加纳阿散蒂地区卫生保健专业人员对多专业团队合作的态度。
Attitudes of health care professionals towards interprofessional teamwork in Ashanti Region, Ghana.
机构信息
Department of Population, Family and Reproductive Health, School of Public Health, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Department of Nursing, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
出版信息
BMC Med Educ. 2023 May 8;23(1):319. doi: 10.1186/s12909-023-04307-z.
BACKGROUND
Interprofessional collaboration ensures that high-quality health care is provided leading to improved health outcomes and provider satisfaction. Assessing the attitudes of health care professionals towards teamwork in Ghana is novel.
OBJECTIVE
To examine the attitudes of health care professionals towards interprofessional teamwork and assess specific attributes influencing these attitudes in the Ashanti region, prior to implementing an in-service interprofessional HIV training programme.
METHODS
A cross-sectional pre-training online survey using a modified Attitudes Toward Health Care Teams Scale was conducted among health care practitioners undergoing a two-day interactive interprofessional HIV training in Kumasi and Agogo from November 2019 to January 2020. Trainees were diverse health professional cadres selected from five hospitals in the Ashanti region of Ghana. Data was summarised using the mean and standard deviation for continuous variables, and frequencies and percentages for categorical variables. An exploratory factor analysis was conducted to categorise the 14 items of the modified attitudes scale. The Wilcoxon rank-sum (Mann-Whitney) and Kruskal-Wallis tests were used to test the mean attitude difference among the demographic characteristics. Statistical significance was set at p < 0.05.
RESULTS
Altogether, 302 health professionals completed the survey. The ages ranged from 20-58 years, mean age 27.96 years (standard deviation 5.90 years). Up to 95% of the trainees agreed with the 14 statements on the modified attitudes scale. Three factors were identified; "quality of care", "team efficiency", and "time constraint" with Cronbach's alpha measures of 0.73, 0.50, and 0.45 respectively. The overall mean attitude score was 58.15 ± 6.28 (95% CI, 57.42-58.88). Attitude of health care professionals towards interdisciplinary teams for patient care varied significantly by age (p = 0.014), health profession cadre (p = 0.005), facility (p = 0.037), and professional experience (p = 0.034).
CONCLUSION
Strengthening in-service interprofessional training for health practitioners especially early career professionals in the Ashanti region would be valuable.
背景
跨专业协作可确保提供高质量的医疗服务，从而改善健康结果和医护人员的满意度。评估加纳医护人员对团队合作的态度是新颖的。
目的
在实施在职跨专业 HIV 培训计划之前，调查阿散蒂地区医护人员对跨专业团队合作的态度，并评估影响这些态度的具体因素。
方法
使用经过修改的医疗保健团队态度量表，对在 2019 年 11 月至 2020 年 1 月期间在库马西和阿戈戈参加为期两天互动式跨专业 HIV 培训的医护人员进行了一项横断面预培训在线调查。培训生是从加纳阿散蒂地区五家医院中挑选的不同医疗专业人员。使用连续变量的均值和标准差以及分类变量的频率和百分比对数据进行总结。对经过修改的态度量表的 14 个项目进行了探索性因子分析，以进行分类。使用 Wilcoxon 秩和（Mann-Whitney）和 Kruskal-Wallis 检验来检验人口统计学特征之间的平均态度差异。统计学意义设为 p < 0.05。
结果
共有 302 名医护人员完成了调查。年龄范围为 20-58 岁，平均年龄 27.96 岁（标准差 5.90 岁）。高达 95%的受训者同意经过修改的态度量表上的 14 项陈述。确定了三个因素：“护理质量”、“团队效率”和“时间限制”，Cronbach 的 alpha 度量值分别为 0.73、0.50 和 0.45。总体平均态度得分为 58.15 ± 6.28（95%置信区间，57.42-58.88）。医护人员对跨学科团队为患者提供护理的态度因年龄（p = 0.014）、医疗专业人员类别（p = 0.005）、机构（p = 0.037）和专业经验（p = 0.034）而异。
结论
加强阿散蒂地区医护人员的在职跨专业培训，特别是对早期职业专业人员的培训，将是有价值的。
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