手術品質促進團隊之成效評值

Evaluation of the Effectiveness of Quality Improvement Teams in a Hospital Operating Room

本研究目的為評值手術室採用品質促進固隊的措施，在考慮了年齡、教育程度、婚姻狀態和手術室資歷等變項後，探求其對依變項工作滿足、組織承諾、及團隊績效等績效指標的影響。研究樣本以臺北市立 某區域教學哥院，手術室的全體護理人員為實驗組共18人，控制組則為另一市立區域教學哥院之仝體手術室護理人員共20人﹔兩組成效之比較以線性複迴歸及GEEs之迴歸模式檢定。結采顯示：實驗主且工作滿足的提昇未達統計學上顯著差異：組織承諾的提昇達統計學上顯著差異（p < .05）﹔在團隊績效的三項指標中，門診手術病患之術前牟備完整率（p<.001）、及手術台銜接時間（p<.05）的進步達統計學上顯著差異， 而等候時間的進步在統計學上並未達顯著差異（p=.10）。本研究透過單位內部現有之在職教育，提供個別單位仝員參與品質促進團隊之績效評量的模式，可做為各聲療機構實施團隊建立與績效評量的參考。

The purpose of this study was to evaluate the effect of a newly implemented quality improvement team on activities in a hospital operating room with respect to the age, education level, marriage status and previous experience of members of the nursing team. From two Taipei municipal teaching hospitals, 18 registered nurses at one hospital made up the experimental group and 20 at the other made up the control group. We used work satisfaction, organizational commitment, and team performance as evaluation criteria. The comparison of effectiveness was evaluated statistically using linear regression and generalized estimating equation analyses. The results showed that organizational commitment was significantly increased in the experimental group (p ＜ .05) but work satisfaction did not increase. The effectiveness of the quality improvement team in three areas was also evaluated. There was statistically significant improvement in the completeness of preparation of patients for surgery (p ＜ .001) and there was a shortening of turnover time (p ＜ .05), but patients' waiting time was not improved (p = .10). These results are encouraging and will be useful for internal education and applicable to other institutions as well. We recommend the implementing of such hospital quality improvement teams together with continuous performance evaluation.