跨学科和跨专业的沟通干预:心理安全如何促进沟通,增加患者的安全
Johanna Elisa Dietl1, Christina Derksen1, Franziska Maria Keller1,2
1Health Psychology and Behavioral Medicine, School of Business, Social and Decision Science, Constructor University, Bremen, Germany.
Frontiers in psychology
|July 3, 2023
概括
有效的沟通和团队合作培训显著降低了医疗机构患者安全风险. 心理安全增强了沟通,这反过来又提高了患者的安全和团队的绩效感知.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 团队动力学 团队动力学
背景情况:
- 有效的团队合作和沟通对于患者安全和优质护理至关重要,因为错误是造成伤害的主要来源.
- 需要进行沟通干预和心理安全环境,以应对患者安全风险并提高团队绩效.
- 由于研究有限,了解团队干预的心理机制至关重要.
研究的目的:
- 研究以沟通为重点的人际关系团队干预的心理机制.
- 检查心理安全,沟通,患者安全和团队绩效感知之间的关系.
- 应用输入-流程-输出模型的团队效率.
主要方法:
- 对多学科团队进行了为期4小时的沟通干预.
- 在干预之前和之后,对137名医疗保健工作者进行了纸笔调查.
- 使用统计分析,包括t测试和调解分析,来评估变化和机制.
主要成果:
- 在干预后,患者感知到的安全风险显著下降.
- 干预后的人际沟通或团队绩效感知没有显著变化.
- 人际沟通调解了心理安全和安全结果 (患者安全风险和团队绩效感知) 之间的关系.
结论:
- 沟通团队培训通过心理机制促进安全表现.
- 心理安全是医疗保健团队有效的人际沟通的关键前体.
- 集成沟通和协作的人际和跨专业团队培训是提高患者安全的新方法.
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