UCD Centre for Interdisciplinary Research, Education, and Innovation in Health Systems (UCD IRIS), School of Nursing, Midwifery & Health Systems, Health Sciences Centre, University College Dublin, Dublin, Ireland.
Department of Intensive Care Medicine, Department of Neurology, Mater Misericordiae University Hospital, Dublin, Ireland.
J Eval Clin Pract. 2022 Jun;28(3):382-393. doi: 10.1111/jep.13648. Epub 2022 Feb 17.
Job satisfaction and retention of healthcare staff remains an ongoing issue in many health systems. Huddles have been endorsed as a mechanism to improve patient safety by improving teamwork, collaboration, and communication in teams.
This study aims to synthesises the literature to investigate the impact of huddles on job satisfaction, teamwork, and work engagement in multidisciplinary healthcare teams.
Five academic databases were searched to conduct a systematic review of peer-reviewed literature published from January 2000 to January 2020. Articles were included if they (1) featured a daily huddle, were conducted in a healthcare setting, and involved a multidisciplinary team and (2) measured variables including job satisfaction, work engagement, or teamwork. Results were reported in accordance with the systematic synthesis without meta-analysis and preferred reporting items for systematic reviews and meta-analysis guidelines. We identified 445 articles of which 12 met the eligibility criteria and are included in this review.
All 12 included studies found a predominantly positive impact on teamwork and job satisfaction. None of the studies discussed or reported evidence of the impact of huddles on work engagement. This review highlights the value of a daily multidisciplinary healthcare team huddle in improving job satisfaction and teamwork for the healthcare staff involved. However, there is a dearth of high-quality, peer-reviewed evidence regarding the direct impact of huddles on job satisfaction, teamwork and in particular on work engagement. Further research-particularly controlled studies on adoption, implementation and outcomes for healthcare team culture-is needed to further assess this intervention.
在许多医疗体系中，医护人员的工作满意度和留用率仍然是一个持续存在的问题。碰头会已被认可为一种通过改善团队合作、协作和沟通来提高患者安全的机制。
本研究旨在综合文献，调查碰头会对多学科医疗团队的工作满意度、团队合作和工作投入的影响。
为进行系统评价，我们对 2000 年 1 月至 2020 年 1 月发表的同行评议文献进行了五个学术数据库检索。如果文章（1）具有每日碰头会、在医疗环境中进行且涉及多学科团队，并且（2）测量了包括工作满意度、工作投入或团队合作在内的变量，则将其纳入。结果按照系统综合报告，未进行荟萃分析，且符合系统评价和荟萃分析指南的首选报告项目。我们确定了 445 篇文章，其中 12 篇符合入选标准并纳入本综述。
所有 12 项纳入研究均发现对团队合作和工作满意度产生了主要的积极影响。没有一项研究讨论或报告过碰头会对工作投入的影响的证据。本综述强调了每日多学科医疗团队碰头会在提高参与医护人员工作满意度和团队合作方面的价值。然而，关于碰头会对工作满意度、团队合作，特别是对工作投入的直接影响，高质量同行评议证据仍然缺乏。需要进一步的研究，特别是关于医疗团队文化的采用、实施和结果的对照研究，以进一步评估这一干预措施。
