Development of potentially better practices for the neonatal intensive care unit as a culture of collaboration: communication, accountability, respect, and empowerment.
Development of potentially better practices for the neonatal intensive care unit as a culture of collaboration: communication, accountability, respect, and empowerment.
复制标题
为新生儿重症监护病房开发潜在的更好实践，作为一种协作文化：沟通、问责、尊重和赋权。
作者：
Judy Ohlinger;Mark S. Brown;S. Laudert;Sue Swanson;O. Fofah
目标
佛蒙特州牛津网络 (VON) CARE 集团的成立是为了满足创建支持变革和质量改进的组织文化的需要。
方法
CARE 小组由来自 4 个参与的新生儿重症监护病房 (NICU) 的团队成员组成。所有 CARE 小组成员都选择在 2000 年新生儿重症监护质量改进合作年期间进行多学科团队合作。CARE 小组制定了一份调查问卷，并向 4 个焦点小组新生儿重症监护室进行了调查。该调查重点关注组织的 6 个领域：单位协调、新生儿重症监护病房 (NICU) 工作、领导力、分歧管理、权威和单位文化。完成基准访问是为了补充调查和文献中发现的信息。
结果
根据调查、基准访问和文献综述，制定了七种潜在更好的实践（PBP）。 PBP 包括 1) 明确、共同的 NICU 目的、目标和价值观； 2）团队之间以及团队成员之间的有效沟通； 3）领导者以身作则； 4) 培育一个充满信任和尊重的协作式 NICU 环境； 5）践行有原则的行为标准和卓越标准； 6）培养有能力、有奉献精神的团队和团队成员； 7) 致力于有效和积极的冲突管理。
结论
CARE 小组成功地利用质量改进方法和协作来描述多学科团队合作的原则和实践。
OBJECTIVE
The Vermont Oxford Network (VON) CARE Group was formed in response to the need to create organizational cultures supportive of change and quality improvement.
METHODS
The CARE Group consisted of team members from 4 participating neonatal intensive care units (NICUs). All CARE Group members chose to work on multidisciplinary teamwork for the duration of the Neonatal Intensive Care Quality Improvement Collaborative Year 2000. A questionnaire was developed by the CARE Group and administered to the 4 focus group NICUs. The survey focused on 6 domains of the organization: unit coordination, working in the NICU, leadership, management of disagreements, authority, and unit culture. Benchmarking visits were completed to supplement the information found in the survey and the literature.
RESULTS
Seven potentially better practices (PBPs) were developed on the basis of the surveys, benchmark visits, and literature reviews. The PBPs include 1) a clear, shared NICU purpose, goals, and values; 2) effective communication among and between teams and team members; 3) leaders lead by example; 4) nurture a collaborative NICU environment with trust and respect; 5) live principled standards of conduct and standards of excellence; 6) nurture competent and committed teams and team members; and 7) commit to effective and positive conflict management.
CONCLUSIONS
The CARE Group successfully used quality improvement methods and collaboration to delineate principles and practices of multidisciplinary teamwork.