Institute for Patient Safety, University Hospital of Bonn, Venusberg-Campus 1, 53127, Bonn, Germany.
FHNW School of Applied Psychology, University of Applied Sciences and Arts Northwestern Switzerland, Riggenbachstrasse 16, 4600, Olten, Switzerland.
BMC Health Serv Res. 2021 Apr 14;21(1):341. doi: 10.1186/s12913-021-06137-5.
Many hospitals seek to increase patient safety through interprofessional team-trainings. Accordingly, these trainings aim to strengthen important key aspects such as safety culture and communication. This study was designed to investigate if an interprofessional team-training, administered to a relatively small group of nurses and physicians would promote a change in healthcare professionals' perceptions on safety culture and communication practices throughout the hospital. We further sought to understand which safety culture aspects foster the transfer of trained communication practices into clinical practice.
We conducted a pre-post survey study using six scales to measure participants' perceptions of safety culture and communication practices. Mean values were compared according to profession and participation in training. Using multiple regression models, the relationship between safety culture and communication practices was determined.
Before and after the training, we found high mean values for all scales. A significant, positive effect was found for the communication practices of the physicians. Participation in the training sessions played a variably relevant role in the communication practices. In addition, the multiple regression analyses showed that specific safety culture aspects have a cross-professional influence on communication practices in the hospital.
This study suggest that interprofessional team-trainings of a small group of professionals can successfully be transferred into clinical practice and indicates the importance of safety culture aspects for such transfer processes. Thus, we recommend the consideration of safety culture aspects before starting a training intervention.
许多医院寻求通过跨专业团队培训来提高患者安全性。因此，这些培训旨在加强安全文化和沟通等重要关键方面。本研究旨在调查对相对较少数量的护士和医生进行的跨专业团队培训是否会促进医疗保健专业人员对整个医院安全文化和沟通实践的看法发生变化。我们还试图了解哪些安全文化方面促进了培训沟通实践向临床实践的转移。
我们使用六个量表进行了一项预-后调查研究，以衡量参与者对安全文化和沟通实践的看法。根据专业和参与培训的情况比较平均值。使用多元回归模型确定安全文化和沟通实践之间的关系。
在培训前后，我们发现所有量表的平均值都很高。医生的沟通实践有显著的积极影响。参与培训课程在沟通实践中发挥了不同程度的作用。此外，多元回归分析表明，特定的安全文化方面对医院内的沟通实践具有跨专业的影响。
本研究表明，对一小部分专业人员进行的跨专业团队培训可以成功地转化为临床实践，并表明安全文化方面对这种转移过程的重要性。因此，我们建议在开始培训干预之前考虑安全文化方面。
