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哪些因素会影响医疗团队成员对团队协作的评价?

What factors affect team members' evaluation of collaboration in medical teams?

作者信息

Kämmer Juliane E, Ehrhard Simone, Kunina-Habenicht Olga, Weber-Schuh Sabine, Hautz Stefanie C, Birrenbach Tanja, Sauter Thomas C, Hautz Wolf E

机构信息

Department of Emergency Medicine, Inselspital, University Hospital Bern, University of Bern, Bern, Switzerland.

Psychological Assessment, TU Dortmund University, Dortmund, Germany.

出版信息

Front Psychol. 2023 Jan 12;13:1031902. doi: 10.3389/fpsyg.2022.1031902. eCollection 2022.

Abstract

INTRODUCTION

Perceived teamwork quality is associated with numerous work-related outcomes, ranging from team effectiveness to job satisfaction. This study explored what situational and stable factors affect the perceived quality of teamwork during a specific team task: when a medical team comprising a senior (supervisor) and a junior (trainee) physician diagnoses a patient.

METHODS

During a field study in an emergency department, multisource data describing the patients, the diagnosing physicians, and the context were collected, including physicians' ratings of their teamwork. The relationships between perceived teamwork quality and situational (e.g., workload) and stable (e.g., seniority) factors were estimated in a latent regression model using the structural equation modeling (SEM) approach.

RESULTS

Across the = 495 patients included, SEM analyses revealed that the patient-specific case clarity and urgency influenced the perceived teamwork quality positively, whereas the work experience of the supervisor influenced the perceived teamwork quality of both supervisor and trainee negatively, albeit to different degrees.

DISCUSSION

Our findings shed light on the complex underpinnings of perceived teamwork quality, a performance-relevant factor that may influence work and organizational effectiveness in healthcare settings.

摘要

引言

团队合作质量感知与众多与工作相关的结果相关联,从团队效能到工作满意度。本研究探讨了在特定团队任务(即由一名资深(主管)医生和一名初级(实习)医生组成的医疗团队对患者进行诊断时)中,哪些情境因素和稳定因素会影响团队合作质量感知。

方法

在急诊科的一项实地研究中,收集了描述患者、诊断医生及情境的多源数据,包括医生对其团队合作的评分。使用结构方程模型(SEM)方法,在一个潜在回归模型中估计了团队合作质量感知与情境因素(如工作量)和稳定因素(如资历)之间的关系。

结果

在纳入的495名患者中,SEM分析表明,特定患者病例的清晰度和紧急程度对团队合作质量感知有积极影响,而主管的工作经验对主管和实习生的团队合作质量感知有负面影响,尽管程度不同。

讨论

我们的研究结果揭示了团队合作质量感知这一与绩效相关因素的复杂基础,该因素可能会影响医疗环境中的工作和组织效能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4633/9877456/81c51964264a/fpsyg-13-1031902-g001.jpg

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