Jt Comm J Qual Patient Saf. 2020 Dec;46(12):667-672. doi: 10.1016/j.jcjq.2020.09.009. Epub 2020 Sep 28.
Teamwork and collaboration are essential to providing high-quality care. Prior research has found discrepancies between nurses' and physicians' perceptions in operating rooms, ICUs, and labor and delivery units. Less is known about health care professionals' perceptions of teamwork and collaboration on general medical services.
This cross-sectional study included nurses, nurse assistants, and physicians working on general medical services in four mid-sized hospitals. Researchers assessed teamwork climate using the Safety Attitudes Questionnaire and asked respondents to rate the quality of collaboration experienced with their own and other professional categories.
Data for 380 participants (80 hospitalists, 13 resident physicians, 193 nurses, and 94 nurse assistants) were analyzed. Hospitalists had the highest median teamwork climate score (83.3, interquartile range [IQR] = 72.3-91.1), and nurses had the lowest (78.6, IQR = 69.6-87.5), but the difference was not statistically significant (p = 0.42). Median teamwork climate scores were significantly different across the four sites (highest = 83.3, IQR = 75.0-91.1; lowest = 76.8, IQR = 66.7-88.4; p = 0.003). Ratings of the quality of collaboration differed significantly based on professional category. Specifically, 63.3% (50/79) of hospitalists rated the quality of collaboration with nurses as high or very high, while 48.7% (94/193) of nurses rated the quality of collaboration with hospitalists as high or very high.
This study found significant differences in perceptions of teamwork climate across sites and in collaboration across professional categories on general medical services. Given the importance in providing high-quality care, leaders should consider conducting similar assessments to characterize teamwork and collaboration on general medical services within their own hospitals.
团队合作对于提供高质量的医疗服务至关重要。先前的研究发现，手术室、重症监护病房和产房和分娩室的护士和医生对团队合作的看法存在差异。关于一般医疗服务中医疗保健专业人员对团队合作和协作的看法，了解较少。
本横断面研究包括在四家中型医院从事一般医疗服务的护士、护士助理和医生。研究人员使用安全态度问卷评估团队合作氛围，并要求受访者对与自己和其他专业类别的合作质量进行评分。
对 380 名参与者（80 名医院医生、13 名住院医师、193 名护士和 94 名护士助理）的数据进行了分析。医院医生的团队合作氛围得分中位数最高（83.3，四分位距 [IQR] = 72.3-91.1），护士得分最低（78.6，IQR = 69.6-87.5），但差异无统计学意义（p = 0.42）。四个地点的团队合作氛围得分中位数差异有统计学意义（最高：83.3，IQR = 75.0-91.1；最低：76.8，IQR = 66.7-88.4；p = 0.003）。根据专业类别，合作质量的评价存在显著差异。具体而言，63.3%（50/79）的医院医生认为与护士的合作质量高或非常高，而 48.7%（94/193）的护士认为与医院医生的合作质量高或非常高。
本研究发现，在一般医疗服务中，团队合作氛围和专业类别之间的协作存在显著差异。鉴于提供高质量医疗服务的重要性，领导者应考虑进行类似的评估，以描述其医院内一般医疗服务的团队合作和协作情况。
