最重要的是什么，对谁而言？一项横断面研究，旨在探讨德国新生儿重症监护病房卫生专业人员的目标。

What matters most and for whom? A cross-sectional study exploring goals of health professionals in German neonatal intensive care units.

机构信息

Department of Health Economics, RWI - Leibniz Institute for Economic Research, Essen, Germany

Ruhr-University Bochum, Bochum, Germany.

出版信息

BMJ Open. 2021 Mar 22;11(3):e044031. doi: 10.1136/bmjopen-2020-044031.

DOI:10.1136/bmjopen-2020-044031

PMID:33753440

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7986904/

Abstract

OBJECTIVES

Quality of care largely depends on successful teamwork, which in turn needs effective communication between health professionals. To communicate successfully in a team, health professionals need to strive for the same goals. However, it has been left largely unaddressed which goals professionals consider to be important. In this study, we aim to identify these goals and analyse whether differences between (1) personal and organisational goals, (2) different professions and (3) hierarchical levels exist in neonatal intensive care units (NICUs).

DESIGN

Goals were identified based on a literature review and a workshop with health professionals and tested in a pilot study. Subsequently, in the main study, a cross-sectional employee survey was undertaken.

SETTING AND PARTICIPANTS

1489 nurses and 537 physicians from 66 German NICUs completed the questionnaire regarding personal and organisational goal importance between May and July 2013. Answers were given based on a 7-point Likert scale varying between none and exceptionally high importance.

RESULTS

Results show that the goals can be subdivided into three main goal dimensions: patients, parents and staff. Furthermore, our results reveal significant differences between different professions and different hierarchical level: physicians rated patient goals with a mean (95% CI) importance of 6.37 (3.32 to 6.43), which is significantly higher than nurses with a mean (95% CI) importance of 6.15 (6.12 to 6.19) (p<0.01). Otherwise, nurses classified parental goals as more important (p<0.01). Furthermore, professionals in leading positions rate patient goals significantly higher than professionals that are not in leading positions (6.36 (3.28 to 6.44) vs 6.19 (6.15 to 6.22), p<0.01).

CONCLUSIONS

Different employee goals need to be considered in decision-making processes to enhance employee motivation and the effectiveness of teamwork.

TRIAL REGISTRATION NUMBER

DRKS00004589.

摘要

目的

医疗质量在很大程度上取决于团队合作的成功，而团队合作又需要卫生专业人员之间进行有效的沟通。为了在团队中进行有效的沟通，卫生专业人员需要努力追求相同的目标。然而，专业人员认为哪些目标重要，这在很大程度上尚未得到解决。在这项研究中，我们旨在确定这些目标，并分析新生儿重症监护病房（NICU）中（1）个人和组织目标、（2）不同专业和（3）层次之间是否存在差异。

设计

基于文献回顾和与卫生专业人员的研讨会确定了目标，并在试点研究中进行了测试。随后，在主要研究中，进行了一项横断面员工调查。

地点和参与者

2013 年 5 月至 7 月，来自德国 66 家 NICU 的 1489 名护士和 537 名医生完成了关于个人和组织目标重要性的问卷。答案是根据 7 点李克特量表给出的，从无到极高重要性不等。

结果

结果表明，这些目标可以细分为三个主要目标维度：患者、家长和员工。此外，我们的结果还显示出不同专业和不同层次之间存在显著差异：医生对患者目标的评分平均值（95%CI）为 6.37（3.32 至 6.43），明显高于护士的平均值（95%CI）6.15（6.12 至 6.19）（p<0.01）。另一方面，护士将父母的目标分类为更重要（p<0.01）。此外，处于领导地位的专业人员对患者目标的评分明显高于非领导地位的专业人员（6.36（3.28 至 6.44）与 6.19（6.15 至 6.22），p<0.01）。