Department of Learning, Informatics, Management, and Ethics (LIME) Medical Management Center Karolinska Institutet Stockholm Sweden.
National Institute for Health Research Collaboration for Leadership in Health Research & Care (Wessex) University of Southampton Southampton UK.
Nurs Open. 2020 Jan 15;7(2):613-617. doi: 10.1002/nop2.431. eCollection 2020 Mar.
To investigate whether nurse reported teamwork with physicians was associated with patient perceived consistency in staff-to-patient communication.
A cross-sectional survey design was used, drawing on data collected from two surveys in England.
Teamwork was assessed using data from the RN4CAST survey of 2,990 nurses in 31 Trusts in England. Data on patient experience derived from the National Health Services Adult Inpatient Questionnaire, including 12,506 patients in the same Trusts. A cross-sectional design with multivariate logistic regression was used.
Each 5% increase in the proportion of nurses who agree that there "is a lot of teamwork between nurses and physicians" was associated with 7% lower odds that patients reported inconsistency in communication amongst staff. The results suggest that patients seem to experience the consequences of less teamwork between nurses and physicians through their own perceptions of inconsistency in communication between staff. The findings emphasize good teamwork between doctors and nurses are not only important for the team, but also can have consequences for patients. It provides additional incentive to find mechanisms to breakdown disciplinary barriers and improve the cohesion of clinical teams for the benefit of their patients.
调查护士报告的与医生的团队合作是否与患者感知到的医护人员与患者沟通的一致性有关。
采用横断面调查设计，利用从英格兰两个调查中收集的数据。
使用来自英格兰 31 家信托基金的 RN4CAST 调查中 2990 名护士的数据评估团队合作情况。来自国家卫生服务成人住院患者问卷调查的数据包括同一信托基金中的 12506 名患者。采用具有多变量逻辑回归的横断面设计。
护士中每增加 5%同意“护士和医生之间有很多团队合作”的比例，患者报告医护人员之间沟通不一致的可能性就会降低 7%。结果表明，患者似乎通过自己对员工之间沟通不一致的看法来体验护士和医生之间团队合作减少的后果。这些发现强调了医生和护士之间的良好团队合作不仅对团队很重要，而且对患者也有影响。这为寻找打破学科障碍和提高临床团队凝聚力的机制提供了额外的动力，以造福于他们的患者。
