MD Program, Faculty of Medicine, University of Ottawa, Ottawa, Canada.
Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
J Interprof Care. 2023 Nov 2;37(6):904-921. doi: 10.1080/13561820.2022.2137116. Epub 2022 Nov 13.
The occupational well-being of healthcare providers is crucial for safe and effective patient care, especially in the complex, high acuity operating room (OR) setting. There has been a recent proliferation of interventions to improve teamwork in the OR setting, but the impact of these interventions on clinician occupational well-being has yet to be systematically assessed. This systematic review aimed to summarize the impact of interprofessional teamwork interventions on occupational well-being among perioperative healthcare providers. We included all qualitative or quantitative peer-reviewed studies assessing a multidisciplinary teamwork intervention including members of at least two professions. We included seven studies which involved checklists (n = 2), simulation-based training (n = 2), and various teamwork development and training programs (n = 3). Five of the seven included studies reported no significant effect on job satisfaction, while one found a significant negative association between the intervention and job satisfaction (p < .0001), and another showed significant decrease in worker stress. Our findings highlight the gaps in our understanding of the impact of interprofessional teamwork interventions on healthcare worker well-being in the perioperative environment and the multi-level factors influencing OR teamwork, intervention implementation, and well-being across the different professions.
医护人员的职业健康对于安全有效的患者护理至关重要,特别是在复杂、高风险的手术室(OR)环境中。最近已经出现了大量干预措施来改善 OR 环境中的团队合作,但这些干预措施对临床医生职业健康的影响尚未得到系统评估。本系统评价旨在总结多专业团队合作干预措施对围手术期医护人员职业健康的影响。我们纳入了所有评估多学科团队合作干预措施的定性或定量同行评议研究,这些干预措施至少涉及两个专业的成员。我们纳入了 7 项研究,其中涉及检查表(n=2)、基于模拟的培训(n=2)以及各种团队发展和培训计划(n=3)。这 7 项研究中有 5 项报告对工作满意度没有显著影响,而有 1 项研究发现干预与工作满意度之间存在显著负相关(p<0.0001),另有 1 项研究显示工人压力显著降低。我们的研究结果突出了我们对围手术期环境中多专业团队合作干预措施对医护人员健康影响的理解存在差距,以及影响 OR 团队合作、干预实施以及不同专业人员健康的多层次因素。