Hall-Lord Marie Louise, Ballangrud Randi
Department of Health Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Gjøvik, Norway.
SAGE Open Nurs. 2022 Feb 8;8:23779608221076814. doi: 10.1177/23779608221076814. eCollection 2022 Jan-Dec.
Improving teamwork competencies among health care professionals is important for patient safety. Few previous studies have investigated whether a teamwork intervention has an impact on patients' perceptions of quality of care.
To investigate patients' perceptions of quality of care before and after the implementation of a team training program in a surgical ward.
A quasi-experimental pre- and posttest design was used. The TeamSTEPPS team training program was implemented in a surgical ward. Three groups of consecutively sampled patients responded to the Quality from the Patient's Perspective (QPP) questionnaire including four dimensions with 25 items. In addition to the QPP, six items were developed for this study. In total, 223 patients responded to the questionnaire. The mean age was 59.6 years, and there were 128 males and 94 females.
The physical-technical condition dimension and four items showed significantly higher scores after six months of intervention. The majority of the patients scored quality of care in the four dimensions as very high at all three time points. Younger patients reported the lowest care quality.
The results in this study indicate that the teamwork intervention had a minimal impact on the patients' perceptions of quality of care, with only significant differences between baseline and six months of intervention in one dimension and three items. At each data collection time point, the numbers of patients who perceived quality of care as modest decreased slightly. Younger patients were more likely to perceive care quality as modest.
提高医疗保健专业人员的团队合作能力对患者安全至关重要。此前很少有研究调查团队合作干预是否会影响患者对医疗质量的看法。
调查在外科病房实施团队培训计划前后患者对医疗质量的看法。
采用准实验性前后测设计。在一个外科病房实施了团队策略与工具（TeamSTEPPS）团队培训计划。三组连续抽样的患者对患者视角质量（QPP）问卷做出回应，该问卷包括四个维度共25个项目。除了QPP问卷外，本研究还编制了6个项目。共有223名患者对问卷做出回应。患者平均年龄为59.6岁，其中男性128名，女性94名。
在干预6个月后，物理技术状况维度及4个项目的得分显著更高。在所有三个时间点，大多数患者对四个维度的医疗质量评分都非常高。年轻患者报告的护理质量最低。
本研究结果表明，团队合作干预对患者对医疗质量的看法影响甚微，仅在一个维度和三个项目上基线与干预6个月之间存在显著差异。在每个数据收集时间点，认为医疗质量一般的患者数量略有下降。年轻患者更有可能认为护理质量一般。
