Device of the teamwork standard in the discharge support

Abstract

In recent years, discharge support has been required to start early due to the shortening of hospitalization. Teamwork is essential to provide medical care with high specialty and consistent treatment for patients with various needs and combine the effort with the support. Therefore, this investigation is intended to clarify the factors which compose teamwork in discharge support.

The target of this investigation was 362 floor nurses at Okayama University Hospital and there were 244 valid respondents. The questionnaire was a set of a newly-created teamwork scale in discharge support (32 items, 7-grade evaluation) and an attribute questionnaire, which was collected by placement method after the distribution. The analysis method was exploratory factor analysis using promax rotation by principle factor analysis. Also, Cronbach coefficient α was calculated to evaluate internal consistency. Three factors were extracted from the teamwork scale in reference to scream plot, and the primary, secondary and third factors were named “individual latent capability”, “team competency” and “leader's presence” respectively. When those factors' reliability was examined by the coefficient, the primary factor was 0.942, the secondary was 0.897 and the third was 0.717. After reviewing the total scores of the teamwork scale per attribute, differences were found in job position, age, marital status and the presence or absence of attachment and trust to a current post. The teamwork scale in discharge support comprised those three factors and ensured reliability. It was suggested that attachment to work and trust relationship with co-workers influenced teamwork.