Department of Health Science Gjøvik, Norwegian University of Science and Technology, Gjøvik, Norway
Center for Resilience in Healthcare (SHARE), University of Stavanger, Stavanger, Norway.
BMJ Open. 2020 Jul 8;10(7):e035432. doi: 10.1136/bmjopen-2019-035432.
Teamwork and interprofessional team training are fundamental to ensuring the continuity of care and high-quality outcomes for patients in a complex clinical environment. Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is an evidence-based team training programme intended to facilitate healthcare professionals' teamwork skills. The aim of this study is to describe healthcare professionals' experiences with teamwork in a surgical ward before and during the implementation of a longitudinal interprofessional team training programme.
A qualitative descriptive study based on follow-up focus group interviews.
A combined gastrointestinal surgery and urology ward at a hospital division in a Norwegian hospital trust.
A convenience sample of 11 healthcare professionals divided into three professionally based focus groups comprising physicians (n=4), registered nurses (n=4) and certified nursing assistants (n=3).
The TeamSTEPPS programme was implemented in the surgical ward from May 2016 to June 2017. The team training programme included the three phases: (1) assessment and planning, (2) training and implementation and (3) sustainment.
Before implementing the team training programme, healthcare professionals were essentially satisfied with the teamwork skills within the ward. During the implementation of the programme, they experienced that team training led to greater awareness and knowledge of their common teamwork skills. Improved teamwork skills were described in relation to a more systematic interprofessional information exchange, consciousness of leadership-balancing activities and resources, the use of situational monitoring tools and a shared understanding of accountability and transparency.
This study suggests that the team training programme provides healthcare professionals with a set of tools and terminology that promotes a common understanding of teamwork, hence affecting behaviour and communication in their daily clinical practice at the surgical ward.
ISRCTN13997367.
团队合作和跨专业团队培训对于确保复杂临床环境中患者的护理连续性和高质量结果至关重要。团队策略和工具以增强绩效和患者安全（TeamSTEPPS）是一种基于证据的团队培训计划，旨在促进医疗保健专业人员的团队合作技能。本研究的目的是描述外科病房的医疗保健专业人员在实施纵向跨专业团队培训计划之前和期间的团队合作经验。
基于后续焦点小组访谈的定性描述性研究。
挪威医院信托的一家医院分院的综合胃肠外科和泌尿科病房。
便利样本由 11 名医疗保健专业人员组成，分为三个专业焦点小组，包括医生（n=4）、注册护士（n=4）和认证护理助理（n=3）。
TeamSTEPPS 计划于 2016 年 5 月至 2017 年 6 月在外科病房实施。团队培训计划包括三个阶段：（1）评估和计划，（2）培训和实施，（3）维持。
在实施团队培训计划之前，医疗保健专业人员对病房内的团队合作技能基本满意。在实施该计划期间，他们意识到团队培训使他们对共同的团队合作技能有了更多的认识和了解。描述了改进的团队合作技能与更系统的跨专业信息交流、领导平衡活动和资源的意识、使用情境监测工具以及对问责制和透明度的共同理解有关。
本研究表明，该团队培训计划为医疗保健专业人员提供了一套工具和术语，促进了对团队合作的共同理解，从而影响了他们在外科病房日常临床实践中的行为和沟通。
ISRCTN65065464。
