Daily practice teams in nursing homes: evidence from New York state.
Daily practice teams in nursing homes: evidence from New York state.
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疗养院的日常练习团队：来自纽约州的证据。
DOI：
10.1093/geront/gnp011
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发表时间：
2009
期刊：
影响因子：
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通讯作者：
Mukamel,DanaB
中科院分区：
文献类型：
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作者：
Temkin-Greener,Helena;Cai,Shubing;Katz,Paul;Zhao,Hongwei;Mukamel,DanaB
目的：大多数医疗保健组织，包括疗养院，报告有团队。然而，对提供直接住院治疗的工作人员中的日常实践小组知之甚少。我们评估的患病率，这样的团队在养老院报告的直接护理人员和管理人员，并研究设施，培养这些teams.Design和方法的特点：分析模型是基于149家养老院。数据来源包括对管理人员（n= 292）和直接护理人员（n= 6，867）的调查，以及在线调查认证和报告系统。稳健的标准误差和抽样概率权重线性回归被用来检查日常实践团队和设施characteristics.Results之间的关系：平均而言，16%的工人，每个设施的报告，在正式的多学科团队提供日常居民护理实践。当管理者认为团队对临床护理质量非常重要时，团队患病率高出3.3%，当护理主任报告正式组织团队时，团队患病率高出2.6%，工人参与团队的工作量每增加10%而不是日常实践团队，团队患病率高出2.5%，护理时间每增加1小时，团队患病率高出1.95%。我们的研究表明，多学科的日常实践团队可以在我们的大样本中的大多数设施中找到，但他们在养老院内的渗透是远远不够普及;在72%的设施，工作人员报告团队患病率不到25%。鉴于大多数管理人员报告团队合作对他们的设施运营非常重要，我们讨论了为什么只有相对较小的比例的日常护理提供这种方式。
Purpose:Most health care organizations, including nursing homes, report having teams. However, little is known about everyday practice teams among staff providing direct resident care. We assess the prevalence of such teams in nursing homes as reported by direct care staff and administrators, and examine characteristics of facilities that foster these teams.Design and Methods:The analytical model is based on 149 nursing homes. Data sources include surveys of administrators (n= 292) and direct care staff (n= 6,867), and Online Survey Certification and Reporting System. Linear regression with robust standard errors and sampling probability weights is used to examine the relationship between daily practice teams and facility characteristics.Results:On average, 16% of workers per facility report practicing in formal multidisciplinary teams providing daily resident care. Team prevalence is 3.3% higher when managers view teams as very important for clinical care quality, 2.6% higher when the directors of nursing report formally organized teams, 2.5% higher for each 10% increase in workers' involvement in teams other than the daily practice teams, and 1.95% higher for each 1-hr increase in nursing hours.Implications:Our study shows that multidisciplinary daily practice teams can be found in most facilities in our large sample, but their penetration within nursing homes is far from pervasive; in 72% of facilities, staff report team prevalence of less than 25%. Given that the majority of managers report teamwork as very important to their facilities' operations, we discuss why only a relatively small proportion of daily care is provided in this fashion.