团队合作和在医疗保健和人类服务环境中实施创新:系统审查
Elizabeth A McGuier1, David J Kolko2, Gregory A Aarons3,4,5
1Department of Psychiatry, School of Medicine, University of Pittsburgh, 3811 O'Hara Street, Pittsburgh, PA, 15213, USA. millerea3@upmc.edu.
Implementation science : IS
|July 15, 2024
概括
团队合作对于实施医疗保健和人力服务领域的新做法至关重要. 适应性的团队运作和开放的沟通显著改善了实施结果,而人力资源短缺和沟通不良造成了障碍.
科学领域:
- 实施科学 实施科学
- 医疗保健中的团队合作
- 组织行为 组织行为
背景情况:
- 在团队环境中实施新做法需要有效的协作.
- 在实施科学中,团队结构和实施方法的研究不足.
- 本综述综合了关于团队协作和在医疗保健和人力服务领域的实施成果的研究.
研究的目的:
- 系统地审查关于团队构造和实施结果之间的关系的经验研究.
- 确定团队合作如何影响成功采用基于证据的实践和创新.
- 突出有关团队实施的文献上的差距.
主要方法:
- 在 MEDLINE,CINAHL,APA PsycINFO 和 ERIC (2000-2022) 的系统搜索.
- 包括检查团队结构和实施结果的定量,定性或混合方法研究.
- 结果的叙述综合,使用混合方法评估工具和GRADE/GRADE-CERQual进行质量评估.
主要成果:
- 包括来自55项研究的58篇文章,在2016年之后的出版物激增.
- 由于有限的重叠,很难估计团队变量和实施结果之间的定量关联.
- 定性调查结果表明,人员短缺阻碍了实施;适应性的团队运作和有效的沟通有助于实施,而这些领域的问题则成为障碍.
结论:
- 团队合作对于成功实施创新至关重要.
- 团队结构和实施结果的不良规范限制了理解.
- 提供了建议,以加强以团队为基础的实施研究的研究严格性.
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