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信任如何影响跨专业医疗团队的绩效。

How trust affects performance of interprofessional health-care teams.

机构信息

Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion, Greece.

University Hospital of Heraklion, Heraklion, Greece.

出版信息

J Interprof Care. 2020 Mar-Apr;34(2):218-224. doi: 10.1080/13561820.2019.1631763. Epub 2019 Aug 7.

DOI:10.1080/13561820.2019.1631763
PMID:31390238
Abstract

Interprofessional teamwork in health-care settings is considered a valuable means of enhancing patient management. Literature has highlighted the importance of trust in building effective health-care teams. The present study aimed to investigate and further understand the perceptions of health-care professionals regarding trust and performance within their working team, as well as to assess the association between them and team performance. "TRUST" questionnaire, a valid instrument for measuring the relationship of trust and team performance was distributed to the members of the perioperative teams located in two different hospitals (a University and a General Hospital) in Greece. Two multivariate linear regression models were developed to reveal the significant predictors of high performance per hospital. Among the major findings revealed were 1) trust and performance were closely related 2) slight yet significant variations were observed between the University and the General Hospital and 3) trust level, years of previous experience and number of team members were among the key predictors of effective team performance. This study conveys new knowledge on trust and performance within health-care settings with limited resources and is expected to guide future interventions aiming to enhance team performance.

摘要

医疗环境中的跨专业团队合作被认为是增强患者管理的有效手段。文献强调了信任在建立有效医疗团队中的重要性。本研究旨在调查和进一步了解医疗保健专业人员对其工作团队内信任和绩效的看法,并评估它们与团队绩效之间的关系。“信任”问卷是一种衡量信任与团队绩效关系的有效工具,分发给位于希腊两所不同医院(一所大学医院和一所综合医院)的围手术期团队成员。为了揭示每所医院高绩效的显著预测因素,我们建立了两个多元线性回归模型。主要发现包括:1)信任和绩效密切相关;2)大学医院和综合医院之间存在细微但显著的差异;3)信任水平、以往工作经验年限和团队成员人数是有效团队绩效的关键预测因素。这项研究在资源有限的医疗环境中传递了有关信任和绩效的新知识,有望为未来旨在提高团队绩效的干预措施提供指导。

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