Abstract：
OBJECTIVE: Teamwork among healthcare professionals is a key aspect of patient safety that influences the prevalence of missed nursing care. The association between teamwork and missed care in acute care hospitals is now well established in the literature. Therefore, this review aimed to synthesise the existing empirical evidence on the association between teamwork and missed care in the acute care setting.
METHODS: A mixed-method systematic review study.
METHODS: The search was carried out in February 2023 in four scientific databases, PubMed, ProQuest, Web of Science and Scopus based on their institutional availability. The search produced 1542 studies. The method of thematic analysis was used in data synthesis.
RESULTS: A total of 18 studies were selected that revealed the relationship between teamwork and missed care. The teamwork score was weak to moderate but significantly associated with the overall score of missed care and was found to be a statistically significant predictor of missed care in an acute care setting. Additionally, teamwork represented an important reason for missed care, primarily in the context of poor communication, lack of trust and cooperation in the nursing team and lack of leadership.
CONCLUSIONS: The review findings contribute to a deeper understanding of the intricate dynamics between teamwork and missed care and provide valuable information to healthcare professionals and institutions looking to optimise teamwork and mitigate instances of missed care in the acute care setting.
UNASSIGNED: Recognising how teamwork influences the occurrence of missed care, healthcare organisations can strategically implement targeted interventions to enhance collaboration, address communication gaps, foster trust, and provide effective leadership.
CONCLUSIONS: This review suggests that improving teamwork seems to be one of the most important strategies focused on mitigating missed care in acute care settings.
UNASSIGNED: The reporting of this review followed the PRISMA 2020 checklist.
UNASSIGNED: No patient or public contribution.
METHODS: A mixed-method systematic review study.
METHODS: The search was carried out in February 2023 in four scientific databases, PubMed, ProQuest, Web of Science and Scopus based on their institutional availability. The search produced 1542 studies. The method of thematic analysis was used in data synthesis.
RESULTS: A total of 18 studies were selected that revealed the relationship between teamwork and missed care. The teamwork score was weak to moderate but significantly associated with the overall score of missed care and was found to be a statistically significant predictor of missed care in an acute care setting. Additionally, teamwork represented an important reason for missed care, primarily in the context of poor communication, lack of trust and cooperation in the nursing team and lack of leadership.
CONCLUSIONS: The review findings contribute to a deeper understanding of the intricate dynamics between teamwork and missed care and provide valuable information to healthcare professionals and institutions looking to optimise teamwork and mitigate instances of missed care in the acute care setting.
UNASSIGNED: Recognising how teamwork influences the occurrence of missed care, healthcare organisations can strategically implement targeted interventions to enhance collaboration, address communication gaps, foster trust, and provide effective leadership.
CONCLUSIONS: This review suggests that improving teamwork seems to be one of the most important strategies focused on mitigating missed care in acute care settings.
UNASSIGNED: The reporting of this review followed the PRISMA 2020 checklist.
UNASSIGNED: No patient or public contribution.
摘要：
目的：医疗专业人员的团队合作是影响患者安全的一个关键方面，影响护理漏诊率。现在，文献中已经很好地确定了团队合作与急性护理医院中的错过护理之间的关联。因此,本综述旨在综合现有的关于急性护理环境中团队合作与错过护理之间关联的经验证据.
方法：混合方法系统综述研究。
方法：搜索于2023年2月在四个科学数据库中进行，PubMed,ProQuest,WebofScience和Scopus基于其机构可用性。搜索产生了1542项研究。在数据综合中采用了专题分析法。
结果：共选择了18项研究，揭示了团队合作与错过护理之间的关系。团队合作得分弱到中等，但与错过护理的总体得分显着相关，并且在急性护理环境中被发现是错过护理的统计学显着预测指标。此外,团队合作是错过护理的重要原因，主要是在沟通不畅的情况下，缺乏对护理团队的信任和合作，缺乏领导力。
结论：综述结果有助于更深入地理解团队合作和错过护理之间的复杂动态，并为寻求优化团队合作和减轻急性护理环境中错过护理的医疗保健专业人员和机构提供有价值的信息。
■认识到团队合作如何影响错过护理的发生，医疗保健组织可以战略性地实施有针对性的干预措施，以加强合作，解决沟通差距，培养信任，提供有效的领导。
结论：这篇综述表明，改善团队合作似乎是减轻急性护理环境中错过护理的最重要策略之一。
■本次审查的报告遵循了PRISMA2020清单。
■没有患者或公众捐款。
方法：混合方法系统综述研究。
方法：搜索于2023年2月在四个科学数据库中进行，PubMed,ProQuest,WebofScience和Scopus基于其机构可用性。搜索产生了1542项研究。在数据综合中采用了专题分析法。
结果：共选择了18项研究，揭示了团队合作与错过护理之间的关系。团队合作得分弱到中等，但与错过护理的总体得分显着相关，并且在急性护理环境中被发现是错过护理的统计学显着预测指标。此外,团队合作是错过护理的重要原因，主要是在沟通不畅的情况下，缺乏对护理团队的信任和合作，缺乏领导力。
结论：综述结果有助于更深入地理解团队合作和错过护理之间的复杂动态，并为寻求优化团队合作和减轻急性护理环境中错过护理的医疗保健专业人员和机构提供有价值的信息。
■认识到团队合作如何影响错过护理的发生，医疗保健组织可以战略性地实施有针对性的干预措施，以加强合作，解决沟通差距，培养信任，提供有效的领导。
结论：这篇综述表明，改善团队合作似乎是减轻急性护理环境中错过护理的最重要策略之一。
■本次审查的报告遵循了PRISMA2020清单。
■没有患者或公众捐款。
