جستجوی مقالات مرتبط با کلیدواژه « کارتیمی » در نشریات گروه « پزشکی »

Developing Interprofessional education and collaboration is important in systems of medical sciences to deliver better health care. The present study aimed to assess the validation of the Interprofessional Collaborator Assessment Rubric (ICAR) (validity, reliability and confirmatory factor analysis). Also, the interprofessional collaboration of the healthcare team members in emergency departments was evaluated by ICAR.

This descriptive and cross-sectional study conducted in two phases. In the first phase, the face and content validity of ICAR was assessed. The Rubric includes 17 items in six domains including communication skills, collaboration, role and responsibility, teamwork, collaborative patient-centered approach, and conflict management). Also, a confirmatory factor analysis of Rubric was assessed. The reliability of the Rubric was evaluated by internal consistency and reproducibility (test-retest approach). The CFA assessed using Maximum Likelihood by EQS. In the second phase, the interprofessional collaboration of Emergency care team members (including 70 residents, interns, and nurses) were assessed by direct observations. Also, an inter-professional collaboration of healthcare team members was analyzed using descriptive tests (mean and standard deviation) and one-way analysis of variance was used to compare between groups.

The face and content validity of ICAR approved by consensus of 18 faculty members in medical education, nursing education and clinical specialties (CVI>0.70 and CVR>0.49). The reliability of Rubric approved by Cronbach's alpha =0.89 and ICC=0.80. The construct of Rubric confirmed in six domains through GFI=0.9, AGFI=0.9, CFI=0.976, RMSEA=0.06, χ2/df=1.88, χ2=195.78, df=104, P<0.001. The mean score of participants (including interns, emergency medical assistants, and nursing personnel) in the emergency department was 63.35 (17.53). There was a significant difference between the performance of three groups (nurses, interns and assistants) (p-value=0.03).

The results of the present study showed that the scores of inter-professional cooperation of participants in the present study were lower than expected. It is recommended to plan and implement interprofessional training courses to improve inter-professional collaboration between healthcare providers in the study environment. Regarding, the confirmation of ICAR validation, it can be used to assess the interprofessional collaboration of participants.

Since the outset of nursing care, group work processes have evolved into essential components of a nurse's role and responsibilities within the health care system.The aim of this study was to analyze the factors facilitating teamwork among nurses working in teaching hospitals, affiliated to University of Medical Sciences Ahvaz have taken place.

This descriptive study was conducted in 1394 applied. The population of all levels of school nurses undergraduate and graduate university medical centers that Simple random sampling using Cochran formula, 294 persons were studied. Instruments in this research made questionnaire whose validity and reliability were verified. In order to analyze the data, descriptive statistics, inferential and exploratory factor analysis were used in statistical software SPSS21.

The factors facilitating teamwork among nurses working in teaching hospitals, treatment consists of seven components that were 64.75 of the variance. The role of organizational support (13%), team working skills (13%), flexible structure (10%), participative leadership (9%), group ethics requirements (7%), affecting teamwork (7%), and control lever (5%), facilitating teamwork among nurses.

Facilitate teamwork as one of the fundamental problems in organizations related to the health field is transformed and investment in this area will result in useful and beneficial for organizations.

According to importance of occupational health for health care providers and patient safety in hospitals, implementation of safety culture with teamwork is an acceptable principle. This study aims to assess attitude of health care providers toward teamwork, safety climate and knowledge transfer through team collaboration at an educational medical center in. 2009. Method and materials: This was a descriptive study. All 225 resident physicians, nurses and other paramedics of an educational hospital of Tehran participated in the study. The tool for data collection was the Safety Attitudes Questionnaire (SAQ). Content validity and reliability of the questionnaire was assessed and confirmed. Data was analyzed using SPSS 16 and Chi square test. The results demonstrated that 59% of nurses, 52% of physicians and 58%of paramedics believed that tasks are performing by teamwork. 30% of nurses, 21% of physicians and 39 % of paramedics had a sense of safety in workplace. 78% of nurses, 55 % of physicians and 73% of other paramedics believed that knowledge could transfer through team collaboration. Among demographic characteristics there were significant relationship between attitude of health care providers on teamwork with their marital status (p=0.001); attitude of health care providers on safety climate with their work experience (p=0.04); attitude of health care providers on knowledge transfer trough teamwork with organizational position (p=0.016). Attitude assessment of health care providers toward teamwork, safety climate and patient's or health care provider's safety is necessary to modify and improve the current deficits and to achieve to the culture of learning from errors. Managers can have an appropriate guide to establish safety culture with this sort of attitude assessments.