供医疗护理以及回答他们的问题很重要。所有人都对心理安全、冲突解决和沟通不畅表达了不同程度的担忧。
这项调查确定了我们NICU团队合作的优势和差距，并为需要做出的必要改变提供了见解，以改善包括家长在内的跨学科护理团队之间的协作。
这份质量改进报告确定了NICU团队护理提供方面需要进一步研究的内容。团队智慧的概念及其对团队有效性的影响值得深入探索。
