加强医疗质量与患者安全的团队策略和工具在护理安全教育中应用的范围综述  

Application of the TeamSTEPPS in nursing safety education:a scoping review

作　　者：谢林莉 敬洁[1] 高义[1] 刘丹菊[1] XIE Linli;JING Jie;GAO Yi;LIU Danju

机构地区：[1]四川省医学科学院·四川省人民医院,成都市610031

出　　处：《中华护理教育》2023年第8期925-931,共7页Chinese Journal of Nursing Education

基　　金：四川省教育厅2021—2023年高等教育人才培养质量与教学改革项目(省教改项目)(JG2021-187)。

摘　　要：目的对加强医疗质量与患者安全的团队策略和工具(Team Strategies and Tools to Enhance Performance and Patient Safety,TeamSTEPPS)在护理安全教育中的应用研究进行范围审查,为未来TeamSTEPPS在护理安全教育中的应用提供参考。方法以Arksey和O’Malley的范围综述方法为框架,检索万方、中国知网、维普、中国生物医学文献数据库、PubMed、CINAHL、Web of Science、Scopus和Cochrane Library数据库中TeamSTEPPS在护理安全教育中应用的文献,检索时限为建库至2023年4月18日,按照纳入和排除标准筛选文献,对所纳入文献的信息进行汇总分析。结果共检索出858篇文献,最终纳入18篇文献;TeamSTEPPS的教育对象以临床护士为主(n=12),教学实施形式主要包括工作坊、角色扮演、情景演练、团建活动等,TeamSTEPPS在护理安全教育中应用的局限性包括样本量小、应用时长较短、缺乏统一可靠的教学效果评价工具等。结论TeamSTEPPS在护理安全教育中的教学实施形式灵活,能够满足受训者个性化教学需求,提升其安全知识和安全技能。未来需要进一步拓展教育对象和教学场景,应用患者安全结局相关评价指标,全方位评估TeamSTEPPS在护理安全教育中的应用效果。Objective This study aims to review the studies on the application of TeamSTEPPS in nursing safety education and to facilitate the future application of TeamSTEPPS in nursing safety education.Methods Arksey and O’Malley’s scoping review method was used as the framework.Relevant studies were comprehensively searched in database including Wanfang Data,CNKI,VIP,SinoMed,PubMed,CINAHL,Web of Science,Scopus,and Cochrane Library.The search time was set from the establishment of the database to April 18,2023.Results A total of 858 papers were retrieved and 18 of them were finally included.The teaching targets of TeamSTEPPS were mainly clinical nurses(n=12),and the teaching formats mainly included workshops,role plays,scenario-based exercises,group activities and so on.The limitations of the TeamSTEPPS application in nursing safety education were small sample size,short application duration,and lack of a uniform and reliable instrument for teaching evaluation.Conclusion TeamSTEPPS is flexible in its application in nursing safety education and can meet the individual needs of trainees to improve their safety knowledge and skills.In the future,it is necessary to expand the education targets and teaching scenarios,employ evaluation indicators related to patient safety outcomes,and evaluate the effects of TeamSTEPPS in nursing safety education from a comprehensive perspective.

关 键 词：护理学 患者安全 综述文献(主题) 加强医疗质量与患者安全的团队策略和工具 

分 类 号：R47[医药卫生—护理学]