Regional Support Structure (SRA) QualiREL Santé, Hôpital Saint Jacques, Nantes, France.
Public Health Department, University Hospital of Nantes, Nantes, France.
PLoS One. 2023 Mar 9;18(3):e0282721. doi: 10.1371/journal.pone.0282721. eCollection 2023.
In France, hospital units responsible for providing inpatient care have few opportunities to address the issue of task interruptions. In Australia, the Dual Perspectives Method (DMP) has been developed to assess interruptions. The method makes it possible to link teamwork and interruptions, by considering the work functions that constitute the system.
To develop a tool that can characterize interruptions from the point of view of work functions that is tailored to French hospital units providing inpatient care. The aim was to adapt the items recorded using the DPM and their response categories, and to study the acceptability of observing interruptions for participating teams.
The items recorded in the DPM were translated and adapted taking into account the French definition of interruptions. This step identified 19 items that targeted the interrupted professional, and 16 that targeted the interrupting professional. The characteristics of interruptions were recorded in September 2019 among 23 volunteer teams in a region in western France. Two observers simultaneously observed the same professional. Observations lasted seven consecutive hours, and targeted all professional categories within the same team.
The characteristics of 1,929 interruptions were noted. The observation period was well-received by teams. The following terminology regarding the work functions of the interrupting professional was clarified: "coordination of institutional resources", in relation to "the establishment's support processes", "patient services", and "the patient's social life". We believe that our categorization of response modes is exhaustive.
We have developed an observational tool, Team'IT, which is tailored to inpatient hospital care in France. Its implementation is the first step in a system to support teams in managing interruptions, and will enable them to reflect on their working methods, and whether interruptions can be avoided. Our work is part of an approach that seeks to improve and enhance the safety of professional practices, by contributing to the longstanding, complex debate about the flow and effectiveness of patient care.
ClinicalTrials.gov NCT03786874 (December 26, 2018).
在法国，负责提供住院治疗的医院科室很少有机会解决任务中断的问题。在澳大利亚，已经开发出了双视角法（DPM）来评估中断。该方法通过考虑构成系统的工作职能，将团队合作与中断联系起来。
开发一种能够从工作职能的角度描述中断的工具，该工具针对提供住院治疗的法国医院科室。目的是改编使用 DPM 记录的项目及其响应类别，并研究参与团队观察中断的可接受性。
翻译并改编了 DPM 中记录的项目，考虑了法国对中断的定义。这一步确定了 19 个针对被中断的专业人员的项目，以及 16 个针对中断者的项目。2019 年 9 月，在法国西部的一个地区，23 个志愿者团队记录了中断的特征。两名观察员同时观察同一名专业人员。观察持续了七个小时，针对同一团队中的所有专业类别。
共记录了 1929 次中断的特征。观察期得到了团队的好评。关于中断者工作职能的以下术语得到了澄清：“机构资源的协调”，与“机构的支持过程”、“病人服务”和“病人的社会生活”有关。我们认为我们对反应模式的分类是详尽无遗的。
我们已经开发了一种适用于法国住院护理的观察工具 Team'IT。它的实施是团队管理中断的支持系统的第一步，将使他们能够反思他们的工作方法，以及中断是否可以避免。我们的工作是一种旨在通过为关于患者护理的流动和效率的长期而复杂的辩论做出贡献，来改善和提高专业实践安全性的方法的一部分。
ClinicalTrials.gov NCT03786874（2018 年 12 月 26 日）。
