Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: A systematic review of reviews.
Understanding teamwork in rapidly deployed interprofessional teams in intensive and acute care: A systematic review of reviews.
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DOI：
10.1371/journal.pone.0272942
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
在应对COVID-19期间，医院的急诊和重症监护能力迅速增加，这导致地球仪对熟练医护人员的迫切需求。为了提高能力，许多医院选择增加这些部门的团队，迅速重新部署跨专业的医疗保健人员，其中许多人以前没有在高风险环境中工作的经验，既没有准备也没有接受过在这些病房工作的培训。这篇系统性综述通过评估实证研究的系统性综述，探讨了重症和急性护理环境中快速部署的跨专业团队成功团队合作的现有证据基础，以告知未来的部署和快速组建的临床团队的支持。本研究确定了18篇系统评价供进一步分析。利用一个综合性的叙事合成过程的支持下，专题编码和图形网络分析，13个主题被发现占主导地位的跨专业和跨学科团队的团队和团队合作的文献。选择这一办法是为了使选择过程更加透明，使审查文件中的专题组能够直观地呈现，并编纂构成跨专业团队文献的四个因素（即，团队内部程序和动态，沟通过程，组织和团队对团队的外部影响，最后是患者和员工的结果）。实际上，研究结果表明，在重症监护环境中的流体和特设专业间医疗团队的管理者和团队领导者需要注意减少预先存在的职业身份和权力动态，强调技能组合，建立联合的休息和休息区，明确角色和责任，促进正式的信息交流和发展非正式的沟通机会。研究结果可以指导进一步分析影响跨专业团队在紧急和危机部署中表现的因素。
The rapid increase of acute and intensive care capacities in hospitals needed during the response to COVID-19 created an urgent demand for skilled healthcare staff across the globe. To upscale capacity, many hospitals chose to increase their teams in these departments with rapidly re-deployed inter-professional healthcare personnel, many of whom had no prior experience of working in a high-risk environment and were neither prepared nor trained for work on such wards. This systematic review of reviews examines the current evidence base for successful teamwork in rapidly deployed interprofessional teams in intensive and acute care settings, by assessing systematic reviews of empirical studies to inform future deployments and support of rapidly formed clinical teams. This study identified 18 systematic reviews for further analysis. Utilising an integrative narrative synthesis process supported by thematic coding and graphical network analysis, 13 themes were found to dominate the literature on teams and teamwork in inter-professional and inter-disciplinary teams. This approach was chosen to make the selection process more transparent and enable the thematic clusters in the reviewed papers to be presented visually and codifying four factors that structure the literature on inter-professional teams (i.e., team-internal procedures and dynamics, communicative processes, organisational and team extrinsic influences on teams, and lastly patient and staff outcomes). Practically, the findings suggest that managers and team leaders in fluid and ad-hoc inter-professional healthcare teams in an intensive care environment need to pay attention to reducing pre-existing occupational identities and power-dynamics by emphasizing skill mix, establishing combined workspaces and break areas, clarifying roles and responsibilities, facilitating formal information exchange and developing informal opportunities for communication. The results may guide the further analysis of factors that affect the performance of inter-professional teams in emergency and crisis deployment.
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影响因子：
2.4
作者：
Di Tella, Marialaura;Romeo, Annunziata;Castelli, Lorys
通讯作者：
Castelli, Lorys
DOI：
10.1088/1742-5468/2008/10/p10008
发表时间：
2008-10-01
影响因子：
2.4
作者：
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通讯作者：
Lefebvre, Etienne
影响因子：
3.2
作者：
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通讯作者：
Hall-Lord, Marie Louise
DOI：
10.1016/j.bjoms.2020.04.002
发表时间：
2020-06-01
影响因子：
1.8
作者：
Ellis, R.;Hay-David, A. G. C.;Brennan, P. A.
通讯作者：
Brennan, P. A.
DOI：
10.1186/1748-5908-5-14
发表时间：
2010-02-09
期刊：
Implementation science : IS
影响因子：
--
作者：
Davies P;Walker AE;Grimshaw JM
通讯作者：
Grimshaw JM