Faculty of Nursing, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
Landspitali University Hospital, Reykjavik, Iceland.
J Clin Nurs. 2019 Dec;28(23-24):4298-4309. doi: 10.1111/jocn.14975. Epub 2019 Jul 9.
The purpose of this study was to examine the extent to which staffing adequacy predicts nursing teamwork, controlling for demographic and background variables.
Findings from former studies indicate that hospital, unit and staff characteristics may be related to nursing teamwork, such as type of hospital and unit, role, gender, age, work experience, type of shift worked, shift length, number of working hours per week, overtime and staffing adequacy. Teamwork as well as staffing is identified as significant contributors to patient and staff safety in hospitals. However, the contribution of staffing to the quality of nursing teamwork is scarcely studied.
This was a quantitative descriptive cross-sectional study using the paper-and-pencil questionnaire Nursing Teamwork Survey-Icelandic.
The study was conducted in 27 inpatient units in eight hospitals in Iceland with a sample of 925 nursing staff members. Participants were 567 registered nurses, practical nurses, unit secretaries and nurse unit managers. The Strengthening the Reporting of Observational Studies in Epidemiology checklist was used for this paper.
When controlling for unit type, role, experience on current unit and intent to leave, perceived adequacy of staffing alone explains up to 10% of overall teamwork. Unit type, role, years of experience on current unit and perceived staffing adequacy correlated significantly with overall teamwork.
The findings of this study indicate that unit and staff characteristics, including perceived adequacy of staffing, are associated with and explain the variability in nursing teamwork on inpatient hospital units. The findings of this study provide important information for clinical nurses, nurse managers, policymakers and instructors in health care.
The findings underline the importance of adequate staffing for nursing teamwork in inpatient hospital units.
本研究旨在考察人员配备充足度在多大程度上可以预测护理团队合作，同时控制人口统计学和背景变量。
先前的研究结果表明，医院、科室和员工特征可能与护理团队合作有关，例如医院和科室类型、角色、性别、年龄、工作经验、工作班次类型、班次长度、每周工作小时数、加班和人员配备充足度。团队合作以及人员配备被认为是医院患者和员工安全的重要贡献因素。然而，人员配备对护理团队合作质量的贡献研究甚少。
这是一项使用纸笔问卷《冰岛护理团队合作调查-1 型》的定量描述性横断面研究。
该研究在冰岛的八家医院的 27 个住院科室进行，样本量为 925 名护理人员。参与者包括 567 名注册护士、助理护士、科室秘书和护士长。本文使用了《加强观察性研究报告的生态学研究清单》。
在控制科室类型、角色、当前科室工作经验和离职意向后，仅人员配备充足度就可以解释整体团队合作的 10%。科室类型、角色、当前科室工作年限和人员配备充足度与整体团队合作显著相关。
本研究结果表明，科室和员工特征，包括人员配备充足度，与住院医院科室的护理团队合作的可变性相关，并可以解释这种可变性。本研究的结果为临床护士、护士长、政策制定者和医疗保健教育者提供了重要信息。
这些发现强调了在住院医院科室中，充足的人员配备对于护理团队合作的重要性。
