超越个体:对多学科团队会议中发言行为系统决定因素的定性案例研究
Dimmy van Dongen1, Jaco Tresfon2,3, Frank Guldenmund2
1Delft University of Technology, Delft, The Netherlands d.m.g.vandongen@tudelft.nl.
BMJ open quality
|June 11, 2025
概括
医疗保健工作者 (HCW) 有动力在多学科团队会议 (MDTM) 中发言,但面临时间压力和等级等障碍. 解决这些系统性问题可以提高患者护理质量.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 在医疗保健领域的沟通
背景情况:
- 医疗保健工作者 (HCW) 的发言对于患者安全和护理质量至关重要.
- 在多学科团队会议 (MDTM) 中,由于等级结构和时间限制等障碍,这种行为未得到充分利用.
研究的目的:
- 调查影响医疗保健工作者在MDTM中的说话行为因素.
- 专注于激励因素,障碍物和跨学科动态.
主要方法:
- 在胃肠道外科手术中与MDTM参与者进行了21次半结构面试.
- 对外科医生,护士,住院医生和相关卫生专业人员的数据进行主题分析.
主要成果:
- 医疗保健工作者受到患者倡导和最佳护理的激励.
- 关键障碍包括时间压力,角色模两可,以及缺乏团队熟悉度.
- 护士和护理人员报告比医生更多的犹,导致输入不平衡.
结论:
- 需要基于系统的方法来克服发言障碍.
- 干预措施应针对明确的目标,减少时间压力,增强团队凝聚力.
- 改善会议结构和培养团队熟悉度可以增加平衡的贡献.
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