Improving team dynamics in an acute older people care unit to improve quality and safety of care.

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL
SAGE Open Medicine Pub Date : 2025-04-27 eCollection Date: 2025-01-01 DOI:10.1177/20503121251333314
Rachid Akrour, Anja Pattschull, Suzana Stamenkovic, Catherine Courret Gilgen, Alberto Garcia Manjon, Yvan Bourgeois, Joachim Rapin
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Abstract

Introduction: Several studies have demonstrated that the team dynamic among healthcare professionals has an impact on the quality of care, as well as the satisfaction of healthcare team members at work. The Input-Process-Output and Intervention model is one way to structure complex interventions with the aim of improving the team dynamic and evaluating their impact on the healthcare professional team, patients, and the organization.

Objective: The objective of the study was to describe the steps and results of a quality improvement project aimed at improving the team dynamic of healthcare professionals in the acute older people care unit of a university hospital and improving outcomes for the healthcare professional team, patients, and the organization.

Method: The project was based on the Deming cycle framework (Plan-Do-Check-Act) for improving the quality of care. It consisted of the following steps: (1) Implementation plan with an iterative process; (2) interventions according to the Input-Process-Output and Intervention model; and (3) evaluation of the impact of these interventions.

Results: The results demonstrated an improvement in most healthcare professional team outcomes, particularly in terms of satisfaction and absenteeism, as well as organizational outcomes. Patient outcomes were highly satisfactory and relatively stable throughout the process.

Conclusion: The integration of a healthcare professional team dynamic improvement model into quality and safety of care processes should be considered to optimize clinical and organizational outcomes.

改善急性老年人护理单位的团队动态,以提高护理的质量和安全性。
几项研究表明,医疗保健专业人员之间的团队动态对护理质量以及医疗保健团队成员在工作中的满意度有影响。输入-过程-输出和干预模型是构建复杂干预的一种方法,其目的是改善团队动态并评估其对医疗保健专业团队、患者和组织的影响。目的:本研究的目的是描述一项质量改进项目的步骤和结果,该项目旨在改善大学医院急性老年人护理单元医疗保健专业人员的团队动态,并改善医疗保健专业人员团队、患者和组织的结果。方法:采用计划-执行-检查-行动(Plan-Do-Check-Act)循环框架提高护理质量。它包括以下步骤:(1)具有迭代过程的实施计划;(2)根据投入-过程-产出和干预模型进行干预;(3)评估这些干预措施的影响。结果:结果表明,大多数医疗保健专业团队的成果有所改善,特别是在满意度和缺勤率方面,以及组织成果。在整个过程中,患者的预后非常满意且相对稳定。结论:应考虑将医疗保健专业团队动态改进模型与护理过程的质量和安全相结合,以优化临床和组织结果。
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
SAGE Open Medicine
SAGE Open Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
4.30%
发文量
289
审稿时长
12 weeks
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