Teamwork in hospitals": a quasi-experimental study protocol applying a human factors approach
Teamwork in hospitals": a quasi-experimental study protocol applying a human factors approach
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DOI：
10.1186/s12912-017-0229-z
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发表时间：
2017-06-29
期刊：
影响因子：
3.2
通讯作者：
Hall-Lord, Marie Louise
中科院分区：
文献类型：
--
作者：
Ballangrud, Randi;Husebo, Sissel Eikeland;Hall-Lord, Marie Louise
背景：在当今专业且复杂的医疗保健服务中，有效的团队合作和充分的沟通对于患者安全至关重要。团队培训对于提高医院内跨专业团队合作的效率非常重要，但必须加强研究的科学严谨性，并且需要更多的研究来比较不同样本、环境和国家的研究。本研究的目的是翻译和验证团队合作调查问卷，并调查医护人员对医院团队合作的看法（第 1 部分）。进一步探讨外科病房跨专业团队干预对结构、过程和结果的影响（第 2 部分）。方法：为了实现目标，将采用描述性和探索性设计（第 1 部分）和准实验介入设计（第 2 部分）。该研究将在挪威三个医院信托机构的五家不同医院（A-E）进行。 A 医院和 B 医院的急诊科和非急诊科的一线医护人员将被邀请填写三份挪威语翻译的团队合作调查问卷（第 1 部分）。根据 TeamSTEPPS 推荐的变革模型，将在 C 医院的外科病房实施跨专业团队合作干预。干预病房和两个控制病房（医院 D 和 E）的所有医生、注册护士和助理护士将被邀请在干预前和干预后 6 个月和 12 个月调查他们对团队合作的看法、团队决策、安全文化和对团队合作的态度。将邀请入住介入外科病房的成年患者在干预前以及干预后 6 个月和 12 个月的住院期间调查他们对护理质量的看法。此外，还将收集来自当地登记处的匿名患者登记数据和来自患者病历的数据（第 2 部分）。 讨论：本研究将有助于了解外科病房中跨专业团队干预的影响，并有助于提高医护人员的团队能力，并有机会实现工作流程和患者安全的改变。
Background: Effective teamwork and sufficient communication are critical components essential to patient safety in today's specialized and complex healthcare services. Team training is important for an improved efficiency in inter-professional teamwork within hospitals, however the scientific rigor of studies must be strengthen and more research is required to compare studies across samples, settings and countries. The aims of the study are to translate and validate teamwork questionnaires and investigate healthcare personnel's perception of teamwork in hospitals (Part 1). Further to explore the impact of an inter-professional teamwork intervention in a surgical ward on structure, process and outcome (Part 2).Methods: To address the aims, a descriptive, and explorative design (Part 1), and a quasi-experimental interventional design will be applied (Part 2). The study will be carried out in five different hospitals (A-E) in three hospital trusts in Norway. Frontline healthcare personnel in Hospitals A and B, from both acute and non-acute departments, will be invited to respond to three Norwegian translated teamwork questionnaires (Part 1). An inter-professional teamwork intervention in line with the TeamSTEPPS recommend Model of Change will be implemented in a surgical ward at Hospital C. All physicians, registered nurses and assistant nurses in the intervention ward and two control wards (Hospitals D and E) will be invited to to survey their perception of teamwork, team decision making, safety culture and attitude towards teamwork before intervention and after six and 12 months. Adult patients admitted to the intervention surgical unit will be invited to survey their perception of quality of care during their hospital stay before intervention and after six and 12 month. Moreover, anonymous patient registry data from local registers and data from patients' medical records will be collected (Part 2).Discussion: This study will help to understand the impact of an inter-professional teamwork intervention in a surgical ward and contribute to promote healthcare personnel's team competences with an opportunity to achieve changes in work processes and patient safety.