在小型初级保健实践中以团队为基础的护理:范围审查
Dina Zein1, Dominque Brown2, Donna R Shelley2
1Department of Public Health Policy and Management, New York University School of Global Public Health, New York, NY, USA. dz2067@nyu.edu.
BMC health services research
|February 6, 2026
概括
在小型独立初级保健实践 (SIPs) 中实施以团队为基础的护理面临挑战,特别是在培养信任和心理安全方面. 需要更多的研究,以建立信任在团队为基础的护理过渡在SIPs.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 初级保健管理管理初级保健管理
- 团队效率模型 团队效率模型
背景情况:
- 小规模的独立初级保健实践 (SIP) 面临着实施以团队为基础的护理的独特挑战.
- 现有的文献往往忽视了SIPs的具体背景.
研究的目的:
- 审查SIP中基于团队的护理实施的现有文献.
- 识别小规模初级保健机构团队式护理研究中的差距.
主要方法:
- 在主要数据库 (PubMed/MEDLINE,CINAHL,EMBASE,Cochrane图书馆) 进行系统的文献搜索.
- 提取了小规模初级保健机构团队式护理的研究.
- 使用综合 (医疗保健) 团队效率模型 (ITEM) 框架组织调查结果.
主要成果:
- 包括25项研究;只有9项专注于SIP.
- 研究涵盖了任务设计,团队组成 (例如,MA/MD双) 和流程 (通信,协调).
- 关于心理社会特征 (信任,心理安全) 和组织背景 (结构,资源,培训) 的有限讨论.
- 关键的障碍包括财务限制和不一致的支付模式.
结论:
- 关于心理社会因素,特别是信任建设,在SIP中存在重大研究缺口.
- 未来的研究应该专注于制定在SIP中团队式护理实施期间培养信任的策略.
- 在SIP中改变心理模式对于成功采用以团队为基础的护理至关重要.
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