Iran Journal of Nursing
نشریه پرستاری ایران
IJN
Medical Sciences
http://ijn.iums.ac.ir
108
journal108
2008-5931
2008-5931
10.52547/ijn
fa
jalali
1399
5
1
gregorian
2020
8
1
33
125
online
1
fulltext
fa
ارتباط کار گروهی با عملکرد کارکنان درمانی مرکز آموزشی تحقیقاتی و درمانی قلب و عروق شهید رجایی تهران در سال 1395
The Relationship between Teamwork and the Performance of Medical Staff of Shahid Rajaei Cardiovascular, Medical and Research Center in Tehran, Iran in 2016
پرستاری
nursing
پژوهشي
Research
<div style="text-align: justify;"><strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">زمینه و هدف</span></span></strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">: کار گروهی در نظام سلامت برای افزایش کیفیت خدمات و ارایه مراقبتهای ایمن و مؤثر از اهمیت بسیار بالایی برخوردار است و به عنوان یک جنبه اساسی عملکرد ایمن و مؤثر در بیمارستان شناخته شده است. این مطالعه با هدف تعیین رابطه بین کار گروهی پرستاران و عملکرد کارکنان درمانی در مرکز آموزشی تحقیقاتی و درمانی قلب و عروق شهید رجایی شهر تهران انجام شد. </span></span><br>
<strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">روش بررسی:</span></span></strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> ایـن پژوهـش توصیفـی همبستگی در سـال 1395 بر روی 290 پرســتار که به روش نمونهگیـری غیر تصادفـی سـاده انتخاب شده بودند، انجام شد. جهت جمع آوری دادهها از پرسشنامه عملکرد کارکنان و پرسشنامه کار گروهی بهره گرفته شد. با آزمونهای آماری استنباطی شامل ضریب همبستگی پیرسون و آزمون تی مستقل در نرم افزار آمار </span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">SPSS</span></span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">نسخه 16 تحلیل انجام شد. </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"></span></span><br>
<strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">یافتهها</span></span></strong><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">:</span></span> <span style="font-family:B Lotus;"><span style="font-size:10.0pt;">بر اساس نتایج، مؤلفه کار گروهی میانگین</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> و انحراف معیار 69/0</span></span> <span style="font-family:Cambria,serif;"><span style="font-size:10.0pt;">± </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">28/3 و عملکرد کارکنان میانگین55/0 </span></span><span style="font-family:Cambria,serif;"><span style="font-size:10.0pt;">±</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;"> 64/3 را کسب نمودند. این میانگین برای ابعاد تعهد (75/0 </span></span><span style="font-family:Cambria,serif;"><span style="font-size:10.0pt;">± </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">21/3)، اعتماد (84/0 </span></span><span style="font-family:Cambria,serif;"><span style="font-size:10.0pt;">± </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">18/3)، مسئولیت پذیری (80/0 </span></span><span style="font-family:Cambria,serif;"><span style="font-size:10.0pt;">± </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">18/3)، برخورد سازنده (75/0 </span></span><span style="font-family:Cambria,serif;"><span style="font-size:10.0pt;">± </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">34/3) و هدفمندی (90/0 </span></span><span style="font-family:Cambria,serif;"><span style="font-size:10.0pt;">± </span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">54/3) بود. بر اساس نتایج آزمون همبستگی پیرسون، ارتباط معنیدار مستقیمی بین عملکرد و کار گروهی در بین کارکنان بالینی مشاهده شد (05/0></span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">p</span></span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">؛ 651/0</span></span><span dir="LTR"><span style="font-size:10.0pt;"><</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">r</span></span></span><span dir="LTR"><span style="font-size:10.0pt;"><</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">514/0</span></span><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">).</span></span><br>
<strong><span dir="RTL"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">نتیجهگیری کلی</span></span></span></strong><span dir="RTL"><span style="font-family:B Lotus;"><span style="font-size:10.0pt;">: براساس نتایج کار تیمی با عملکرد پرستاران مرتبط بود. بنابراین نیاز است کار گروهی در بین کارکنان افزایش یابد تا بدین ترتیب با ارتقای عملکرد مدیران شاهد ارتقای بهره وری در مراکز آموزشی درمانی باشند. نتایج این مطالعه میتواند اساسی برای پژوهشهای آتی در راستای ارتقای کارگروهی و عملکرد پرستاران باشد.</span></span></span></div>
<div style="text-align: justify;"><strong>Background & Aims:</strong> The present study aimed to evaluate the relationship between teamwork and performance of the medical staff of Shahid Rajaei Cardiovascular, Medical and Research Center in Tehran, Iran. In a health system, teamwork is highly important for increasing the quality of services and the provision of safe and effective care. In addition, teamwork is recognized as an integral part of safe and efficient performance in a hospital. In addition, patient safety and health are considered a critical issue in the health systems of various countries. Therefore, teamwork and communication to prevent and reduce the medical staff’s errors are of utmost importance. The present study was carried out to assess the relationship between the teamwork of nurses and the performance of the medical staff of Shahid Rajaei Cardiovascular, Medical and Research Center in Tehran.<br>
<strong>Materials & Methods:</strong> This descriptive-analytical research was performed in 2016. The statistical population included all nurses with a BSc, MSc, or higher degree working at medical centers of the university (n=290). The present research was carried out as correlational research, which is a type of descriptive study (non-experimental) that evaluates the relationship among variables based on research objectives. In total, 290 individuals were selected by simple non-random sampling method, and data were collected using a staff performance questionnaire by Choharie et al. and a teamwork questionnaire by Luncheon. The validity and reliability of the researcher-based questionnaire used in the present study were confirmed, and data analysis was performed in SPSS version 16 using the Pearson correlation coefficient and t-test.<br>
<strong>Results:</strong> In the evaluation of the correlation of two variables, the Pearson correlation coefficient will be applied if both variables are in relative and distance scale. If the correlation coefficient of the population is ρ and the correlation coefficient is a sample with n volume of the population r, r might be obtained randomly. To this end, we exploited the significance test of the correlation coefficient to determine whether the two variables were random or independent. In other words, the question was: are the correlation coefficient of community zero or not. The coefficient estimates the level of correlation between two distance or relative variables with a value in the range of +1 and -1. A positive value is interpreted as changes occurred in the two variables in the same direction. In other words, an increase in one variable leads to an increase in the other variable. On the other hand, a negative r value means that the two variables operate in the opposite direction. In other words, an increase in the value of one variable decreases the value of the other variable and vice versa. In addition, a zero value shows the lack of relationship between the two variables, whereas a positive and negative value is indicative of a completely positive and completely negative correlation, respectively. In the present study, the mean and standard deviation of the components of teamwork and performance of the staff was estimated at 3.28 ± 0.69 and 3.64 ± 0.55, respectively. Moreover, the mean of dimensions of commitment, trust, accountability, constructive approach, and purposefulness was reported to be 3.21 ± 0.75, 3.18 ± 0.84, 3.18 ± 0.80, 3.34 ± 0.75, and 3.54±0.90, respectively. According to the Pearson correlation coefficient, there was a direct and significant relationship between the performance of the staff and teamwork among clinical employees (0.514<r<0.651; p=""> <strong>Conclusion:</strong> According to the analysis performed, teamwork is a dynamic process, which includes two or several professional members sharing common treatment goals, necessary health skills, and specialties, who work with each other in an intimate working environment for solving specific and common goals. Team processes are a vital component of forming a coherent, committed, and united treatment team. Every year, healthcare providers are expected to use fewer employees with higher treatment safety. The importance of having a robust medical team and teamwork is highlighted due to the shortage of personnel and educational costs, medical errors, and increasing patient expectations. Teamwork in the healthcare field is so crucial that numerous studies have been conducted on training medical staff and team-making topics. It is notable that the organizations that apply teamwork have experienced significant improvement in their staff’s creativity, productivity, and satisfaction. According to the results, the level of teamwork among the staff was above average. Nonetheless, their teamwork should be enhanced to reach higher levels. In addition, managers in various sectors and hospital management should pay more attention to people’s achievements and use their opinions. Moreover, they should teach teamwork and related skills to their staff and use the necessary control levers in group management. All of these measures will ultimately lead to reduced possibility of re-hospitalization, decreased duration of hospital stay, and improved safety and performance results of the medical staff. Teamwork is not the regular placement of individuals in a specific location. In fact, teamwork requires adapting to each other's performance, understanding the treatment needs, being able to anticipate the priorities of others, and acclimating to changes in the environment. In addition, teamwork is required for better patient management and establishment of treatment safety.<br>
The results were indicative of a significant relationship between teamwork and performance of the medical staff of Shahid Rajaei Cardiovascular, Medical and Research Center in Tehran with the components of commitment (coefficient of), trust (coefficient of 0.79), accountability (coefficient of 0.84), constructive approach (coefficient of 0.77), and purposefulness (coefficient of 0.78). furthermore, strengthening teamwork among various employees and establishing educational workshops on communication skills can contribute to the improvement of staff’s performance.</r<0.651;></div>
کار گروهی, عملکرد, کارکنان بالینی, بیمارستان قلب
Teamwork, Performance, Medical Staff, Cardiovascular Hospital
70
78
http://ijn.iums.ac.ir/browse.php?a_code=A-10-2034-2&slc_lang=fa&sid=1
F
Mirzaei
فرحناز
میرزایی
10800319475328460024952
10800319475328460024952
No
Health Services Management, Department of Management, Islamic Azad University, Science and Research Branch, Tehran, Iran
مدیریت خدمات بهداشتی و درمانی، گروه مدیریت، دانشگاه آزاد اسلامی واحد علوم تحقیقات، تهران، ایران
SJ
Tabibi
سید جمال الدین
طبیبی
10800319475328460024953
10800319475328460024953
Yes
. School of Medical’s Science & Technology, Islamic Azad University, Science and Research Branch, Tehran, Iran (Corresponding author) Tel:091211033551 Email: j-tabibi@srbiau.ac.ir
دانشکده علوم و فن آوریهای پزشکی ، دانشگاه آزاد اسلامی واحد علوم تحقیقات ، تهران، ایران (نویسنده مسئول) شماره تماس: 09121033551 Email: j-tabibi@srbiau.ac.ir
L
Nazarimanesh
لیلا
نظری منش
10800319475328460024954
10800319475328460024954
No
School of Medical’s Science & Technology, Islamic Azad University, Science and Research Branch, Tehran, Iran
دانشکده علوم و فن آوریهای پزشکی، دانشگاه آزاد اسلامی واحد علوم تحقیقات ، تهران، ایران