评估一个跨专业团队教练计划,以促进以人为中心的ICU环境.
Jami L Simpson1, John McCartney1, Jacqueline M Kruser1
1Division of Allergy, Pulmonary, and Critical Care; Department of Medicine; University of Wisconsin School of Medicine and Public Health; Madison, Wisconsin, United States.
ATS scholar
|February 21, 2026
概括
跨专业团队辅导有效地解决了在重症监护病房 (ICU) 中以人为中心的护理培训的需要. 该计划提高了团队成员为患者,家人和同事培养富有同情心的环境的能力.
科学领域:
- 医疗保健教育 医疗保健教育
- 专业间合作 专业间合作
- 以患者为中心的护理
背景情况:
- 重症监护室 (ICU) 的环境可能是不人道的.
- 现有的教育努力主要集中在以患者/家庭为中心的护理上,忽视了团队福祉.
- 对所有利益相关者来说,需要使ICU环境变得人性化.
研究的目的:
- 开发和评估一个跨专业的教育计划,使用团队指导来使ICU人性化.
- 评估该计划对参与者促进以人为中心的团队环境的感知能力的影响.
主要方法:
- 一个跨专业ICU团队指导计划的3年混合方法评估.
- 该计划包括由经过认证的教练领导的3个会议,重点是角色,生命终点护理和尊严/尊重.
- 通过前后调查和反思和汇报的定性分析收集的数据.
主要成果:
- 来自7个专业的43名ICU团队成员参加了会议;70%的出席率.
- 辅导后,对促进以人为中心的环境的未满足需求在患者 (p<0.01),家庭 (p<0.01) 和团队成员 (p<0.01) 中显著下降.
- 专业间咨询和关系同理心 (CARE) 的得分有所改善 (p=0.047),定性数据显示了对关系增长的承诺.
结论:
- 证实了在人性化ICU环境方面的培训需求尚未得到满足.
- 跨专业团队辅导是改善ICU中以人为中心的护理的一个有希望的策略.
- 建议扩大计划的潜力,以进一步加强ICU护理服务.
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