Emergency medical staff’s perceptions on cultural value difference‐based teamwork issues: A phenomenological study in China

Buljac-Samardžić

et al. 2021

Front. Public Health

Background and Objective: Improving quality of care is one of the primary goals in current Chinese hospital reforms. Teamwork can play an essential role. Characteristics of teamwork and interventions for improving teamwork in hospitals have been widely studied. However, most of these studies are from a Western context; evidence from China is scarce. Because of the contextual differences between China and Western countries, empirical evidence on teamwork from Western hospitals may have limited validity in China. This systematic review aims to advance the evidence base and understanding of teamwork in Chinese hospitals.Methods: Both English (i.e., Embase, Medline, and Web of Science) and Chinese databases (i.e., CNKI, CQVIP, and Wanfang) were searched for relevant articles until February 6, 2020. We included the studies that empirically researched teamwork in Chinese hospitals. Studies were excluded if they (1) were not conducted in hospitals in Mainland China, (2) did not research teamwork on team interventions, (3) were not empirical, (4) were not written in English or Chinese, (5) were not published in peer-reviewed journals, and (6) were not conducted in teams that provide direct patient care. Both deductive and inductive approaches were used to analyze data. The Mixed Methods Appraisal Tool (MMAT) was used to assess their methodological quality.Results: A total of 70 articles (i.e., 39 English articles and 31 Chinese articles) were included. The results are presented in two main categories: Teamwork components and Team interventions. The evidence regarding the relationships among inputs, processes, and outcomes is scarce and mostly inconclusive. The only conclusive evidence shows that females perceive better team processes than males. Similar types of training and tools were introduced as can be found in Western literature, all showing positive effects. In line with the Chinese health reforms, many of the intervention studies regard the introduction of multidisciplinary teams (MDTs). The evidence on the implementation of MDTs reveals that they have led to lower complication rates, shorter hospital stays, higher diagnosis accuracy, efficiency improvement, and a variety of better disease-specific clinical outcomes. Evidence on the effect on patient survival is inconclusive.Conclusion: The Chinese studies on teamwork components mainly focus on the input-process relationship. The evidence provided on this relationship is, however, mostly inconclusive. The intervention studies in Chinese hospitals predominantly focus on patient outcomes rather than organizational and employee outcomes. The introduction of training, tools, and MDTs generally shows promising results. The evidence from primary hospitals and rural areas, which are prioritized in the health reforms, is especially scarce. Advancing the evidence base on teamwork, especially in primary hospitals and rural areas, is needed and can inform policy and management to promote the health reform implementation.Systematic Review Registration:https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020175069, identifier CRD42020175069.

Section: Discussionmentioning

confidence: 60%

Section: Relationship Between Inputs and Processesmentioning

confidence: 94%

See 1 more Smart Citation

What Do We Know About Teamwork in Chinese Hospitals? A Systematic Review

Buljac-Samardžić

et al. 2021

Front. Public Health

“…A review of the raw data revealed this was due to the variation in the advocate item in the Strong Interpersonal Skills dimension. In Chinese culture, it appears that advocates are rarely associated with interpersonal communication skills in nursing [ 39 ]. The items in the Lack Authority/Professional Identity dimension, on the other hand, are more likely to be influenced by self-perception and society [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

Psychometric properties and latent profile analysis of the Nursing Brand Image Scale: a methodological study in the Chinese context

Zhou

Godsey

et al. 2022

BMC Nurs

Aims To translate the U.S. version of the Nursing Brand Image Scale to Chinese (NBIS-C) and evaluate its psychometric properties when administered to a national sample of Chinese nurses, and identify nursing brand image profiles in Chinese nurses. Design A cross-sectional study was conducted to validate the NBIS-C among nurses in China. Methods The psychometric properties of the NBIS-C were tested in accordance with the COSMIN checklist. The reliability, validity, and responsiveness of the 42-item NBIS-C were examined in a national sample of 759 nurses recruited from 29 Chinese provinces. Latent Profile Analyses (LPA) were conducted to reveal nurses’ perceptions of the brand image of nursing. Results Results of this study demonstrated acceptable validity (content validity, structural validity, and construct validity), reliability (internal consistency and test-retest reliability), adequate responsiveness, and no floor/ceiling effect of the NBIS-C. LPA yielded five subgroups: Integrated, Traditional, Subordinate, Creative and Leader. Conclusion The psychometric properties of the NBIS-C are suitable for assessing the image of nursing among Chinese nurses. Future studies with a larger, more diverse sample are recommended. Although the role of nurses in China has evolved, nurses in general have failed to communicate a consistent, positive, and accurate brand image for the nursing profession.

“…In brief, the majority of them have less/no staffing or management-relevant knowledge/experience, and the concept of workplace competition has not appeared to be instilled, 29 which prevents them from participating in the staffing/management of the NH. Besides, due to the general management culture in China, there exists strict leadership hierarchy between superiors and subordinates in which management layers tend to be exclusively in charge of such kind of staffing matters, 30 and most employees perceive themselves not being in the position to intervene with the upper management. The removal of 'non-punitive response to mistakes' and 'communication openness' may be related to the fact that the 'learn from error' climate and 'open communication' have not been well developed in domestic organisations.…”

Section: Open Accessmentioning

confidence: 99%

Transcultural adaptation and psychometric evaluation of the mainland China version of Nursing Home Survey on Patient Safety Culture Questionnaire: a cross-sectional survey based on 50 nursing homes in China

Cheng

et al. 2021

BMJ Open

ObjectiveTo provide a validated Chinese-language measurement of the Nursing Home Survey on Patient Safety Culture (NHSOPS) in mainland China. The primary goal is to carry out a transcultural adaptation of the NHSOPS Questionnaire into Chinese and evaluate its psychometric properties.DesignA psychometric evaluation study is constructed. First, the ‘translation–back-translation–cultural adaptation’ and the pretesting procedure were followed to introduce the NHSOPS. Second, a cross-sectional survey was used to assess the psychometric properties for the mainland China version of the NHSOPS (M-NHSOPS), and a test–retest survey was then applied.Setting and participantsThe survey was carried out among 1397 nursing home staff from 50 nursing homes in Southwest China.Outcome measuresExploratory factor analysis (EFA) was used to assess the potential structure, and confirmatory factor analysis (CFA) was then applied. Reliability was assessed by the content validity index, Cronbach’s α and the test–retest value.ResultsAmong the 1397 respondents, 1211 were included (86.7%). EFA was used, and a nine-factor structure was explored. Five factors (Cronbach’s α ＞0.6) were selected into the new structure for the M-NHSOPS. Moreover, data showed that it was suitable for CFA, and convergent validity and discriminant validity were satisfactory. On the other hand, M-NHSOPS contains five dimensions and 22 items. The overall Cronbach’s α value was 0.883; the values of each dimension ranged from 0.648 to 0.913. Additionally, content validity showed significant performance. Eventually, test–retest reliability was 0.892, and each dimension was 0.713, 0.809, 0.924, 0.795 and 0.859, respectively (p<0.001).ConclusionsM-NHSOPS has acceptable reliability and satisfactory validity among staff of nursing homes in Southwest China, and further verification among samples in other regions of mainland China is required.