影响在医院环境中的同事信任的因素:系统性审查
Andreea Isabela Varga1, Ivan Spehar1, Frode Veggeland2,3
1Department of Health Management and Health Economics, Institute of Health and Society, Medical Faculty, University of Oslo (UiO), Oslo, Norway.
BMC health services research
|January 3, 2025
概括
本系统性审查强调了影响医院医疗保健专业人员协会信任的关键因素. 专业性,沟通和道德对于建立对医疗保健团队的信任至关重要.
科学领域:
- 医疗保健管理的管理
- 组织心理学 组织心理学
- 医学伦理 医学伦理
背景情况:
- 同学信任与改善工作场所的绩效,创新和协作有关.
- 此前,缺乏专门在医院环境中对协会信任的系统审查.
- 了解影响信任的因素对于医疗保健团队的有效性至关重要.
研究的目的:
- 系统地审查和综合影响医院环境中医疗保健提供者之间协同信任的积极和消极因素.
- 提供关于这个主题的现有文献的全面概述.
主要方法:
- 在2022年10月21日之前,对十个主要的学术数据库进行了系统搜索.
- 包括用英语进行的实证研究,在医院环境中进行,重点关注医疗保健专业人员之间的信任 (不包括层次信任).
- 在独立选和质量评估后,使用叙事综合方法分析了来自11项纳入研究的研究结果 (7项定性,4项定量).
主要成果:
- 提高信任的关键主题包括专业能力,有效的沟通 (例如,默认的知识共享) 和道德行为 (诚实,保密,问责).
- 工作环境中的心理安全被认为是促进同事之间的信任的一个重要因素.
- 大多数研究都具有可接受的质量,尽管有些研究表明信任的定义存在偏见和不一致的风险.
结论:
- 专业性,沟通和道德是加强对医院的共同信任的最重要因素.
- 研究中对这些核心概念的各种定义和解释强调了对概念清晰度的需求.
- 解决这些因素并确保明确的定义可以改善医疗团队内的信任和协作.
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