Zhongguo quanke yixue (Nov 2023)
Domestic and International Assessment Tools for Medical Teamwork: a Systematic Review
Abstract
Background In recent years, the promotion of "health-centered" concept and the increasing demands for health care of patients have placed greater demands on healthcare providers. The establishment of effective health care team is regarded as an important approach to improve service quality. The selection of objective and valid teamwork assessment tools is particularly important for the assessment of cooperation status among team members and team building. Objective To perform a systematic review of domestic and international assessment tools for medical teamwork, in order to provide a reference for the rational selection of medical teamwork assessment tools according to different situations. Methods Pubmed, CNKI, Wanfang and VIP databases were searched in April 2022 for literature related to medical teamwork assessment tools from January 2016 to April 2022. Literature screening and information extraction were performed independently by two investigators and cross-checked. The Chinese version of COSMIN study design checklist was used to evaluate the quality of the assessment tools. Results A total of 30 articles were included, involving 32 medical teamwork assessment tools, localized versions of the tools were also included in their original versions of the tools, and a total of 49 medical teamwork assessment tools were finally included. The results of the overall design and methodological quality evaluation of 32 medical teamwork assessment tools covered by 30 included papers showed that in terms of the overall design of the tools, 20 were considered as "very good", 2 as "good", and 10 as "vague"; in terms of the content validity, 1 was considered as "very good", 12 as "good", and 19 as "vague"; in terms of the construct validity, 19 were considered as "very good", 10 as "good", and 3 as "poor"; in terms of internal consistency, 29 were considered as "very good", 1 as "good", and 2 as "vague"; in terms of stability, 6 were considered as "very good", 8 as "good", 1 as "vague" and other relevant information was not reported. The assessment tools were divided into the interprofessional teamwork assessment tools (n=43) and intraprofessional teamwork assessment tools (n=6) based on the professional background of the team members. The interprofessional teamwork assessment tools were divided into the physician-nurse team assessment tools (n=20) and integration of multiple roles team assessment tools (n=23) including physicians, nurses, pharmacists, therapists, dietitians and others based on the job categories. Conclusion The research on the assessment tools of medical teamwork has received increasing attention from scholars at home and abroad. The content of the assessment tools is relatively rich, but further development is needed to construct a teamwork assessment tool specifically applicable to primary health care team.
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