高擬真團隊模擬訓練對安全態度、行為及病人安全文化影響之探討

The Effects of High-Fidelity Team Resource Management Training on the Safety Attitude, Behavior, and Patient Safety Culture

洪聖惠(Sheng-Hui Hung) ； 吳永隆(Yung-Lung Wu) ； 李惠珍(Hui-Jane Li) ； 鍾國彪(Kuo-Piao Chung) ； 董鈺琪(Yu-Chi Tung) ； 王拔群(Pa-Chun Wang)

《醫務管理期刊》 18卷2期 (2017/06) Pp. 89-104

https://doi.org/10.6174/JHM2017.18(2).89

摘要

目的：本研究藉由對照組比較，探討於病房介入團隊模擬訓練，對提升團隊合作態度、行為及病安文化的影響。方法：選取80 名病房醫護人員，依有無參加過團隊模擬訓練分為實驗與對照組，以突發急救事件作為訓練情境，實驗組又分一次與兩次演練，利用醫療團隊模擬觀測量表進行評估。於完訓後測量團隊安全態度、行為及病安文化。結果：發現進行兩次演練的教育模式，能顯著提升臨床及團隊合作技能。在病安文化方面，實驗組於團隊合作與單位安全風氣構面顯著優於對照組，且介入後追蹤團隊合作態度與行為均顯著優於對照組。結論：本研究證實團隊模擬訓練於病房之可行性，同時建議採取前後二次演練的教育模式，更能有效提升臨床及團隊成效，值得推廣。

關鍵字

高擬真模擬訓練 ； 團隊合作 ； 病人安全文化

並列摘要

Objectives : In recent years, there have been a series of studies with a focus on critical care team simulation training in Taiwan. The current study used a resuscitation case scenario to evaluate the effects of general ward simulated team training on attitudes, behaviors and patient safety culture. Methods: medical staff were divided into experimental and control groups based on participation in simulated team training, sudden resuscitation event as the training situation. The team was divided into one and two practices and assessed using the Medical Team Simulated Scoring Scale and the Curriculum Assessment Questionnaire to measure their team safety attitude, safety behavior and patient safety culture. Results: The educational model of two simulation exercises significantly enhanced the clinical and teamwork skills. In the patient safety culture, the experimental group was significantly better than the control group with respect to teamwork and unit safety culture. In the experimental group, the cooperative attitude and behavior of the trainees were significantly better than those of the control group after and 3 months. Conclusions: Based on the current study, confirms the feasibility of highfidelity simulation team training in general wards was confirmed. The findings also suggested that the training model incorporating two practices improved the clinical and team cooperation skills, which is worth popularizing.

並列關鍵字

high-fidelity team resource management training ； teamwork ； patient safety culture

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