Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, S-651 88, Karlstad, Sweden.
Faculty of Health, Welfare and Organisation, Østfold University College, P.O. Box 700, 1757, Halden, Norway.
BMC Health Serv Res. 2022 Jun 24;22(1):820. doi: 10.1186/s12913-022-08145-5.
In complex healthcare organizations, such as intrapartum care, both patient safety culture and teamwork are important aspects of patient safety. Patient safety culture is important for the values and norms shared by interprofessional teams in an organization, and such values are principles that guide team members' behavior. The aim of this study was 1) to investigate differences in perceptions of patient safety culture and teamwork between professions (midwives, physicians, nursing assistants) and between labor wards in intrapartum care and 2) to explore the potential associations between teamwork and overall perceptions of patient safety and frequency of events reported. METHODS: The design was cross-sectional, using the Swedish version of the Hospital Survey on Patient Safety Culture (14 dimensions) and the TeamSTEPPS® Teamwork Perceptions Questionnaire (5 dimensions). Midwives, physicians, and nursing assistants in three labor wards in Sweden in 2018 were included. Descriptive statistics, the Kruskal-Wallis H test, two-way ANOVA, and standard multiple regression analysis were used.
The questionnaires were completed by 184 of the 365 healthcare professionals, giving a response rate of 50.4%. Two-way ANOVA showed a significant main effect of profession on two patient safety culture dimensions and one teamwork dimension and a significant main effect of labor ward on four patient safety culture dimensions and four teamwork dimensions. A significant interaction effect of profession and labor ward was found on four patient safety culture dimensions and four teamwork dimensions. The regression analysis revealed that four out of the five teamwork dimensions explained 40% of the variance in the outcome dimension ´Overall perceptions of patient safety´.
The results of the study indicate that profession and labor ward are important for healthcare professionals' perceptions of patient safety culture and teamwork in intrapartum care. Teamwork perceptions are significant for overall patient safety.
在复杂的医疗保健组织中，如分娩护理，患者安全文化和团队合作都是患者安全的重要方面。患者安全文化对于组织内跨专业团队共享的价值观和规范很重要，而这些价值观是指导团队成员行为的原则。本研究的目的是：1）调查分娩护理中不同专业（助产士、医生、护理助理）和不同产房之间对患者安全文化和团队合作的看法差异；2）探讨团队合作与整体患者安全感知和报告事件频率之间的潜在关联。方法：本研究采用了横断面设计，使用了瑞典版的《医院患者安全文化调查》（14 个维度）和《团队 STEPPS®团队合作感知问卷》（5 个维度）。2018 年，瑞典三个产房的助产士、医生和护理助理参与了本研究。采用描述性统计、Kruskal-Wallis H 检验、双因素方差分析和标准多元回归分析。结果：共有 365 名医护人员中的 184 人完成了问卷，应答率为 50.4%。双因素方差分析显示，专业对两个患者安全文化维度和一个团队合作维度有显著的主效应，产房对四个患者安全文化维度和四个团队合作维度有显著的主效应。专业和产房之间存在显著的交互效应，对四个患者安全文化维度和四个团队合作维度均有影响。回归分析显示，五个团队合作维度中有四个维度解释了“整体患者安全感知”这一结果维度 40%的方差。结论：研究结果表明，专业和产房对分娩护理中医护人员对患者安全文化和团队合作的看法很重要。团队合作感知对整体患者安全有重要影响。
