医护专业人员对跨专业团队合作的看法:瑞典儿童保健服务中的全国性调查。
Healthcare professionals' perceptions about interprofessional teamwork: a national survey within Swedish child healthcare services.
机构信息
Department of Public Health and Caring Sciences, Uppsala University, BMC, Box 564, 751 22, Uppsala, Sweden.
Center for Clinical Research Sörmland/Uppsala University, Box 529, 631 07, Eskilstuna, Sweden.
出版信息
BMC Health Serv Res. 2021 Mar 22;21(1):265. doi: 10.1186/s12913-021-06139-3.
BACKGROUND
Globally, interprofessional teamwork is described as a key method to promote health and prevent illness in children, namely, to achieve the goals of Child Healthcare Services (CHS). However, how teamwork should be designed within CHS to achieve the goals is unclear. This study aimed to investigate healthcare professionals' perceptions about 1) taking part in interprofessional teamwork, 2) team characteristics, and 3) whether the perceptions were related to professional affiliation or workplace.
METHODS
A national cross-sectional survey was conducted using a web-based study-specific questionnaire sent to all accessible nurses, physicians, and psychologists in Swedish CHS (n = 3552). The response rate was 31.5%. To identify possible associations, logistic regressions were conducted.
RESULTS
Almost all respondents, 1096/1119 (97.9%), reported taking part in some type of interprofessional teamwork within the Swedish CHS. Among those, the most common was team-based visits (82.2%). It was perceived that performing team-based visits resulted in fulfilled goals, expertise exceeding individual team members' competences, provision of high-quality care, and meeting children's and families' needs, to a greater extent, than if not performing team-based visits. Correspondingly, working as a team in parental groups was perceived as resulting in fulfilled goals, meeting the needs of children and their families, and continuity within the team to a greater extent than if not working together in a team. Professional affiliation was associated with different perceptions and types of teamwork. Family Centers were positively associated with all types of teamwork as well as continuity within the team.
CONCLUSIONS
Healthcare professionals' perceptions about team characteristics were associated with professional affiliation, workplace, and type of teamwork (defined as team activities) within the CHS. Professionals within Swedish CHS, taking part in team-based visits and in interprofessional teamwork in parental groups, perceived that the team fulfilled its goals and met the needs of children and families to a greater extent than professionals not taking part in these types of teamwork. Professionals at Family Centers were more likely to work in teams in different ways. Knowledge about interprofessional teamwork for individuals and groups in Swedish CHS might also be valuable in other healthcare settings, dealing with complex needs.
背景
在全球范围内,跨专业团队合作被描述为促进儿童健康和预防疾病的关键方法,即实现儿童保健服务 (CHS) 的目标。然而,在 CHS 中如何设计团队合作以实现这些目标尚不清楚。本研究旨在调查医疗保健专业人员对以下方面的看法:1)参与跨专业团队合作;2)团队特征;3)这些看法是否与专业背景或工作场所相关。
方法
使用专门的网络调查向瑞典 CHS 中所有可及的护士、医生和心理学家(n=3552)发送了基于网络的全国性横断面调查问卷。回复率为 31.5%。为了识别可能的关联,进行了逻辑回归分析。
结果
几乎所有(1096/1119,97.9%)受访者报告称,在瑞典 CHS 中参与了某种类型的跨专业团队合作。其中最常见的是基于团队的访问(82.2%)。与不进行基于团队的访问相比,受访者认为进行基于团队的访问在更大程度上实现了目标、超越了个别团队成员的专业知识、提供了高质量的护理、并满足了儿童及其家庭的需求。相应地,在父母群体中作为一个团队工作被认为在更大程度上实现了目标、满足了儿童及其家庭的需求以及团队内部的连续性,而不是不合作。专业背景与不同的团队合作感知和类型相关。家庭中心与所有类型的团队合作以及团队内部的连续性呈正相关。
结论
医疗保健专业人员对团队特征的看法与专业背景、工作场所以及 CHS 内的团队合作类型(定义为团队活动)相关。瑞典 CHS 中参与基于团队的访问和父母群体中的跨专业团队合作的专业人员认为,团队在更大程度上实现了其目标并满足了儿童及其家庭的需求,而不参与这些类型的团队合作的专业人员则不然。家庭中心的专业人员更有可能以不同的方式团队合作。了解瑞典 CHS 中个人和团体的跨专业团队合作对于处理复杂需求的其他医疗保健环境也可能具有价值。
相似文献
J Interprof Care. 2021-8-11
BMC Health Serv Res. 2024-4-29
BMC Health Serv Res. 2021-1-30
Scand J Trauma Resusc Emerg Med. 2022-7-15
引用本文的文献
BMC Health Serv Res. 2024-12-3
本文引用的文献
Scand J Child Adolesc Psychiatr Psychol. 2019-5-30
J Prim Health Care. 2018-10
Can Fam Physician. 2018-4
Scand J Public Health. 2018-2
Pediatr Clin North Am. 2018-2