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聚焦团队参与,以增强新手护士和住院医师之间的跨专业协作及安全行为。

Focused Team Engagements to Enhance Interprofessional Collaboration and Safety Behaviors among Novice Nurses and Medical Residents.

作者信息

Manuel Rosalyn, Barber Aisha, Kern Jeremy, Myers Kristi, Neary Tara, Nicholson Laura, Walsh Heather, Zaveri Pavan, Dwivedi Pallavi, Maggiotto Claire, King Simmy

机构信息

Simulation Program, Children's National Hospital, Washington, D.C.

Division of Hospital Medicine, Children's National Hospital, Washington, D.C.

出版信息

Pediatr Qual Saf. 2024 Sep 9;9(5):e767. doi: 10.1097/pq9.0000000000000767. eCollection 2024 Sep-Oct.

Abstract

BACKGROUND

Team communication remains a challenge in hospital settings. Hospital-based teams are diverse, team composition changes daily, and team members are frequently not co-located. Novice nurses and medical residents entering the workforce during the coronavirus 2019 pandemic experienced higher communication challenges than before and lacked adequate opportunities for interprofessional learning and communication.

METHOD

We evaluated perceptions of safety and communication among novice nurses and medical residents after a 1-hour focused team engagement consisting of an interprofessional virtual simulation and debrief. We conducted a retrospective pre/post survey to measure perceptions of interprofessional collaboration using the Interprofessional Socialization and Valuing Scale.

RESULTS

Sixty-eight pediatric nurse residents and medical residents participated in the survey. Overall, the focused team engagements significantly improve participants' perceptions of interprofessional collaboration, with participants showing statistically significant improvement in seven of nine retrospective pre/post survey questions. When analyzing by discipline, nurse residents show stronger gains than medical residents.

CONCLUSIONS

The interprofessional structured debriefings encourage nurses and medical residents to collaborate and discuss important safety topics away from bedside stressors. After completing the virtual simulation, the outcomes show improved perceptions of interprofessional collaboration and enhanced knowledge of safety techniques.

摘要

背景

团队沟通在医院环境中仍然是一项挑战。医院团队人员构成多样,团队组成每天都在变化,而且团队成员常常不在同一地点办公。在2019冠状病毒病大流行期间进入职场的新手护士和住院医师面临着比以往更高的沟通挑战,并且缺乏足够的跨专业学习和沟通机会。

方法

在进行了一次由跨专业虚拟模拟和汇报组成的1小时重点团队活动后,我们评估了新手护士和住院医师对安全和沟通的看法。我们进行了一项回顾性的前后调查,使用跨专业社会化与重视量表来衡量对跨专业协作的看法。

结果

68名儿科护士住院医师和医学住院医师参与了调查。总体而言,重点团队活动显著改善了参与者对跨专业协作的看法,在回顾性前后调查的9个问题中,有7个问题的参与者表现出具有统计学意义的改善。按学科分析时,护士住院医师的收获比医学住院医师更大。

结论

跨专业结构化汇报鼓励护士和医学住院医师进行协作,并在远离床边压力源的情况下讨论重要的安全话题。完成虚拟模拟后,结果显示对跨专业协作的看法有所改善,并且对安全技术的了解有所增强。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c1e/11384865/ba268bcd96fe/pqs-9-e767-g001.jpg

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