A qualitative study of how team characteristics and leadership are associated with information sharing in multidisciplinary intensive care units.
Surgery
; 174(2): 350-355, 2023 08.
Article
en En
| MEDLINE
| ID: mdl-37211509
ABSTRACT
BACKGROUND:
Better information sharing in intensive care units has been associated with lower risk-adjusted mortality. This study explored how team characteristics and leadership are associated with information sharing in 4 intensive care units in a single large urban, academic medical center.METHODS:
A qualitative study was conducted to understand how team characteristics and leadership are associated with information sharing. Qualitative data were conducted through ethnographic observations. One postdoctoral research fellow and one PhD qualitative researcher conducted nonparticipant observations of a Medical, Surgical, Neurological, and Cardiothoracic intensive care unit morning and afternoon rounds, as well as nurse and resident handoffs from May to September 2021. Field notes of observations were thematically analyzed using deductive reasoning anchored to the Edmondson Team Learning Model. This study included nurses, physicians (ie, intensivists, surgeons, fellows, and residents), medical students, pharmacists, respiratory therapists, dieticians, physical therapists, physician assistants, and nurse practitioners.RESULTS:
We conducted 50 person-hours of observations involving 148 providers. Three themes emerged from the qualitativeanalysis:
(1) team leaders used variable leadership techniques to involve team members in discussions for information sharing related to patient care, (2) predefined tasks for team members allowed them to prepare for effective information sharing during intensive care unit rounds, and (3) a psychologically safe environment allowed team members to participate in discussions for information sharing related to patient care.CONCLUSION:
Inclusive team leadership is foundational in creating a psychologically safe environment for effective information sharing.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cirujanos
/
Liderazgo
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Surgery
Año:
2023
Tipo del documento:
Article