再談團隊資源管理

A Reflection of Team Resource Management

團隊資源管理（TRM）訓練模式引進台灣醫療照護領域已屆10年，此訓練模式積極改善了醫療團隊合作和溝通，進而提升醫療品質和營造病人安全文化。臨床上，護理是許多TRM活動中重要成員，常以不同的角色高度地參與各類跨團隊品質改善活動，故對TRM概念、定義應有所認識，並從研究方法學觀點省思TRM的挑戰。因應未來健康照護需求變化，護理主管可善用團隊資源管理契機，發揮專業自主性與領導力，與醫療團隊共同促進民眾的健康。

Team Resource Management (TRM) training has been adopted and applied to the healthcare industry for over 10 years in Taiwan. It improves healthcare teamwork through team collaboration and effective communication further advances healthcare quality and establishes a culture of patient safety. In clinical practices, nurses are vital team members who participate in a variety of interdisciplinary TRM initiatives for improving quality care. Therefore, they should be knowledgeable about the concept and definition of TRM and reflect on the challenge of TRM they face from a research methodology point of view. To accommodate changes in healthcare needs in the near future, nurse managers should make the best use of TRM to develop their professional autonomy and leadership and promote the public's interaction with the healthcare team.