心理安全在ECMO检索团队:一个定性研究,以告知改进
Maurizio Passariello1, Carolyn Tarrant2
1Adult Intensive Care Unit, Royal Brompton and Harefield Hospitals, part of Guy's and St Thomas' NHS Foundation Trust, London, UK m.passariello@rbht.nhs.uk.
BMJ open quality
|May 23, 2024
概括
身体外膜氧化 (ECMO) 检索团队的心理安全受到团队动态和领导力的影响. 了解这些因素可以改善患者护理和团队表现.
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:
- 心理安全对于医疗保健团队的表现,沟通和患者安全至关重要.
- 身体外膜氧化 (ECMO) 检索小组在医院间转移期间管理重症监护患者.
- 在专门的ECMO检索小组中,关于心理安全的研究有限.
研究的目的:
- 在ECMO检索团队中探索心理安全的实践经验.
- 识别影响心理安全的因素,并在此背景下发声.
- 为提高ECMO团队的心理安全提出建议.
主要方法:
- 在英国国家卫生服务 (NHS) 基金会信托机构进行的定性研究.
- 从ECMO检索团队中招募了10名参与者 (顾问,护士,输液师).
- 采用半结构面试和反思性主题分析来分析团队合作,关注点和层次结构的数据.
主要成果:
- 心理安全是由高风险环境,定义的流程和结构化的反思机会所塑造的.
- 团队的熟悉性,相互依赖的工作和领导行为显著影响说话.
- 基于专业知识的层次优先于团队内的传统机构排名.
结论:
- 结构和团队因素极大地影响ECMO检索团队的发言.
- 调查结果强调了领导力和团队互动在促进心理安全方面的重要性.
- 针对这些因素的干预措施可以提高心理安全和团队效率.
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