Quantitative Data Sets (social systems and resilience -pre and post) for NHS team development Project

Healthcare teams can feel under pressure and individuals may feel that they have less autonomy. This is particularly evident following crisis events. Where teams are experiencing substantial and multiple pressures with low team social support, there is evidence of increases in depression, anxiety, compassion fatigue and ultimately problems with staff retention and patient care. To address this issue, we co-designed and piloted an arts therapies based brief team development programme. Medical Research Council (MRC) guidance was used to design a mixed methods evaluation. Two outcome measures were administered, and a qualitative open text survey underwent thematic analysis. We recruited 92 participants for the evaluation; 90 completed the open text survey and 42 participants completed the outcome measures. The qualitative analysis produced the following themes:  Getting to Know the Team in a Meaningful Way; Creative Expression and Reflection; Communicating and Processing Difficult Feelings and Resistances; More Time For Processing; Practical Problems with Whole Team Engagement; Difficulty Engaging in Creative Exercises; Inclusivity and Equality; Psychological Safety. Quantitative results were significant with indications of changes to team social systems. The results of our study indicate good accessibility, acceptability and effectiveness.

医疗团队可能会感受到来自各方的压力，而个体可能会感到自主性降低。此现象在危机事件之后尤为明显。当团队面临重大且多方面的压力，且团队社会支持不足时，抑郁、焦虑、同情疲劳等现象的增加以及对员工留存和患者护理问题的显现均有证据。为解决这一问题，我们共同设计并试点了一项基于艺术疗法的简短团队发展项目。项目设计过程中参考了医学研究委员会（MRC）的指导方针，并采用了混合方法进行评估。我们实施了两种结果测量方法，并对开放式文本调查进行了主题分析。在评估过程中，我们招募了92名参与者；其中90人完成了开放式文本调查，42人完成了结果测量。定性分析产生了以下主题：以有意义的途径了解团队；创造性表达与反思；沟通与处理艰难情绪及抵触；更多时间用于处理；涉及整个团队的实用问题；在创造性练习中的参与困难；包容性与平等；心理安全感。定量结果显示具有显著性，表明团队社会系统发生了变化。我们的研究结果表明，该项目具有良好的可及性、可接受性和有效性。