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心血管外科医生和护士在重症监护病房通过跨专业协作获得相互支持的经历。

The experiences of cardiovascular surgeons and nurses with mutual support through interprofessional collaboration in the intensive care unit.

作者信息

Dener Hümeyra, Elçin Melih

机构信息

Department of Ophthalmatology, Hacettepe University Adult Hospital, Ankara, Turkey.

Department of Medical Education and Informatics, Hacettepe University Faculty of Medicine, Ankara, Turkey.

出版信息

Nurs Crit Care. 2025 Jul;30(4):e13220. doi: 10.1111/nicc.13220. Epub 2024 Dec 5.

DOI:10.1111/nicc.13220
PMID:39635783
Abstract

BACKGROUND

The World Health Organization (WHO) emphasizes the need for radical approaches in its Global Patient Safety Action Plan, particularly in terms of interprofessional and multidisciplinary approaches. The plan highlights the importance of providing training on patient safety for all professionals, focusing on team and task-based strategies that include bedside and simulation education. TeamSTEPPS® (Team Strategies and Tools to Enhance Performance and Patient Safety) is an educational programme developed to teach health care professionals on specific tools and strategies to enhance basic teamwork skills. Mutual support, one of the teamwork skills described in TeamSTEPPS®, involves team members assisting one another, providing and receiving feedback on performance, and advocating assertively when patient safety is threatened.

AIM

The aim of this study was to explore the experiences of cardiovascular surgeons and nurses with mutual support through interprofessional collaboration in the intensive care unit (ICU) at Hacettepe University.

STUDY DESIGN

The study employed a basic qualitative research design. The data were gathered through in-depth interviews and analysed with inductive content analysis in accordance with Elo and Kyngäs. We used the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist to describe and report the components of study design.

RESULTS

We interviewed 13 participants: 6 surgeons and 7 nurses. Six themes were identified: mutual support, positiveness of working in a supportive environment, feedback, effective communication, patient safety and conflict resolution.

CONCLUSION

The results of our study revealed that intra/inter-professional collaboration and mutual trust based on the variety of individual and workplace-related factors improved patient safety through individual motivation while monitoring and supporting each other in a positive environment, providing feedback and encouraging effective communication, patient advocacy and conflict resolution.

RELEVANCE TO CLINICAL PRACTICE

Exploring the experiences, challenges and successes of health care workers in interprofessional collaboration is crucial. Understanding team dynamics, communication barriers and collaboration strategies can help promote more effective teamwork and contribute to the development of plans to improve the quality of patient care.

摘要

背景

世界卫生组织(WHO)在其《全球患者安全行动计划》中强调需要采取激进的方法,特别是在跨专业和多学科方法方面。该计划强调了为所有专业人员提供患者安全培训的重要性,重点是基于团队和任务的策略,包括床边教育和模拟教育。团队策略与工具提升绩效与患者安全(TeamSTEPPS®)是一项教育计划,旨在教导医护人员特定的工具和策略,以提高基本团队合作技能。相互支持是TeamSTEPPS®中描述的团队合作技能之一,涉及团队成员相互协助、提供和接受绩效反馈,以及在患者安全受到威胁时积极主张。

目的

本研究的目的是探讨在哈杰泰佩大学重症监护病房(ICU)中,心血管外科医生和护士通过跨专业协作获得相互支持的经验。

研究设计

本研究采用基本定性研究设计。通过深入访谈收集数据,并根据埃洛(Elo)和京加斯(Kyngäs)的方法进行归纳性内容分析。我们使用定性研究报告统一标准(COREQ)清单来描述和报告研究设计的组成部分。

结果

我们采访了13名参与者:6名外科医生和7名护士。确定了六个主题:相互支持、在支持性环境中工作的积极性、反馈、有效沟通、患者安全和冲突解决。

结论

我们的研究结果表明,基于各种个人和工作场所相关因素的专业内/跨专业协作和相互信任,通过个人动机在积极的环境中相互监督和支持、提供反馈并鼓励有效沟通、患者维权和冲突解决,提高了患者安全。

与临床实践的相关性

探索医护人员在跨专业协作中的经验、挑战和成功至关重要。了解团队动态、沟通障碍和协作策略有助于促进更有效的团队合作,并有助于制定提高患者护理质量的计划。

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