通过多学科的角度了解影响手术性阴道分娩的安全性和团队功能因素:混合方法研究
Sasha M Skinner1,2, Eleanor Kippen3, Daniel L Rolnik3,4
1Department of Obstetrics and Gynaecology, Women's and Newborns, Monash Health, Clayton, VIC, Australia. sasha.m.skinner@gmail.com.
BMC pregnancy and childbirth
|January 21, 2025
概括
助产士和儿科工作人员报告说,在手术性阴道分娩 (OVB) 期间,沟通挑战和对不断升级的担忧的信心较低. 建议改善团队合作和培训,以提高OVB安全性.
科学领域:
- 产科和妇科 产科和妇科
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 手术性阴道分娩 (OVB) 需要有效的团队合作,以获得最佳的患者结果.
- 了解提供者对团队功能的看法对于提高OVB期间的安全至关重要.
研究的目的:
- 探索医疗保健提供者对在手术性阴道分娩期间影响安全和团队功能因素的观点.
- 确定在OVB环境中影响团队协作的具体挑战和促进者.
主要方法:
- 在四个产妇中心进行了一项混合方法研究.
- 使用调查和半结构面试,从产科,助产士和儿科工作人员收集定量和质量数据.
- 使用了统计分析 (皮尔森的二次测试) 和主题分析.
主要成果:
- 100份调查回复显示,99%的员工希望改善团队沟通,82%的员工观察到协议之外的做法.
- 与产科工作人员相比,助产士和儿科工作人员报告说,沟通质量明显降低,对不断升级的担忧的信心较低.
- 影响团队功能性的关键主题包括沟通质量,准备,领导,患者转移和临床实践变化.
结论:
- 提供者对OVB期间团队功能性的看法各不相同,产科,助产士和儿科工作人员之间存在显著差异.
- 助产士和儿科工作人员表示,与沟通和赋权更大的挑战,以升级担忧.
- 建议针对性培训解决影响OVB团队功能因素,以提高患者安全.
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