Psychometrics properties of the Team Interaction Scale and influencing factors of team interaction of tertiary hospital physicians in China: a cross-sectional study

Buljac-Samardžić

et al. 2021

Front. Public Health

Background and Objective: Improving quality of care is one of the primary goals in current Chinese hospital reforms. Teamwork can play an essential role. Characteristics of teamwork and interventions for improving teamwork in hospitals have been widely studied. However, most of these studies are from a Western context; evidence from China is scarce. Because of the contextual differences between China and Western countries, empirical evidence on teamwork from Western hospitals may have limited validity in China. This systematic review aims to advance the evidence base and understanding of teamwork in Chinese hospitals.Methods: Both English (i.e., Embase, Medline, and Web of Science) and Chinese databases (i.e., CNKI, CQVIP, and Wanfang) were searched for relevant articles until February 6, 2020. We included the studies that empirically researched teamwork in Chinese hospitals. Studies were excluded if they (1) were not conducted in hospitals in Mainland China, (2) did not research teamwork on team interventions, (3) were not empirical, (4) were not written in English or Chinese, (5) were not published in peer-reviewed journals, and (6) were not conducted in teams that provide direct patient care. Both deductive and inductive approaches were used to analyze data. The Mixed Methods Appraisal Tool (MMAT) was used to assess their methodological quality.Results: A total of 70 articles (i.e., 39 English articles and 31 Chinese articles) were included. The results are presented in two main categories: Teamwork components and Team interventions. The evidence regarding the relationships among inputs, processes, and outcomes is scarce and mostly inconclusive. The only conclusive evidence shows that females perceive better team processes than males. Similar types of training and tools were introduced as can be found in Western literature, all showing positive effects. In line with the Chinese health reforms, many of the intervention studies regard the introduction of multidisciplinary teams (MDTs). The evidence on the implementation of MDTs reveals that they have led to lower complication rates, shorter hospital stays, higher diagnosis accuracy, efficiency improvement, and a variety of better disease-specific clinical outcomes. Evidence on the effect on patient survival is inconclusive.Conclusion: The Chinese studies on teamwork components mainly focus on the input-process relationship. The evidence provided on this relationship is, however, mostly inconclusive. The intervention studies in Chinese hospitals predominantly focus on patient outcomes rather than organizational and employee outcomes. The introduction of training, tools, and MDTs generally shows promising results. The evidence from primary hospitals and rural areas, which are prioritized in the health reforms, is especially scarce. Advancing the evidence base on teamwork, especially in primary hospitals and rural areas, is needed and can inform policy and management to promote the health reform implementation.Systematic Review Registration:https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020175069, identifier CRD42020175069.

Section: Relationship Between Inputs and Processesmentioning

confidence: 56%

Section: Relationship Between Inputs and Processesmentioning

confidence: 86%

Section: Relationship Between Inputs and Processesmentioning

confidence: 99%

Section: Relationship Between Processes and Outcomesmentioning

confidence: 99%

See 2 more Smart Citations

What Do We Know About Teamwork in Chinese Hospitals? A Systematic Review

Buljac-Samardžić

et al. 2021

Front. Public Health

“…In many studies, being young, having semi-work experience, and intense work predisposes one to burn-out in tertiary care hospitals [28]. In another study conducted in China, excessive burn-out was observed in doctors working in the emergency department in tertiary hospitals with less than 10 years of experience [30].…”

Section: (Sd) Medianx (Sd) Medianmentioning

confidence: 99%

The analysis of emergency medicine professionals' occupational anxiety during the COVID-19 pandemic

2021

Objectives: People worldwide have experienced anxiety during the COVID-19 pandemic including healthcare professionals. News about the number of deaths and cases shared on social media has also increased the anxiety. Anxiety is described as an emotional state in which a feeling of weakness is experienced during preparation for perceived risk; it also includes fear. In our study, the occupational anxiety levels of emergency medicine professionals were compared based on various variables (institution, years of experience, number of daily emergency patient cases in the institution, etc.). Methods: The study was conducted with 168 emergency medical professionals from 5 different countries. The COVID-19 outbreak was ongoing while data was being collected, and the study was approved by the Clinical Research Ethics Committee provided that the data were collected online. Research data were obtained in June, July, and August 2020. One of the two sub-factors in the scale is physical, physical, and life anxiety factor. There are 12 items in this sub-factor: The lowest possible score is 12, and the highest score is 60. The other sub-factors are the work environment, employees, equipment, and environmental factors. Results: Accessibility to personal protective equipment during the COVID-19 pandemic caused a difference in bodily, physical, and vital anxiety levels (P < 0.05). Gender, chronic disease before COVID-19 status, marital status, years of experience, overtime work during the COVID-19 pandemic, and SARS-COV-2 contagion status during the treatment process did not cause any difference in bodily, physical, and vital anxiety levels (P > 0.05). The place of work caused a significant difference in the level of bodily, physical, and vital anxiety (P < 0.05). Years of experience in the profession caused a significant difference in the level of anxiety regarding work atmosphere, employee, PPE, and environmental factors (P < 0.05). During the COVID-19 pandemic, overtime work during the COVID-19 pandemic caused a significant difference in the level of anxiety related to work atmosphere, employee, equipment, and environmental factors (P < 0.05). Conclusions: During the COVID-19 pandemic, the emergency service working hours caused a significant difference in the anxiety levels related to work atmosphere, employees, equipment, and environmental factors. During the COVID-19 pandemic, access to personal protective equipment caused a difference in anxiety levels. As a result, the anxiety level of the emergency medicine professionals who are in the front line in the hospitals should be treated, and they should be provided psychological and behavioural support.

Journal of Advanced Nursing

Moderating effects of task interdependence on interaction behaviours and creativity for nursing students on interdisciplinary teams

Liu

2021