新生儿重症监护病房复苏期间成功团队合作的促进因素和障碍。
Facilitators of and barriers to successful teamwork during resuscitations in a neonatal intensive care unit.
机构信息
Indiana University School of Medicine, Indianapolis, IN, USA.
Indiana University School of Nursing, Indianapolis, IN, USA.
出版信息
J Perinatol. 2019 Jul;39(7):974-982. doi: 10.1038/s41372-019-0380-3. Epub 2019 May 16.
Abstract
OBJECTIVE
Effective teamwork is essential in high-risk healthcare delivery environments. In this study, we aimed to identify facilitators of and barriers to successful teamwork during resuscitations in the NICU Study Design: 36 in-situ interprofessional simulation sessions were held in a level 4 NICU. Each session was followed by a debriefing where staff talked about the simulation scenario but also about their prior experiences during resuscitations in the NICU. Using content analysis, we analyzed the transcriptions of debriefings to address the study aims.
RESULT
Participant responses yielded three major themes: communicating well, getting tasks done well, and working well together. Each main theme had subthemes.
CONCLUSION
Teamwork is a complex process that is enhanced and hindered by a variety of factors. The factors identified in this study can be used to enhance relationship-based teamwork training programs. Future research is needed to determine which teamwork behaviors are most associated with patient outcomes.
摘要
目的
有效的团队合作对于高危医疗保健环境至关重要。在这项研究中，我们旨在确定新生儿重症监护病房（NICU）复苏过程中成功团队合作的促进因素和障碍。
研究设计
在四级 NICU 中进行了 36 次现场跨专业模拟课程。每次会议后都进行了一次汇报，工作人员在汇报中讨论了模拟场景，但也讨论了他们在 NICU 复苏期间的先前经验。我们使用内容分析法分析汇报的记录，以解决研究目标。
结果
参与者的回答产生了三个主要主题：沟通良好、任务完成良好、合作良好。每个主要主题都有子主题。
结论
团队合作是一个复杂的过程，受到多种因素的增强和阻碍。本研究确定的因素可用于增强基于关系的团队合作培训计划。需要进一步研究确定哪些团队合作行为与患者结果最相关。
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