Defining conditions for effective interdisciplinary care team communication in an open surgical intensive care unit: a qualitative study.
BMJ Open
; 13(12): e075470, 2023 12 13.
Article
em En
| MEDLINE
| ID: mdl-38097232
ABSTRACT
OBJECTIVE:
Poor interdisciplinary care team communication has been associated with increased mortality. The study aimed to define conditions for effective interdisciplinary care team communication.DESIGN:
An observational cross-sectional qualitative study.SETTING:
A surgical intensive care unit in a large, urban, academic referral medical centre.PARTICIPANTS:
A total 6 interviews and 10 focus groups from February to June 2021 (N=33) were performed. Interdisciplinary clinicians who cared for critically ill patients were interviewed. Participants included intensivist, transplant, colorectal, vascular, surgical oncology, trauma faculty surgeons (n=10); emergency medicine, surgery, gynaecology, radiology physicians-in-training (n=6), advanced practice providers (n=5), nurses (n=7), fellows (n=1) and subspecialist clinicians such as respiratory therapists, pharmacists and dieticians (n=4). Audiorecorded content of interviews and focus groups were deidentified and transcribed verbatim. The study team iteratively generated the codebook. All transcripts were independently coded by two team members. PRIMARYOUTCOME:
Conditions for effective interdisciplinary care team communication.RESULTS:
We identified five themes relating to conditions for effective interdisciplinary care team communication in our surgical intensive care unitsetting:
role definition, formal processes, informal communication pathways, hierarchical influences and psychological safety. Participants reported that clear role definition and standardised formal communication processes empowered clinicians to engage in discussions that mitigated hierarchy and facilitated psychological safety.CONCLUSIONS:
Standardising communication and creating defined roles in formal processes can promote effective interdisciplinary care team communication by fostering psychological safety.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Equipe de Assistência ao Paciente
/
Comunicação Interdisciplinar
Limite:
Humans
Idioma:
En
Revista:
BMJ Open
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Estados Unidos
País de publicação:
Reino Unido