当日常变得紧张时:对复苏团队成员对压力和表现的感知进行了定性研究
F S Dijkstra1,2, A de la Croix3,4, H van Schuppen5
1Academy of Health Sciences, Saxion University of Applied Sciences, Deventer, The Netherlands.
Journal of interprofessional care
|December 21, 2023
概括
心肺复苏 (CPR) 期间的压力通过破坏沟通和情境意识,对医疗团队的表现产生负面影响. 了解这些压力因素是开发更好的团队培训高压医疗情况的关键.
科学领域:
- 医学教育 医学教育
- 医疗保健团队的表现 医疗保健团队的表现
- 紧急医疗 紧急医疗
背景情况:
- 在压力严重的医疗场景中,如心肺复苏 (CPR),跨专业团队合作至关重要.
- 压力会在关键事件期间显著损害医疗保健团队的表现.
- 现有的培训可能不足以为团队准备应对现实世界的压力因素.
研究的目的:
- 探索医疗保健专业人员对压力的看法及其在高压性能期间的贡献因素.
- 了解压力如何影响团队动态和CPR过程.
- 为制定更有效,更具代表性的培训干预措施提供信息.
主要方法:
- 从同质的焦点小组和个人采访中对经验进行定性主题分析.
- 参与者包括来自荷兰大学医疗中心复苏小组的医疗保健专业人员.
- 分析的重点是识别压力因素及其在日常和压力场景中对团队流程的影响.
主要成果:
- 两个不同的场景出现了:"常规" (简单) 和"压力" (复杂).
- 压力较大的情况的特点是角色模两可,缺乏对团队成员的熟悉度.
- 压力对团队沟通产生了负面影响,降低了情境意识,并导致子组的形成,可能造成恶性循环.
结论:
- 在重症监护机构中的压力因素会破坏团队过程,并对团队表现产生负面影响.
- 更好地了解特定的压力因素对于设计现实的培训环境至关重要.
- 建议进一步研究代表性团队级培训和"团队大脑"的发展.
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