伊朗重症监护病房团队合作与护士未提供护理的工作量之间的关系：一项横断面研究。
The relationship between teamwork and the workload of nurses with missed nursing care in intensive care units in Iran: a cross-sectional study.
作者信息
Safdari Ali, Ramezani Fahimeh, Ayubi Erfan, Sadeghian Efat
机构信息
Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
Social Determinants of Health Research Center, Institute of Health Sciences and Technologies, Hamadan University of Medical Sciences, Hamadan, Iran.
出版信息
BMC Health Serv Res. 2025 Mar 27;25(1):440. doi: 10.1186/s12913-025-12583-2.
BACKGROUND
Missed nursing care (MNC) is a major challenge faced by nurses working in intensive care units (ICU). Workplace characteristics, including teamwork and workload, can affect the extent of missed nursing care. Examining the relationship between these variables can help create strategies to enhance care. Thus, this study aimed to explore the connection between teamwork, workload, and missed nursing care in the intensive care units of hospitals in Iran.
METHODS
This descriptive cross-sectional study was conducted from August to November 2023 on 219 nurses working in the intensive care units of teaching hospitals affiliated with Hamadan University of Medical Sciences. Participants were selected through multi-stage sampling after meeting the inclusion criteria. Data were collected using the General Characteristics questionnaire, the Team-STEPPS Teamwork Perception Questionnaire (T-TPQ), the National Aeronautics and Space Administration Task Load Index (NASA-TLX), and the MISSCARE survey. Data analysis was performed using Stata software version 14.
RESULTS
Out of 219 returned questionnaires (92.79% response rate), 194 valid responses were analyzed. Missed nursing care showed a significant negative correlation with overall teamwork (r = -0.538, P < 0.001) and its subcomponents, including team structure (r = -0.472), leadership (r = -0.303), situation assessment (r = -0.486), mutual support (r = -0.325), and communications (r = -0.517). Tenure was also significantly related to missed nursing care (p = 0.040), with nurses having less than 2 years of experience reporting the lowest missed care scores. No significant relationships were found between workload scores and demographic variables.
CONCLUSION
The relationship between teamwork, nurse workload, and missed nursing care is complex. The findings of this study emphasize the importance of effective teamwork and manageable workloads in reducing missed nursing care. However, contextual differences in nurses' work environments are of great importance in different countries.
背景
漏护是重症监护病房（ICU）护士面临的一项重大挑战。工作场所的特征，包括团队合作和工作量，会影响漏护的程度。研究这些变量之间的关系有助于制定改善护理的策略。因此，本研究旨在探讨伊朗医院重症监护病房中团队合作、工作量与漏护之间的联系。
方法
本描述性横断面研究于2023年8月至11月对哈马丹医科大学附属教学医院重症监护病房的219名护士进行。符合纳入标准的参与者通过多阶段抽样选取。使用一般特征问卷、团队策略与工具提升绩效（Team-STEPPS）团队合作感知问卷（T-TPQ）、美国国家航空航天局任务负荷指数（NASA-TLX）和漏护调查收集数据。使用Stata软件14版进行数据分析。
结果
在219份回收问卷（回复率92.79%）中，分析了194份有效回复。漏护与整体团队合作（r = -0.538，P < 0.001）及其子成分，包括团队结构（r = -0.472）、领导力（r = -0.303）、情况评估（r = -0.486）、相互支持（r = -0.325）和沟通（r = -0.517）呈显著负相关。工作年限也与漏护显著相关（p = 0.040），工作经验少于2年的护士漏护得分最低。工作量得分与人口统计学变量之间未发现显著关系。
结论
团队合作、护士工作量与漏护之间的关系很复杂。本研究结果强调了有效团队合作和可管理工作量在减少漏护方面的重要性。然而，不同国家护士工作环境的背景差异非常重要。
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