A mixed methods study to evaluate the effects of a teamwork enhancement and quality improvement initiative on nurses' work environment
被引:8
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作者:
Paguio, Jenniffer Torralba
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机构:
Chinese Univ Hong Kong, Fac Med, Nethersole Sch Nursing, Shatin, Hong Kong, Peoples R China
Univ Philippines Manila, Coll Nursing, Manila, PhilippinesChinese Univ Hong Kong, Fac Med, Nethersole Sch Nursing, Shatin, Hong Kong, Peoples R China
Paguio, Jenniffer Torralba
[1
,2
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Yu, Doris Sau Fung
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Chinese Univ Hong Kong, Fac Med, Nethersole Sch Nursing, Shatin, Hong Kong, Peoples R ChinaChinese Univ Hong Kong, Fac Med, Nethersole Sch Nursing, Shatin, Hong Kong, Peoples R China
Yu, Doris Sau Fung
[1
]
机构:
[1] Chinese Univ Hong Kong, Fac Med, Nethersole Sch Nursing, Shatin, Hong Kong, Peoples R China
Aims To test the effect of a teamwork enhancement and quality improvement program named 'Nurturing Effective Teams and Continuous Quality Improvement' on nurses' work environments in the hospital setting. Design Mixed-method study with quasi-experimental controlled trial and focus group interviews. Methods Twelve units from two Philippine tertiary government hospitals will be matched and allocated to have 72 nurses receiving the teamwork enhancement and quality improvement program, or no intervention. The program focuses on enhancing the nurse autonomy, leadership and management support, teamwork, and workload management, delivered in two phases: (a) teamwork enhancement training using team strategies and tools to enhance the performance and patient safety; and (b) implementation of quality improvement projects using the model for improvement to identify priority unit issues and change ideas and tested using the Plan-Do-Study-Act cycle. The 6-month implementation includes two trainings and seven mentoring sessions with a quality improvement facilitator. Primary outcome is the nurses' work environment and secondary outcomes are job satisfaction, burnout risk, turnover intention, and perceived quality of care provided measured at the nurse-level using self-administered survey and measured at 0, 3, and 6 months. Focus group interviews will be conducted among 14-16 nurse subjects to explore their experience during the program, while other stakeholders will be interviewed to reflect the program effects. Generalized equation modelling will be used to identify the program effects on the quantitative outcomes and content analysis will be used for qualitative data. Discussion Establishing measures to improve the nurses' work environments can be used to address poor nurse outcomes in high workload and low-resource settings. Impact A favourable nurse work environment is the cornerstone to sustainable nursing workforce and positive outcomes. This study will provide explicit evidence to inform the effect of a structured evidence-based protocol in improving nurses' work environment given resource-limited context.
机构:
Univ Dev Studies, Dept Community Hlth & Family Med, Sch Med & Hlth Sci, Tamale, GhanaUniv Dev Studies, Dept Community Hlth & Family Med, Sch Med & Hlth Sci, Tamale, Ghana
Iddi, Failatu Yahaya
Ziblim, Shamsu-Deen
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Univ Dev Studies, Dept Community Hlth & Family Med, Sch Med & Hlth Sci, Tamale, GhanaUniv Dev Studies, Dept Community Hlth & Family Med, Sch Med & Hlth Sci, Tamale, Ghana
Ziblim, Shamsu-Deen
Mogre, Victor
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Univ Dev Studies, Dept Hlth Profess Educ & Innovat Learning, Sch Med & Hlth Sci, Tamale, GhanaUniv Dev Studies, Dept Community Hlth & Family Med, Sch Med & Hlth Sci, Tamale, Ghana
Mogre, Victor
JOURNAL OF MEDICAL AND BIOMEDICAL SCIENCE,
2020,
7
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11
机构:
York Univ, Sch Hlth Policy & Management, Toronto, ON, Canada
Ryerson Univ, Daphne Cockwell Sch Nursing, Toronto, ON, Canada
Univ Toronto, Lawrence S Bloomberg Fac Nursing, Toronto, ON, CanadaYork Univ, Sch Hlth Policy & Management, Toronto, ON, Canada
Zaheer, Shahram
Ginsburg, Liane
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York Univ, Sch Hlth Policy & Management, Toronto, ON, CanadaYork Univ, Sch Hlth Policy & Management, Toronto, ON, Canada
Ginsburg, Liane
Wong, Hannah J.
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York Univ, Sch Hlth Policy & Management, Toronto, ON, CanadaYork Univ, Sch Hlth Policy & Management, Toronto, ON, Canada
Wong, Hannah J.
Thomson, Kelly
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机构:
York Univ, Sch Adm Studies, Toronto, ON, CanadaYork Univ, Sch Hlth Policy & Management, Toronto, ON, Canada
Thomson, Kelly
Bain, Lorna
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机构:
Southlake Reg Hlth Ctr, Interprofess Collaborat & Educ, Newmarket, ON, Canada
Univ Toronto, Toronto, ON, CanadaYork Univ, Sch Hlth Policy & Management, Toronto, ON, Canada
Bain, Lorna
Wulffhart, Zaev
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机构:
Univ Toronto, Toronto, ON, Canada
Southlake Reg Hlth Ctr, Reg Cardiac Care Program, Newmarket, ON, CanadaYork Univ, Sch Hlth Policy & Management, Toronto, ON, Canada