收稿日期: 2021-12-15
网络出版日期: 2022-11-18
基金资助
2020年浙江省医药卫生科技计划项目(2020KY568)
The effects of the multidisciplinary teamwork on skill training of prone positioning ventilation therapy in ICU
目的 探讨多学科团队合作模式在ICU俯卧位通气治疗技能培训中的应用效果。 方法 选取2021年10月— 11月浙江省某三级甲等医院重症医学科病区的64名临床医务人员为研究对象。运用提高医疗质量和患者安全的团队策略与工具包（team strategies & tools to enhance performance & patient safety，TeamSTEPPS）指导培训，包括组建培训小组，培训组长的领导力；修正操作工具，强化团队互助合作；培训理论知识和沟通工具；设置模拟情境，进行体验式分组练习。培训后进行操作考核，并调查研究对象的培训感受，同时抽取15名人员进行访谈。 结果 64名临床医务人员操作技能部分的成绩（61.16±1.47）分，团队合作部分的成绩为（24.38±0.97）分，总成绩为（85.68±1.95）分。所有人员均认为多学科团队合作有助于提高俯卧位通气实施效率，认同培训可以提升团队配合的默契和凝聚力。受访者对俯卧位通气治疗的团队培训均持肯定态度。 结论 多学科团队合作模式在ICU俯卧位通气治疗技能培训中应用良好，学员对这种方式持肯定态度。
俞超 , 金佳敏 , 盛运云 , 赵丹丹 , 周利 , 高春华 . 多学科团队合作模式在ICU俯卧位通气治疗技能培训中的应用[J]. 中华护理教育, 2022 , 19(11) : 1011 -1016 . DOI: 10.3761/j.issn.1672-9234.2022.11.011
Objective To explore the effects of the multidisciplinary teamwork on skill training of prone positioning ventilation therapy in ICU. Methods A total of 64 clinical staffs were recruited in ICU of a tertiary hospital in Zhejiang Province from October 2021 to November 2021. The team strategies and tools to enhance performance and patient safety （TeamSTEPPS） was used to guide the training. The training contents included setting up a training group and training the leadership of the group leader；revising operational tools and strengthening team cooperation；training theoretical knowledge and communication tools；and setting up simulated situations and conducting experiential group exercises. After the training，the skill assessment of the prone position team was carried out，and the training experience of the participants was investigated. At the same time，fifteen people were invited for an interview. Results The score was（61.16±1.47） for skill performance，（24.38±0.97） for team cooperation，and（85.68±1.95） for the total score. All the participants believed that multidisciplinary team cooperation was helpful to improve the efficiency of implementation of prone positioning ventilation therapy，and they thought such a training could improve the cohesion of the team. All interviewees held positive attitudes towards the team training for the skill of prone positioning ventilation therapy. Conclusion The multidisciplinary teamwork model is well applied in the training of ICU prone position ventilation treatment skills，and the trainees have a positive attitude towards this training.
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