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评估团队策略与工具提升绩效系统(TeamSTEPPS)对新毕业护士团队协作认知及患者安全文化的影响。

Evaluating the Effect of TeamSTEPPS on Teamwork Perceptions and Patient Safety Culture among Newly Graduated Nurses.

作者信息

Hassan Asmaa Elwan, Mohammed Faten Ahmed, Zakaria Abeer Mohamed, Ibrahim Ibrahim Abdullatif

机构信息

Department of nursing administration, Faculty of nursing, Mansoura University, Mansoura, Egypt.

出版信息

BMC Nurs. 2024 Mar 13;23(1):170. doi: 10.1186/s12912-024-01850-y.

Abstract

BACKGROUND

Quality healthcare delivery is contingent upon effective teamwork and a patient safety-focused culture. TeamSTEPPS offers an evidence-based framework that enhances these competencies. However, the impact of TeamSTEPPS on newly graduated nurses, who undergo a significant transitional phase, has yet to be comprehensively explored. Consequently, the objective of this study was to assess the influence of TeamSTEPPS on perceptions of teamwork and patient safety culture among newly graduated nurses.

METHODS

This study employed a quasi-experimental pretest-posttest design with a single group, utilizing a convenience sample of 132 newly recruited nurses from a university hospital. The participants completed the hospital survey on patient safety culture and the TeamSTEPPS teamwork perceptions questionnaire at three different time points.

RESULTS

The impact of the TeamSTEPPS training program was found to be significant, as indicated by the substantial improvement in the mean scores of nurses' perceptions regarding teamwork and the culture of patient safety across multiple assessments (p < 0.001). The effect size (η2p ≥ 0.14) suggests a large effect, further emphasizing the meaningful impact of the program on the measured outcomes.

CONCLUSIONS

The study underscores the effectiveness of TeamSTEPPS as a valuable framework for facilitating the seamless transition of newly graduated nurses into the healthcare field. Integrating TeamSTEPPS into nursing training programs can significantly enhance nurses' perceptions of teamwork and the culture of patient safety. Therefore, it is crucial for nurse managers to implement TeamSTEPPS systematically, aiming to improve teamwork perception and cultivate a patient safety culture among nurses. Furthermore, they should establish mechanisms to ensure the consistent application of these skills over time.

摘要

背景

高质量的医疗服务取决于有效的团队合作和以患者安全为重点的文化。团队策略与工具(TeamSTEPPS)提供了一个基于证据的框架,可增强这些能力。然而,对于处于重大过渡阶段的新毕业护士,TeamSTEPPS的影响尚未得到全面探讨。因此,本研究的目的是评估TeamSTEPPS对新毕业护士团队合作认知和患者安全文化认知的影响。

方法

本研究采用单组准实验前测-后测设计,以一所大学医院新招募的132名护士为便利样本。参与者在三个不同时间点完成了医院患者安全文化调查和TeamSTEPPS团队合作认知问卷。

结果

多项评估显示,护士对团队合作和患者安全文化的认知平均得分有显著提高(p < 0.001),表明TeamSTEPPS培训项目的影响显著。效应量(η2p≥0.14)表明影响较大,进一步强调了该项目对测量结果的重要影响。

结论

该研究强调了TeamSTEPPS作为促进新毕业护士顺利过渡到医疗领域的宝贵框架的有效性。将TeamSTEPPS纳入护理培训项目可显著提高护士对团队合作和患者安全文化的认知。因此,护理管理者有必要系统地实施TeamSTEPPS,以提高护士对团队合作的认知并培养患者安全文化。此外,他们应建立机制,确保这些技能随着时间的推移得到持续应用。

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