Lai Yi-Hung, Wu Ming-Ju, Chen Hsin-Hua, Lin Shih-Ping, Wu Chun-Yi, Chin Chun-Shih, Lin Cheng-Hsien, Shiu Sz-Iuan, Lin Ying-Cheng, Chen Hui-Chi, Hou Shu-Chin, Chang Ching-Wein
Department of Nursing, Taichung Veterans General Hospital, Taichung, Taiwan.
Department of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
J Multidiscip Healthc. 2023 Nov 23;16:3599-3607. doi: 10.2147/JMDH.S434185. eCollection 2023.
A huddle is a short, regular meetings to discuss existing or emerging patient safety issues. Hospital administrators can encourage healthcare staff to voluntarily examine the potential occurrence and severity of risks, thereby enhancing awareness of patient safety. The purpose of this study is to explore the effects of huddle intervention on patient safety culture among medical team members and related factors.
We used a one-group pretest-posttest research design and convenience sampled 109 members of the general internal medicine ward team members from a medical center in central Taiwan. They participated 2 times per week in 15-min huddles from 08:15 to 08:30 in the morning, which lasted for a total of 4 weeks. The process was based on submitted ideas, approved ideas, research ideas and standardization, and data on the safety attitudes questionnaire (SAQ) were collected during the huddles' intervention pretest and posttest.
After the huddle intervention, we found significantly improved scores for safety attitude, teamwork climate (76.49±16.13 vs 83.26±13.39, p < 0.001), safety climate (75.07±16.07 vs 82.63±13.72, p < 0.001), job satisfaction (73.67±19.84 vs 83.39±17.21, p < 0.001), perceptions of management (77.87±19.99 vs 84.86±16.03, p < 0.001) and working conditions (78.96±18.16 vs 86.18±14.90, p < 0.001). Correlation analyses on the differences between pretest and posttest showed that age had a significant correlation with safety climate (r = 0.22, p = 0.022) and working conditions (r = 0.20, p = 0.035). The number of times to participate in a huddle had a significant correlation with teamwork climate (r = 0.33, p =<.001), safety climate (r = 0.30, p = 0.002), job satisfaction (r = 0.19, p = 0.043), and work conditions (r = 0.28, p = 0.003).
Huddles improve clinical team members' understanding of different dimensions and relate factors of safety attitudes. Implementation of the huddles involved standardized process will help hospital administrators understand the steps to parallel expansion to other wards.
小组碰头会是一种简短、定期的会议，用于讨论现有的或新出现的患者安全问题。医院管理人员可以鼓励医护人员自愿检查风险的潜在发生情况和严重程度，从而提高患者安全意识。本研究的目的是探讨小组碰头会干预对医疗团队成员患者安全文化的影响及相关因素。
我们采用单组前后测研究设计，从台湾中部一家医疗中心方便抽样选取了109名普通内科病房团队成员。他们每周参加2次，每次15分钟的小组碰头会，时间为上午08:15至08:30，共持续4周。该过程基于提交的想法、批准的想法、研究想法和标准化，在小组碰头会干预的前测和后测期间收集安全态度问卷（SAQ）的数据。
小组碰头会干预后，我们发现安全态度、团队合作氛围（76.49±16.13对83.26±13.39，p<0.001）、安全氛围（75.07±16.07对82.63±13.72，p<0.001）、工作满意度（73.67±19.84对83.39±17.21，p<0.001）、对管理的认知（77.87±19.99对84.86±16.03，p<0.001）和工作条件（78.96±18.16对86.18±14.90，p<0.001）的得分均有显著提高。前后测差异的相关性分析表明，年龄与安全氛围（r = 0.22，p = 0.022）和工作条件（r = 0.20，p = 0.035）有显著相关性。参加小组碰头会的次数与团队合作氛围（r = 0.33，p<0.001）、安全氛围（r = 0.30，p = 0.002）、工作满意度（r = 0.19，p = 0.043）和工作条件（r = 0.28，p = 0.003）有显著相关性。
小组碰头会提高了临床团队成员对安全态度不同维度及相关因素的理解。实施涉及标准化流程的小组碰头会将有助于医院管理人员了解向其他病房平行扩展的步骤。
