关键词: Emergency medical services Focus group Inservice training Patient safety Qualitative research Team training Teamwork

Mesh : Humans Ambulances Qualitative Research Patient Care Team / organization & administration Norway Focus Groups Female Male Leadership Communication Adult Interprofessional Relations Middle Aged Attitude of Health Personnel Cooperative Behavior Inservice Training Emergency Medical Technicians / education

来  源:   DOI:10.1186/s12873-024-01018-6   PDF(Pubmed)

Abstract:
BACKGROUND: Teamwork in the context of ambulance services exhibits unique characteristics, as this environment involves a small core team that must adapt to a dynamic team structure that involves health care professionals and emergency services. It is essential to acquire a deeper understanding of how ambulance teams operate. Therefore, this study aimed to explore the experiences of ambulance professionals with teamwork and how they were influenced by the implementation of a team training programme.
METHODS: A qualitative descriptive study was conducted involving ambulance professionals who took part in focus group interviews carried out both before and after the implementation of a team training program across seven ambulance stations within a Norwegian hospital trust. The data were analysed using reflexive thematic analysis based on a deductive-inductive approach.
RESULTS: Our analysis revealed 15 subthemes that characterised ambulance professionals\' experiences with teamwork and a team training programme, which were organised according to the five main themes of team structure, communication, leadership, situation monitoring, and mutual support. Ambulance professionals\' experiences ranged from the significance of team composition and interpersonal and professional relationships to their preferences regarding different communication styles and the necessity of team leaders within the ambulance service. The team training programme raised awareness of teamwork, while the adoption of teamwork tools was influenced by both individual and contextual factors. The Introduction/Identity, Situation, Background, Assessment and Recommendation (ISBAR) communication tool was identified as the most beneficial aspect of the programme due to its ease of use, which led to improvements in the structure and quality of consultations and information handover.
CONCLUSIONS: This study documented the diverse characteristics and preferences associated with teamwork among ambulance professionals, emphasising the particular importance of proficient partnerships in this context. Participation in a team training programme was perceived as a valuable reminder of the significance of teamwork, thus providing a foundation for the enhancement of communication skills.
BACKGROUND: ClinicalTrials.gov-ID: NCT05244928.
摘要:
背景:救护车服务背景下的团队合作表现出独特的特征,因为这种环境涉及一个小的核心团队,必须适应一个动态的团队结构,包括医疗保健专业人员和紧急服务。必须更深入地了解救护车团队的运作方式。因此,这项研究旨在探讨救护车专业人员团队合作的经验,以及团队培训计划的实施对他们的影响。
方法:进行了一项定性的描述性研究,其中包括参加焦点小组访谈的救护车专业人员,他们在挪威一家医院信托基金的7个救护车站实施团队培训计划之前和之后进行。使用基于演绎归纳法的反身主题分析对数据进行了分析。
结果:我们的分析揭示了15个子主题,这些主题是救护车专业人员在团队合作和团队培训计划方面的经验,根据团队结构的五个主要主题组织,通信,领导力,形势监测,和相互支持。救护车专业人员的经验范围从团队组成,人际关系和专业关系的重要性到他们对不同沟通方式的偏好以及救护车服务中团队领导的必要性。团队培训计划提高了团队合作意识,而团队合作工具的采用受到个人和环境因素的影响。简介/身份,Situation,背景,评估和建议(ISBAR)通信工具由于其易用性而被认为是该计划最有益的方面,这导致协商和信息移交的结构和质量得到改善。
结论:这项研究记录了救护车专业人员团队合作的不同特征和偏好,强调在这方面熟练的伙伴关系的特别重要性。参加团队培训计划被认为是对团队合作重要性的宝贵提醒,从而为提高沟通技能提供了基础。
背景:ClinicalTrials.gov-ID:NCT05244928。
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