Department of Nursing, Chang Gung University of Science and Technology, Chang Gung Memorial Hospital Institutiona, No.261, Wenhua 1st Rd., Guishan Dist., Taoyuan City, 33303, Taiwan.
Nurse Educ Pract. 2021 Feb;51:102977. doi: 10.1016/j.nepr.2021.102977. Epub 2021 Jan 30.
The extent to which team interdisciplinarity affects trust and communicative interaction behaviors in healthcare settings has received limited attention. Undergraduate nursing students must understand and work with interdisciplinary team-based dynamics. This study examined the relationship between swift trust and interaction behaviors among nursing student teams and explored whether team interdisciplinarity moderated that relationship. In this cross-sectional, comparative, quantitative, descriptive study, students from a Nursing program (n = 63) at one university and a Design program (n = 65) at another university in Taiwan comprised the interdisciplinary group. Remaining nursing students (n = 147) comprised the non-interdisciplinary group. Self-report questionnaires included 10 items to assess perceived team swift trust (cognition-based and affect-based) and 24 items to assess students' interaction behaviors (constructive controversy, helping behaviors, and spontaneous communication). Canonical correlation analysis showed the teams' cognition-based-but not affect-based-trust correlated positively with each interaction behavior. Moderation models indicated that the interdisciplinary team negatively moderated the relationship between teams' cognition-based trust and constructive controversy. In conclusion, team members' higher perceived cognition-based trust is associated with higher perceived interaction behaviors, but team interdisciplinarity may negatively impact that relationship. Nursing educators may use these insights to improve outcomes for both educational and professional healthcare teams.
团队跨学科性对医疗环境中信任和沟通互动行为的影响程度受到的关注有限。本科护理学生必须理解并处理跨学科团队的动态。本研究考察了护理学生团队之间快速信任与互动行为之间的关系,并探讨了团队跨学科性是否调节了这种关系。在这项横断面、比较、定量、描述性研究中,来自台湾一所大学护理项目(n=63)和一所设计项目(n=65)的学生组成了跨学科小组。其余护理学生(n=147)组成了非跨学科小组。自我报告问卷包括 10 个项目来评估感知的团队快速信任(基于认知和基于情感)和 24 个项目来评估学生的互动行为(建设性争议、帮助行为和自发沟通)。典型相关分析显示,团队的基于认知的信任,但不是基于情感的信任,与每种互动行为呈正相关。调节模型表明,跨学科团队对团队基于认知的信任和建设性争议之间的关系有负向调节作用。总之,团队成员感知到的更高的基于认知的信任与更高的感知互动行为相关,但团队跨学科性可能会对这种关系产生负面影响。护理教育者可以利用这些见解来改善教育和专业医疗团队的结果。