Academy of Health Sciences, Saxion University of Applied Sciences, Deventer, The Netherlands.
Educational and Family Studies, Faculty of Behavioural and Movement Sciences Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
J Interprof Care. 2024 Mar-Apr;38(2):191-199. doi: 10.1080/13561820.2023.2289507. Epub 2023 Dec 21.
Interprofessional teamwork is of high importance during stressful situations such as CPR. Stress can potentially influence team performance. This study explores the perception of stress and its stressors during performance under pressure, to be able to further adjust or develop training. Healthcare professionals, who are part of the resuscitation team in a large Dutch university medical center, discussed their experiences in homogeneous focus groups. Nine focus groups and one individual interview were conducted and analyzed thematically, in order to deepen our understanding of their experiences. Thematic analysis resulted in two scenarios, and and an analysis of accompanying team processes. refers to a setting perceived as straightforward. develops in the presence of a combination of stressors such as a lack of clarity in roles and a lack of knowledge on fellow team members. Participants reported that , specifically through an altering of communication, a decrease in situational awareness, and formation of subgroups. This may lead to a further increase in stress, and potentially result in a vicious cycle. Team processes in a stressful situation like CPR can be disrupted by different stressors, and might affect the team and their performance. Improved knowledge about the stressors and their effects might be used to design a training environment representative for the performance setting healthcare professionals work in. Further research on the impact of representative training with team-level stressors and the development of a "team brain" might be worthwhile.
在心肺复苏等紧张情况下，跨专业团队合作非常重要。压力可能会影响团队绩效。本研究探讨了在压力下表现时对压力及其压力源的感知，以便能够进一步调整或开发培训。作为荷兰一家大型大学医学中心复苏团队的一部分的医疗保健专业人员，在同质焦点小组中讨论了他们的经验。进行了九个焦点小组和一个单独的访谈，并进行了主题分析，以加深我们对他们经验的理解。主题分析产生了两个场景， 和 ，以及对伴随的团队流程的分析。 指的是一个被认为简单直接的环境。 在角色不明确和对团队成员缺乏了解等压力源的共同作用下发展。参与者报告说，特别是通过改变沟通方式、降低情境意识和形成小团体。这可能会导致压力进一步增加，并可能导致恶性循环。心肺复苏等紧张情况下的团队流程可能会因不同的压力源而中断，并可能影响团队及其绩效。更好地了解压力源及其影响可能有助于设计一个代表医疗保健专业人员工作环境的培训环境。关于具有团队层面压力源的代表性培训的影响的进一步研究以及“团队大脑”的发展可能是值得的。
