Nursing teamwork is essential in promoting patient-centered care: a cross-sectional studyopen access
- Authors
- Baek, Hyang; Han, Kihye; Cho, Hyeonmi; Ju, Jieun
- Issue Date
- Nov-2023
- Publisher
- BioMed Central Ltd
- Keywords
- Latent profile analysis; Nurse staffing; Nursing teamwork; Patient-centered care; Work environment
- Citation
- BMC Nursing, v.22, no.1
- Journal Title
- BMC Nursing
- Volume
- 22
- Number
- 1
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/70859
- DOI
- 10.1186/s12912-023-01592-3
- ISSN
- 1472-6955
- Abstract
- Background: There has been little research regarding nursing teamwork, despite its important role in multidisciplinary teamwork in healthcare settings and its significance in ensuring high-quality nursing care. This study aimed to determine the teamwork levels of Korean nurses and examine the relationship between nursing teamwork and patient-centered care while controlling for other individual and work-related factors.
Methods: We conducted a cross-sectional analysis of online survey data. The study population consisted of 992 Korean registered nurses employed in hospitals who had a minimum of six months of clinical experience. We performed latent profile analysis to identify latent teamwork subgroups based on response patterns. We performed analysis of variance and Chi-square tests to examine differences in individual and work-related characteristics according to teamwork group. We used multiple linear regression to investigate how nursing teamwork could affect patient-centered care after controlling for covariates.
Results: We identified three nursing teamwork subgroups: low, mid, and high. Nurses with a higher level of teamwork in their units tended to work fewer hours with more adequate staffing (F = 5.88, p = 0.003 for working hours; F = 7.68, p < 0.001 for staffing adequacy). There was a significant positive association between nursing teamwork and patient-centered care after controlling for personal and work-related characteristics. Compared with low teamwork, mid and high teamwork increased patient-centered care scores by 0.32 (95% confidence interval [CI] = 0.23–0.40) and 0.57 (95% CI = 0.48–0.66), respectively.
Conclusion: Our findings indicate that enhancing nursing teamwork can serve as an effective strategy for promoting patient-centered care. Providing nurse education and training to equip nurses with the necessary knowledge and skills for effective teamwork is a crucial step. Additionally, fostering management commitment to create a supportive working environment, including adequate staffing, can facilitate improved nursing teamwork and, subsequently, patient-centered care. © 2023, The Author(s).
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