Interprofessional Team Collaboration as a Mediator Between Workplace Social Capital and Patient Safety Climate: A Cross-Sectional Study.

IF 1.2 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES Quality Management in Health Care Pub Date : 2024-01-01 Epub Date: 2023-08-30 DOI:10.1097/QMH.0000000000000421

Ryohei Kida, Risa Suzuki, Katsumi Fujitani, Kaori Ichikawa, Hironobu Matsushita

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Abstract

Background and objectives: Patient-safety climate is one of the most important organizational factors contributing to health care quality. We hypothesized that a patient safety climate is fostered by the willingness to collaborate and trust among members as well as by daily collaborative practices. This study aimed to clarify the effect of workplace social capital on patient safety climate. We also sought to investigate the mediating effect of interprofessional team collaboration on the relationship between workplace social capital and patient safety climate.

Methods: This cross-sectional survey was conducted from November 2021 to January 2022 using anonymous web-based questionnaires. The survey was distributed to 1495 employees working in a hospital in Tokyo, Japan. The questionnaire included the patient safety climate scale, workplace social capital scale, Japanese version of the Assessment of Interprofessional Team Collaboration Scale-II (AITCS-II-J), and demographic items. Structural equation modeling was performed to verify the associations among the 3 variables. In addition, a significance test for indirect effects was conducted using the bootstrap method to confirm the mediating effect of AITCS-II-J.

Results: A total of 725 employees participated in this survey, and 632 data items were analyzed. Nurses were the highest number of respondents (68.2%), followed by physicians (13.3%). Workplace social capital and patient safety were directly and significantly associated (β = .309, P < .01). Furthermore, the partially indirect effect of the AITCS-II-J on the association between workplace social capital and patient safety climate was also significant (β = .430, P < .01).

Conclusions: Workplace social capital was significantly and directly related to patient safety climate and was also significantly related to patient safety climate partially mediated by interprofessional team collaboration. Our findings suggest the importance of workplace social capital and routine multidisciplinary collaboration for a patient safety climate to manage health care quality.

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跨专业团队合作是工作场所社会资本与患者安全氛围之间的中介：一项横断面研究

背景和目标：患者安全氛围是影响医疗质量的最重要的组织因素之一。我们假设，患者安全氛围是由成员之间的合作意愿和信任以及日常合作实践所促成的。本研究旨在阐明工作场所社会资本对患者安全氛围的影响。我们还试图研究跨专业团队合作对工作场所社会资本与患者安全氛围之间关系的中介效应：这项横断面调查于 2021 年 11 月至 2022 年 1 月进行，采用匿名网络问卷调查。调查对象为日本东京一家医院的 1495 名员工。问卷包括患者安全氛围量表、工作场所社会资本量表、日语版跨专业团队协作评估量表-II（AITCS-II-J）和人口统计学项目。为验证这 3 个变量之间的关联性，进行了结构方程建模。此外，还使用引导法对间接效应进行了显著性检验，以确认 AITCS-II-J 的中介效应：共有 725 名员工参与了此次调查，共分析了 632 个数据项。受访者中护士最多（68.2%），其次是医生（13.3%）。工作场所社会资本与患者安全直接且显著相关（β = .309，P < .01）。此外，AITCS-II-J 对工作场所社会资本与患者安全氛围之间关系的部分间接影响也很明显（β = .430，P < .01）：结论：工作场所社会资本与患者安全氛围有明显的直接关系，并且与患者安全氛围也有明显的关系，其中部分是由专业团队间的合作所中介的。我们的研究结果表明，工作场所的社会资本和常规的多学科合作对于营造患者安全氛围以管理医疗质量非常重要。

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

Quality Management in Health Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

1.90

自引率

8.30%

发文量

108

期刊介绍： Quality Management in Health Care (QMHC) is a peer-reviewed journal that provides a forum for our readers to explore the theoretical, technical, and strategic elements of health care quality management. The journal''s primary focus is on organizational structure and processes as these affect the quality of care and patient outcomes. In particular, it: -Builds knowledge about the application of statistical tools, control charts, benchmarking, and other devices used in the ongoing monitoring and evaluation of care and of patient outcomes; -Encourages research in and evaluation of the results of various organizational strategies designed to bring about quantifiable improvements in patient outcomes; -Fosters the application of quality management science to patient care processes and clinical decision-making; -Fosters cooperation and communication among health care providers, payers and regulators in their efforts to improve the quality of patient outcomes; -Explores links among the various clinical, technical, administrative, and managerial disciplines involved in patient care, as well as the role and responsibilities of organizational governance in ongoing quality management.