Medical Psychology and Medical Sociology, Medical Faculty, Albert-Ludwigs-University, Freiburg, Germany.
Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
PLoS One. 2020 May 29;15(5):e0233766. doi: 10.1371/journal.pone.0233766. eCollection 2020.
Inter-professional teamwork is a prominent factor in quality of care and may lead to improved patient safety. Although team members' points of view are highly relevant when trying to improve inpatient procedures, there is a lack of systematic assessment of their perceptions. Therefore, study aims were to explore inter-professional teamwork, safety-related behavior, and patient safety in German hospitals from team members' point of view. Furthermore, we wanted to examine the association between inter-professional teamwork and safety-related behavior as well as the association between inter-professional teamwork and patient safety.
We used cross-sectional pre-intervention data of a multicenter longitudinal study (German KOMPAS project). We gathered descriptive statistics for sample characteristics and to describe the current state of inter-professional teamwork, safety-related behavior, and patient safety. We used one-way variance analyses to assess differences between groups, and linear regression analyses to examine the association between inter-professional teamwork and the outcomes safety-related behavior, and patient safety.
326 inpatient care team members participated in the study. Participants perceived a moderate to high level of inter-professional teamwork, and a moderate level of patient safety. Moreover, they reached rather high values in safety-related behavior. Professional group, work experience, and period of employment had an impact on the perceptions of inter-professional teamwork, and patient safety. Higher inter-professional teamwork was associated with better patient safety. We did not find an association between inter-professional teamwork and safety-related behavior.
Based on the association between inter-professional teamwork and patient safety, we recommend the implementation of team interventions. Because professional group, period of employment, and work experience had an impact on the perceptions of inter-professional teamwork and patient safety, we suggest future qualitative research to explore reasons for caregivers' critical evaluation. Moreover, we recommend longitudinal studies to reveal causal relationships, and subsequently to determine areas of improvement for a safer health care.
跨专业团队合作是医疗质量的重要因素，可能会提高患者安全性。尽管团队成员的观点对于改善住院流程非常重要，但缺乏对他们看法的系统评估。因此，本研究旨在从团队成员的角度探讨德国医院的跨专业团队合作、与安全相关的行为以及患者安全，并探讨跨专业团队合作与与安全相关的行为以及与患者安全之间的关系。
我们使用了一项多中心纵向研究（德国 KOMPAS 项目）的横断面预干预数据。我们收集了样本特征的描述性统计数据，以描述当前的跨专业团队合作、与安全相关的行为和患者安全状况。我们使用单因素方差分析评估组间差异，使用线性回归分析检验跨专业团队合作与与安全相关的行为、患者安全之间的关系。
326 名住院护理团队成员参与了研究。参与者对跨专业团队合作的看法处于中等至较高水平，对患者安全的看法处于中等水平。此外，他们在与安全相关的行为方面达到了相当高的水平。专业群体、工作经验和就业期限对跨专业团队合作和患者安全的看法有影响。更高的跨专业团队合作与更好的患者安全相关。我们没有发现跨专业团队合作与与安全相关的行为之间的关系。
基于跨专业团队合作与患者安全之间的关系，我们建议实施团队干预措施。由于专业群体、就业期限和工作经验对跨专业团队合作和患者安全的看法有影响，我们建议未来进行定性研究，以探讨护理人员批判性评估的原因。此外，我们建议进行纵向研究，以揭示因果关系，并确定改善医疗保健安全性的领域。
