Nursing teamwork is essential in promoting patient-centered care: a cross-sectional study

被引:17
作者
Baek, Hyang [1 ]
Han, Kihye [2 ]
Cho, Hyeonmi [3 ]
Ju, Jieun [4 ]
机构
[1] Univ Maryland, Sch Nursing, Baltimore, MD 21201 USA
[2] Chung Ang Univ, Coll Nursing, Seoul 06974, South Korea
[3] Yonsei Univ, Mo Im Kim Nursing Res Inst, Coll Nursing, Seoul 03722, South Korea
[4] Chung Ang Univ, Grad Sch, Seoul 06974, South Korea
基金
新加坡国家研究基金会;
关键词
Latent profile analysis; Nurse staffing; Nursing teamwork; Patient-centered care; Work environment; IMPACT; INTERVENTION; OUTCOMES;
D O I
10.1186/s12912-023-01592-3
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Background There has been little research regarding nursing teamwork, despite its important role in multidisciplinary teamwork in healthcare settings and its significance in ensuring high-quality nursing care. This study aimed to determine the teamwork levels of Korean nurses and examine the relationship between nursing teamwork and patient-centered care while controlling for other individual and work-related factors.Methods We conducted a cross-sectional analysis of online survey data. The study population consisted of 992 Korean registered nurses employed in hospitals who had a minimum of six months of clinical experience. We performed latent profile analysis to identify latent teamwork subgroups based on response patterns. We performed analysis of variance and Chi-square tests to examine differences in individual and work-related characteristics according to teamwork group. We used multiple linear regression to investigate how nursing teamwork could affect patient-centered care after controlling for covariates.Results We identified three nursing teamwork subgroups: low, mid, and high. Nurses with a higher level of teamwork in their units tended to work fewer hours with more adequate staffing (F = 5.88, p = 0.003 for working hours; F = 7.68, p < 0.001 for staffing adequacy). There was a significant positive association between nursing teamwork and patient-centered care after controlling for personal and work-related characteristics. Compared with low teamwork, mid and high teamwork increased patient-centered care scores by 0.32 (95% confidence interval [CI] = 0.23-0.40) and 0.57 (95% CI = 0.48-0.66), respectively.Conclusion Our findings indicate that enhancing nursing teamwork can serve as an effective strategy for promoting patient-centered care. Providing nurse education and training to equip nurses with the necessary knowledge and skills for effective teamwork is a crucial step. Additionally, fostering management commitment to create a supportive working environment, including adequate staffing, can facilitate improved nursing teamwork and, subsequently, patient-centered care.
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页数:8
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