Improving teamwork, trust and safety: An ethnographic study of an interprofessional initiative

Improving teamwork, trust and safety: An ethnographic study of an interprofessional initiative
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DOI:
10.3109/13561820.2010.520248
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发表时间:
2011-05-01
影响因子:
2.7
通讯作者:
Jones, Delyth
Jones, Delyth
中科院分区:
医学3区
文献类型:
--
作者:
Jones, Aled;Jones, Delyth

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本研究探讨了工作人员的看法,在一个跨专业的团队为老年人的医疗康复病房的基础上,推出了一个服务改进方案,旨在促进更好的团队合作。这项研究旨在解决缺乏深入的定性研究,可以解释医疗保健中跨专业团队合作的日常现实。所有成员都参加了(e)。G.护士、医生、物理治疗师、社会工作者、职业治疗师),研究结果表明,在12个月的时间里,跨专业的团队合作有所改善。四个主题出现的数据提供更好的跨专业团队合作的发展和影响的见解:出现的合议信任的团队内,团队会议和参与安全的重要性,在冲突管理中的作用,在团队中的自主权的价值。在推行服务改善计划后,员工患病/缺勤率及灾难性/重大病人安全事故亦有所减少。
This study explored the perceptions of staff in an interprofessional team based on a medical rehabilitation ward for older people, following the introduction of a service improvement programme designed to promote better teamworking. The study aimed to address a lack of in-depth qualitative research that could explain the day-today realities of interprofessional teamworking in healthcare. All members of the team participated, (e. g. nurses, doctors, physiotherapists, social worker, occupational therapists), and findings suggest that interprofessional teamworking improved over the 12-month period. Four themes emerged from the data offering insights into the development and effects of better interprofessional teamworking: the emergence of collegial trust within the team, the importance of team meetings and participative safety, the role of shared objectives in conflict management and the value of autonomy within the team. Reductions in staff sickness/absence levels and catastrophic/major patient safety incidents were also detected following the introduction of the service improvement programme.