集中治療室でのチームワークの有効性:簡潔で信頼できる評価ツール (TES-ICU) の開発と検証
Murat Tümer1, Zeynep Aycan2, Banu Kılıçaslan3
1Department of Anesthesiology and Reanimation, VKV Amerikan Hospital, İstanbul, Turkey. dr.m.tumer@gmail.com.
BMC health services research
|August 30, 2025
まとめ
新しいスケールである集中治療室でのチームワークの有効性スケール (TES-ICU) は,重症治療施設でのチームワークを効果的に測定します. この検証済みのツールは,集中治療室 (ICU) でのチームダイナミクス,スタッフの福祉,患者の成果を向上させることができます.
科学分野:
- 医療研究
- 臨床心理学
- 看護科学
背景:
- 効果的なチームワークは,集中治療室 (ICU) の患者の安全と医療の質に不可欠です.
- チームワークの効果を評価するための 既存のツールには 特別なICU環境内での 具体的な検証が欠けています
- この研究は,ICUでのチームワークを測定するための文脈特有のツールの必要性を扱っています.
研究 の 目的:
- 集中治療室 (TES-ICU) でのチームワークの有効性スケールの開発と検証
- 集中治療室でのチームワークの有効性を評価するための信頼性の高い有効なツールを提供すること.
主な方法:
- 第1段階:文献レビューと専門家の評価による項目プール作成,その後に探索的因数分析 (EFA) を行う.
- 第2段階:トルコのICU専門家716人の全国的なサンプルを使用して30項目のTES-ICUの心理評価.
- 仕事の満足度,組織的なコミットメント,バーンアウト,ターンオーバーの意図との相関によって評価される有効性; クロンバッハのアルファによる信頼性.
主要な成果:
- EFAは,チームワークの有効性 (16項目),効果的なコミュニケーションとエラー管理 (11項目),効果的なリーダーシップ (3項目) の3つの要素構造を特定しました.
- TES- ICUは高い内部一貫性 (α > 0. 85) と強力なコンストラクット有効性を示した.
- ポジティブな関連は 仕事の満足度と コミットメントと 否定的な関連は 燃え尽きることと 転職の意図とです
結論:
- TES-ICUは,ICUにおけるチームワークの有効性を評価するための信頼できる有効なツールです.
- チームダイナミクスを改善し スタッフの幸福度や 患者の成果を向上させるための 介入を促すことができます
- 簡潔な研究や品質改善のイニシアチブには16項目のコアスケールがあります.
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