目的:医疗单位的有效性在很大程度上取决于其跨专业团队的合作程度。不幸的是,用于改善这些团队的策略通常缺乏实质内容。这项研究分析了这些策略,发现了绩效差距。
方法:本研究采用了独特的混合方法,系统地回顾定性和定量研究,确定了加强医疗单位跨专业团队的策略。为了衡量这些策略的有效性,研究人员在哈马丹省的四个专业临床培训中心使用了重要性-绩效分析(IPA),伊朗。IPA的分析涉及来自这些中心的35名专家作为统计人群。
结果:基于系统综述,有七个类别:上下文,战略,通信,组织,个人,人力资源管理(HRM),以及促进跨专业团队的环境,共有36个次级指标。根据IPA,人力资源管理方面显示出最广泛的绩效差距。个人和组织方面属于资源浪费,环境方面在冷漠区域内。此外,一些关键的子指标,如激励/奖励,角色和责任,财政资源,团队创新,尊重的文化,合作伙伴资源,谦卑,数据可用性,设定期望,和团队可用性,在薄弱的地区。
结论:这项研究通过全面的差距分析确定了在促进临床培训中心团队合作方面需要改进的关键领域。它还提出了解决这些弱点的实际政策解决方案,为加强医疗单位的跨专业团队提供明确的路线图。
结论:改善医疗保健团队合作可能具有挑战性,但是有适当的策略和工具是可能的。最近研究的亮点之一是将系统综述研究与IPA相结合,以确定改善临床培训中心跨专业团队合作的领域。
OBJECTIVE: A healthcare unit\'s effectiveness largely depends on how well its interprofessional teams work together. Unfortunately, the strategies used to improve these teams often lack substance. This study analyzed these strategies and found a performance gap.
METHODS: This study took a unique mixed-method approach, systematically reviewing both qualitative and quantitative studies that identified strategies to enhance interprofessional teams in healthcare units. To gauge the effectiveness of these strategies, the researcher utilized an Importance-Performance Analysis (IPA) in four specialized clinical training centers in Hamadan province, Iran. The analysis of the IPA involved 35 experts from these centers as the statistical population.
RESULTS: Based on a systematic review, there are seven categories: contextual, strategic, communication, organizational, individual, Human Resources Management (HRM), and environmental for promoting interprofessional teams with a total of 36 sub-indicator. Based on the IPA, the HRM aspect shows the most extensive performance gap. The individual and organizational aspects fall under resource wastage, and the environmental aspect is within the indifferent zone. Also, some critical sub-indicators, such as incentives/rewards, roles and responsibilities, financial resources, team-initiated innovation, the culture of respect, partner resources, humility, data availability, set expectations, and team availability, are in the weak areas.
CONCLUSIONS: This research has identified critical areas for improvement in promoting teamwork in clinical training centers through a comprehensive gap analysis. It also presents practical policy solutions to address these weak points, providing a clear roadmap for enhancing interprofessional teams in healthcare units.
CONCLUSIONS: Improving teamwork in healthcare can be challenging, but it is possible with proper strategies and tools. One of the highlights of the recent study was the combination of systematic review studies with IPA to identify areas for improving interprofessional teamwork in clinical training centers.