在儿科环境中跨专业团队的表现:分析质量改进 (QI) 培训医学生的反射
Catherine Napolitano1, Russell Buzalko2, Gary L Beck Dallaghan3
1Medical Education, Brown University, Providence, USA.
Cureus
|September 24, 2025
概括
医学学生确定了影响儿科团队表现的关键因素. 有效的专业间合作依赖于明确的沟通,定义的角色,以及对高质量的患者护理的共同理解.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 医学教育 医学教育
- 跨专业的团队动态 跨专业的团队动态
背景情况:
- 儿科中高质量的患者护理需要有效的跨专业团队动态.
- 了解促进者和阻碍团队表现的障碍对于优化护理提供至关重要.
研究的目的:
- 从医学学生的角度探索高和低绩效儿科临床团队的特征.
- 识别影响团队护理有效性的关键驱动因素和障碍.
主要方法:
- 儿科医生实习的三年级医学学生在TeamSTEPPS®和卫生保健改进研究所 (IHI) 开放学校培训后完成了调查和叙事反思.
- 183个叙述经过了描述性统计和归纳性主题分析,并使用了价值评级系统来量化反应.
- 主题被分为五个TeamSTEPPS®技能领域,以创建概念模型.
主要成果:
- 高绩效的团队展示了开放的沟通,角色明确,共享的理解和有组织的任务委托.
- 绩效较低的团队在信息交换,角色模两可,权力动态和不组织的委托方面遇到了困难.
- 确定了40个主题,并将其映射到TeamSTEPPS®技能领域.
结论:
- 儿科医生实习生,经过QI培训后,确定了影响团队表现的一致因素.
- 来自学生反思的见解可以通过改善情况监测,沟通和团队结构来提高患者护理.
- 解决已识别的障碍可以优化儿科环境中的专业间合作.
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