一个多方面的干预措施,以改善团队合作在住院儿科神经外科服务的病人
Joint Commission journal on quality and patient safety
|October 8, 2023
概括
跨专业培训和团队工作干预措施显著改善了护士对小儿神经外科团队工作的看法. 这些有针对性的社会变革提高了团队的有效性,而不会改变核心流程.
科学领域:
- 改善医疗保健 改善医疗保健
- 患者安全 患者安全
- 专业间教育 专业间教育
背景情况:
- 增加的安全报告强调了儿科神经外科病房的跨专业团队合作问题.
- 为了解决这些问题,启动了一项以团队合作为重点的改进工作.
研究的目的:
- 找出改善跨专业团队合作的机会.
- 实施和评估旨在增强护士,高级实践提供者 (APP) 和医生之间的团队合作观念的干预措施.
主要方法:
- 成立了一个跨专业工作组,每月召开两次会议.
- 一项调查评估了干预之前和之后的团队合作观念.
- 干预措施包括以护理为中心的跨专业教育和圆形检查表.
主要成果:
- 护士对团队合作的看法在沟通和信心等关键领域显著改善.
- 平均团队工作有效性得分从4.12增加到5.25 (共7分).
- 跨专业培训被评为护士最有效的干预措施.
结论:
- 跨专业培训,团队工作调查和结构化汇报提高了护士对团队工作的看法.
- 专注于变革的社会方面的干预措施可以有效地改善团队合作.
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