Kakemam Edris, Hajizadeh Alireza, Azarmi Mina, Zahedi Hamideh, Gholizadeh Masoumeh, Roh Young Sook
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
J Nurs Manag. 2021 Jul;29(5):1189-1198. doi: 10.1111/jonm.13257. Epub 2021 Feb 8.
To identify the levels of teamwork and its relationship with the occurrence and reporting of adverse events among Iranian nurses.
Strengthening teamwork is emphasized worldwide for enhancing quality care and patient safety.
This study applied a cross-sectional survey design. A total of 327 Iranian nurses from eight teaching hospitals participated in a self-administered survey using simple random sampling. The Teamwork Perceptions Questionnaire was used to measure the teamwork. The frequency of occurrence and reporting of adverse events were measured with two questions. Data were analysed using descriptive analyses, independent t tests and logistic regression analysis.
The mean teamwork score was 3.81 out of 5. Among the nurses, 48.0% had experienced adverse events in the past 6 months and 79.8% reported having an appropriate performance in adverse events reporting. Teamwork was significantly associated with lower occurrences of adverse events and better adverse events reporting. Specifically, nurses with higher situation monitoring (odds ratio (OR) = 0.47), mutual support (OR = 3.18) and team leadership (OR = 2.09) scores were more likely to report adverse events. Nurses with higher situation monitoring scores were less likely to experience the occurrence of adverse events (OR = 0.38).
Nurses' perception of teamwork was moderate to high. Teamwork was associated with the occurrence and reporting of adverse events. Further study is needed to identify the effects of teamwork training on the learning outcomes, including teamwork, occurrence and the reporting of adverse events among nurses.
Nursing managers should consider multiple educational strategies including structured teamwork training to improve staff nurses' teamwork competency. Administrative initiatives and quality improvement projects are needed to increase nurses' performance in the reporting of adverse events through an accreditation process.
确定伊朗护士的团队合作水平及其与不良事件发生和报告之间的关系。
全球都在强调加强团队合作以提高护理质量和患者安全。
本研究采用横断面调查设计。通过简单随机抽样，来自八所教学医院的327名伊朗护士参与了一项自填式调查。使用团队合作认知问卷来衡量团队合作。通过两个问题来测量不良事件的发生频率和报告情况。数据采用描述性分析、独立t检验和逻辑回归分析。
团队合作平均得分在5分制中为3.81分。在护士中，48.0%在过去6个月中经历过不良事件，79.8%报告在不良事件报告方面表现良好。团队合作与较低的不良事件发生率和更好的不良事件报告显著相关。具体而言，具有较高情境监测（优势比（OR）=0.47）、相互支持（OR = 3.18）和团队领导（OR = 2.09）得分的护士更有可能报告不良事件。具有较高情境监测得分的护士发生不良事件的可能性较小（OR = 0.38）。
护士对团队合作的认知为中等偏高。团队合作与不良事件的发生和报告有关。需要进一步研究以确定团队合作培训对学习成果的影响，包括护士之间的团队合作、不良事件的发生和报告。
护理管理者应考虑多种教育策略，包括结构化的团队合作培训，以提高护士的团队合作能力。需要行政举措和质量改进项目，通过认证过程提高护士在不良事件报告方面的表现。
