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跨专业团队协作作为工作场所社会资本和患者安全气候之间的调解者:一项跨部门研究
Ryohei Kida1, Risa Suzuki, Katsumi Fujitani
1Department of Nursing Administration, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan (Dr Kida); Faculty of Health Science Technology, Bunkyo Gakuin University, Fujimino-shi, Saitama, Japan (Drs Suzuki and Fujitani); and Faculty of Nursing, Tokyo University of Information Sciences, Chiba-shi, Chiba, Japan (Drs Ichikawa and Matsushita).
工作场所的社会资本直接改善了患者安全气候. 跨专业团队合作进一步加强了这种关系,突出了团队合作对医疗保健质量的重要性.
科学领域:
- 医疗保健管理的管理
- 组织心理学 组织心理学
- 患者安全研究 患者安全研究
背景情况:
- 患者安全气候是医疗保健质量的关键决定因素.
- 医疗保健专业人员之间的信任和合作促进了积极的患者安全环境.
- 每天的协作实践对于保持高标准的护理至关重要.
研究的目的:
- 研究工作场所社会资本对患者安全气候的直接影响.
- 调查跨专业团队合作在这种关系中的调解作用.
- 通过组织因素为改善医疗保健质量提供见解.
主要方法:
- 在日本东京,对725名医院员工进行了横截面调查.
- 用于患者安全气候,工作场所社会资本和跨专业团队合作 (AITCS-II-J) 的验证规模.
- 采用结构方程建模和引导分析来测试直接和间接的影响.
主要成果:
- 在工作场所的社会资本和患者安全气候之间发现了显著的直接关联 (β = .309,P < .01).
- 跨专业团队协作部分调解了工作场所社会资本和患者安全气候之间的关系 (β = .430,P < .01).
- 护士和医生是主要的受访群体.
结论:
- 工作场所的社会资本是患者安全气候的重要预测因素.
- 常规的多学科合作在加强患者安全方面发挥着关键的调解作用.
- 加强工作场所的社会资本和促进专业间的合作是管理医疗保健质量的关键策略.
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