When routine becomes stressful: A qualitative study into resuscitation team members' perception of stress and performance.

IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Journal of Interprofessional Care Pub Date : 2024-03-01 Epub Date: 2023-12-21 DOI:10.1080/13561820.2023.2289507
F S Dijkstra, A de la Croix, H van Schuppen, M Meeter, P G Renden
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引用次数: 0

Abstract

Interprofessional teamwork is of high importance during stressful situations such as CPR. Stress can potentially influence team performance. This study explores the perception of stress and its stressors during performance under pressure, to be able to further adjust or develop training. Healthcare professionals, who are part of the resuscitation team in a large Dutch university medical center, discussed their experiences in homogeneous focus groups. Nine focus groups and one individual interview were conducted and analyzed thematically, in order to deepen our understanding of their experiences. Thematic analysis resulted in two scenarios, routine and stress and an analysis of accompanying team processes. Routine refers to a setting perceived as straightforward. Stress develops in the presence of a combination of stressors such as a lack of clarity in roles and a lack of knowledge on fellow team members. Participants reported that stress affects the team, specifically through an altering of communication, a decrease in situational awareness, and formation of subgroups. This may lead to a further increase in stress, and potentially result in a vicious cycle. Team processes in a stressful situation like CPR can be disrupted by different stressors, and might affect the team and their performance. Improved knowledge about the stressors and their effects might be used to design a training environment representative for the performance setting healthcare professionals work in. Further research on the impact of representative training with team-level stressors and the development of a "team brain" might be worthwhile.

当例行公事变成压力:复苏小组成员对压力和表现的定性研究。
在心肺复苏等压力情况下,跨专业团队合作非常重要。压力可能会影响团队表现。本研究探讨了在压力下工作时对压力及其压力源的感知,以便进一步调整或开展培训。荷兰一所大型大学医疗中心复苏团队的医护人员在同质焦点小组中讨论了他们的经验。为了加深对他们经验的了解,我们对九个焦点小组和一次个人访谈进行了专题分析。通过主题分析,我们得出了常规和压力两种情况,并对随行的团队流程进行了分析。常规指的是一种被视为简单明了的环境。压力是在各种压力的共同作用下产生的,如角色不明确和对团队成员缺乏了解。参与者报告说,压力会影响团队,特别是通过改变沟通、降低对形势的认识和形成小团体。这可能会导致压力进一步增加,并有可能造成恶性循环。在心肺复苏这种压力较大的情况下,团队进程会受到不同压力源的干扰,并可能影响团队及其表现。提高对压力源及其影响的认识,可用于设计一个能代表医护人员工作环境的培训环境。对具有团队水平压力源的代表性培训的影响以及 "团队大脑 "的开发可能值得进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Interprofessional Care
Journal of Interprofessional Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
5.80
自引率
14.80%
发文量
124
审稿时长
6-12 weeks
期刊介绍: The Journal of Interprofessional Care disseminates research and new developments in the field of interprofessional education and practice. We welcome contributions containing an explicit interprofessional focus, and involving a range of settings, professions, and fields. Areas of practice covered include primary, community and hospital care, health education and public health, and beyond health and social care into fields such as criminal justice and primary/elementary education. Papers introducing additional interprofessional views, for example, from a community development or environmental design perspective, are welcome. The Journal is disseminated internationally and encourages submissions from around the world.
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