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护理学报 ›› 2021, Vol. 28 ›› Issue (8): 17-22.doi: 10.16460/j.issn1008-9969.2021.08.017

• 循证护理 • 上一篇    下一篇

基于柯氏模型对TeamSTEPPS应用于医疗人员培训后效果维持的系统评价

严露培a, 姚丽丽a, 赵庆华b, 肖明朝c, 李跃荣a   

  1. 重庆医科大学附属第一医院 a.麻醉科; b.护理部; c.泌尿外科,重庆 400016
  • 收稿日期:2020-12-30 出版日期:2021-04-25 发布日期:2021-05-12
  • 通讯作者: 李跃荣（1973-）,女,四川叙永人,硕士,副教授,副主任护师。E-mail：1170536339@qq.com
  • 作者简介:严露培（1997-）,女,四川成都人,本科学历,硕士研究生在读,护士。
  • 基金资助:
    国家科技部重点研发计划（2019YFC2005900）; 重庆市研究生科研创新项目（CYS20196）; 重庆医科大学附属第一医院护理科研基金（HLJJ2018-12）

Maintenance of Effect of TeamSTEPPS Training in Medical Staff Based on Kirkpatrick Model: A Systematic Review

YAN Lu-peia, YAO Li-lia, ZHAO Qing-huab, XIAO Ming-chaoc, LI Yue-ronga   

  1. a. Dept. of Anesthesiology, b. Dept. of Nursing Administration, c. Urinary Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
  • Received:2020-12-30 Online:2021-04-25 Published:2021-05-12

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摘要： 目的 探讨基于柯氏模型对TeamSTEPPS应用于医疗人员培训后效果维持系统评价。方法 计算机检索中英文数据库关于TeamSTEPPS应用于医疗人员培训的文献,2名研究者根据纳入与排除标准,独立进行文献的筛检、质量评价和资料提取。结果 共纳入9篇自身前后对照试验,结果显示,学员对TeamSTEPPS培训较满意,多数学员能保持较好的团队合作及沟通能力,形成稳定的患者安全文化,但培训后产生的良好患者安全结果,如手术准时开始率、手术周转时间、患者死亡率及并发症发生率等存在差异。结论 TeamSTEPPS培训能有效维持学员良好的团队合作及沟通能力,但对于客观培训结果的维持性,需进一步研究。

关键词: TeamSTEPPS, 柯氏模型, 培训效果的维持, 系统评价, 患者安全

Abstract: Objective To systematically evaluate the maintenance of the effect of TeamSTEPPS training in medical staff based on Kirkpatrick model. Methods The literature on the maintenance of the effect of TeamSTEPPS training in medical staff in both Chinese and English databases was searched by computer. Two researchers independently screened and extracted the data. Results Nine pre-post studies were included. The results showed that participants were satisfied with TeamSTEPPS training, the majority of which could maintain good communication and teamwork skills and form stable patient safety culture. However, there were disparities in excellent patient safety outcomes after TeamSTEPPS training, such as punctuality percentage of the operation, average room turnover time, mortality and the number of patients with complications. Conclusion TeamSTEPPS training is beneficial for medical staff to maintain good communication and teamwork skills, but more studies are necessary for the maintenance of Objective effect of TeamSTEPPS training.

Key words: TeamSTEPPS, Kirkpatrick model, the maintenance of effect of the training, systematic review, patient safety

中图分类号: 

  • G424.1
[1] Kohn LT, Corrigan JM, Donaldson MS.To Err is Human: Building a Safer Health System[M]. Washington DC:National Academy Press,1999:1-15. DOI:10.17226/9728.
[2] Thomas L,Galla C.Building a Culture of Safety through Team Training and Engagement[J].BMJ Qual Saf,2013,22(5):425-434.DOI:10.1136/bmjqs-2012-001011.
[3] Welsch LA, Hoch J, Poston RD, et al.Interprofessional Education Involving Didactic TeamSTEPPS(R) and Interactive Healthcare Simulation: A Systematic Review[J]. J Interprof Care,2018,32(6):657-665. DOI:10.1080/13561820.2018.1472069.
[4] Reed DA, Cook DA, Beckman TJ, et al.Association between Funding and Quality of Published Medical Education Research[J].JAMA,2007,298(9):1002-1009.DOI:10.1001/jama.298.9.1002.
[5] Armour Forse R, Bramble JD, McQuillan R. Team Training Can Improve Operating Room Performance[J].Surgery,2011,150(4):771-778. DOI:10.1016/j.surg.2011.07.076.
[6] Dodge LE, Nippita S, Hacker MR, et al.Impact of Teamwork Improvement Training on Communication and Teamwork Climate in Ambulatory Reproductive Health Care[J]. J Healthc Risk Manag, 2019,38(4):44-54. DOI:10.1002/jhrm.21353.
[7] Figueroa MI, Sepanski R, Goldberg SP, et al.Improving Teamwork, Confidence,and Collaboration among Members of a Pediatric Cardiovascular Intensive Care Unit Multidisciplinary Team Using Simulation-based Team Training[J]. Pediatr Cardiol, 2013,34(3):612-619.DOI:10.1007/s00246-012-0506-2.
[8] Lee SH, Khanuja HS, Blanding RJ, et al.Sustaining Teamwork Behaviors Through Reinforcement of TeamSTEPPS Principles[J].J Patient Saf,2017.DOI:10.1097/PTS.0000000000000414.Online ahead of print.
[9] Lisbon D, Allin D, Cleek C, et al.Improved Knowledge, Attitudes, and Behaviors after Implementation of TeamSTEPPS Training in an Academic Emergency Department: A Pilot Report[J].Am J Med Qual, 2016,31(1):86-90.DOI:10.1177/1062860614545123.
[10] Mayer CM, Cluff L, Lin WT, et al.Evaluating Efforts to Optimize TeamSTEPPS Implementation in Surgical and Pediatric Intensive Care Units[J].Jt Comm J Qual Patient Saf, 2011,37(8):365-374.DOI:10.1016/s1553-7250(11)37047-x.
[11] Wong AH, Gang M, Szyld D, et al.Making an “Attitude Adjustment”:Using a Simulation-enhanced Interprofessional Education Strategy to Improve Attitudes Toward Teamwork and Communication[J].Simul Healthc,2016,11(2):117-125.DOI:10.1097/SIH.0000000000000133.
[12] Obenrader C, Broome ME, Yap TL, et al.Changing Team Member Perceptions By Implementing TeamSTEPPS in an Emaergency Department[J]. J Emerg Nurs, 2019,45(1):31-37.DOI:10.1016/j.jen.2018.08.006.
[13] Parker AL, Forsythe LL, Kohlmorgen IK.TeamSTEPPS®: An Evidence-based Approach to Reduce Clinical Errors Threatening Safety in Outpatient Settings: An Integrative Review[J]. J Healthc Risk Manag, 2019,38(4):19-31.DOI: 10.1002/jhrm.21352.
[14] Johnston S, Coyer FM, Nash R.Kirkpatrick’s Evaluation of Simulation and Debriefing in Health Care Education: A Systematic Review[J]. J Nurs Educ, 2018,57(7):393-398.DOI:10.3928/01484834-20180618-03.
[15] Ballangrud R, Husebø SE, Hall-Lord ML.Cross-cultural Validation and Psychometric Testing of the Norwegian Version of the TeamSTEPPS? Teamwork Perceptions Questionnaire[J]. BMC Health Serv Res. 2017,17(1):799. DOI:10.1186/s12913-017-2733-y.
[16] Agency for Healthcare Research and Quality.TeamSTEPPS® : Strategies and Tools to Enhance Performance and Patient Safety[EB/OL].(2013-09-27). http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/index.html.Accessed
[17] Giai J, Boussat B, Occelli P, et al.Hospital Survey on Patient Safety Culture (HSOPS): Variability of Scoring Strategies[J].Int J Qual Health Care,2017,29(5):685-692. DOI:10.1093/intqhc/mzx086.
[18] Undre S, Sevdalis N,Healey AN, et al.Observational Teamwork Assessment for Surgery (OTAS): Refinement and Application in Urological Surgery[J]. World J Surg, 2007,31(7):1373-1381.DOI:10.1007/s00268-007-9053-z.
[19] Henry BW,Rooney DM,Eller S,et al.Testing of the Patients’ Insights and Views of Teamwork (PIVOT) Survey:A Validity Study[J]. Patient Educ Couns, 2014,96(3):346-351.DOI: 10.1016/j.pec.2014.06.002.
[20] 周瑛,张军杰.208名ICU护士工作满意度与团队合作度相关性分析[J].护理学报, 2019,26(21):55-57.DOI:10.16460/j.issn1008-9969.2019.21.055.
[21] Reed T, Horsley TL, Muccino K, et al.Simulation Using TeamSTEPPS to Promote Interprofessional Education and Collaborative Practice[J]. Nurse Educ,2017,42(3):E1-E5. DOI:10.1097/NNE.0000000000000350.
[22] Omura M, Maguire J, Levett-Jones T, et al.The Effectiveness of Assertiveness Communication Training Programs for Healthcare Professionals and Students:A Systematic Review[J]. Int J Nurs Stud,2017(76):120-128. DOI:10.1016/j.ijnurstu.2017.09.001.
[23] Abu-Rish Blakeney E, Lavallee DC, Baik D, et al. Purposeful Interprofessional Team Intervention Improves Relational Coordination among Advanced Heart Failure Care Teams[J]. J Interprof Care,2019,33(5):481-489. DOI:10.1080/13561820.2018.1560248.
[24] Gartshore E, Waring J, Timmons S.Patient Safety Culture in Care Homes for Older People:A Scoping Review[J]. BMC Health Serv Res,2017,17(1):752.DOI:10.1186/s12913-017-2713-2.
[25] 霍晓鹏,杜红娣,刘晓萱,等.CATCH跌倒管理模型在老年住院患者跌倒预防管理中的应用[J].护理学报,2017,24(18):13-16.DOI:10.16460/j.issn1008-9969.2017.18.013.
[26] Sheppard F, Williams M, Klein VR.TeamSTEPPS and Patient Safety in Healthcare. J Healthc Risk Manag[J]. 2013,32(3):5-10. DOI:10.1002/jhrm.21099.
[27] Dahl AB, Ben AA, Maniar H, et al.Building a Collaborative Culture in Cardiothoracic Operating Rooms: Pre and Postintervention Study Protocol for Evaluation of the Implementation of TeamSTEPPS Training and the Impact on Perceived Psychological Safety[J]. BMJ Open, 2017,7(9):e17389.DOI:10.1136/bmjopen-2017-017389.
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