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Dynamics of an orthopaedic team: Insights to improve teamwork through a design thinking approach

BACKGROUND: Supporting teamwork in healthcare is a way to foster both the quality and safety of care, and better working conditions for all the team members. Although increasing attention is paid to this topic on a general level, there is less knowledge about its unfolding in orthopaedic units and i...

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Autores principales: Caprari, E., Porsius, J.T., D’Olivo, P., Bloem, R.M., Vehmeijer, S.B.W., Stolk, N., Melles, M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: IOS Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218149/
https://www.ncbi.nlm.nih.gov/pubmed/30223410
http://dx.doi.org/10.3233/WOR-182777
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author Caprari, E.
Porsius, J.T.
D’Olivo, P.
Bloem, R.M.
Vehmeijer, S.B.W.
Stolk, N.
Melles, M.
author_facet Caprari, E.
Porsius, J.T.
D’Olivo, P.
Bloem, R.M.
Vehmeijer, S.B.W.
Stolk, N.
Melles, M.
author_sort Caprari, E.
collection PubMed
description BACKGROUND: Supporting teamwork in healthcare is a way to foster both the quality and safety of care, and better working conditions for all the team members. Although increasing attention is paid to this topic on a general level, there is less knowledge about its unfolding in orthopaedic units and its translation to interventions. OBJECTIVE: To identify concrete opportunities for teamwork intervention through a design thinking approach by analysing the teamwork dynamics of an orthopaedic team. METHODS: An adaptation of the learning history method, comprising shadowing, observations and interviews involving 26 orthopaedic team members at a top clinical teaching hospital in the Netherlands, was applied. A thematic analysis was conducted to derive themes that describe team dynamics and to subsequently extrapolate opportunities for intervention. RESULTS: We identified five themes and translated them into four design opportunities for intervention, namely: a) Improve daily rounds by reducing cognitive overload and promoting confidence; b) Improve collaboration by building empathy; c) Connect the patient with the professional team; and d) Support changes by fostering learning. Suggestions for concrete actions are presented for each opportunity. CONCLUSIONS: Opportunities to improve teamwork among healthcare professionals, specifically those in orthopaedics, revolve around the creation of common knowledge, the fostering of mutual understanding, and the design of tools and activities that support these processes.
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spelling pubmed-62181492018-11-07 Dynamics of an orthopaedic team: Insights to improve teamwork through a design thinking approach Caprari, E. Porsius, J.T. D’Olivo, P. Bloem, R.M. Vehmeijer, S.B.W. Stolk, N. Melles, M. Work Research Article BACKGROUND: Supporting teamwork in healthcare is a way to foster both the quality and safety of care, and better working conditions for all the team members. Although increasing attention is paid to this topic on a general level, there is less knowledge about its unfolding in orthopaedic units and its translation to interventions. OBJECTIVE: To identify concrete opportunities for teamwork intervention through a design thinking approach by analysing the teamwork dynamics of an orthopaedic team. METHODS: An adaptation of the learning history method, comprising shadowing, observations and interviews involving 26 orthopaedic team members at a top clinical teaching hospital in the Netherlands, was applied. A thematic analysis was conducted to derive themes that describe team dynamics and to subsequently extrapolate opportunities for intervention. RESULTS: We identified five themes and translated them into four design opportunities for intervention, namely: a) Improve daily rounds by reducing cognitive overload and promoting confidence; b) Improve collaboration by building empathy; c) Connect the patient with the professional team; and d) Support changes by fostering learning. Suggestions for concrete actions are presented for each opportunity. CONCLUSIONS: Opportunities to improve teamwork among healthcare professionals, specifically those in orthopaedics, revolve around the creation of common knowledge, the fostering of mutual understanding, and the design of tools and activities that support these processes. IOS Press 2018-10-09 /pmc/articles/PMC6218149/ /pubmed/30223410 http://dx.doi.org/10.3233/WOR-182777 Text en © 2018 – IOS Press and the authors. All rights reserved https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) License (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Research Article
Caprari, E.
Porsius, J.T.
D’Olivo, P.
Bloem, R.M.
Vehmeijer, S.B.W.
Stolk, N.
Melles, M.
Dynamics of an orthopaedic team: Insights to improve teamwork through a design thinking approach
title Dynamics of an orthopaedic team: Insights to improve teamwork through a design thinking approach
title_full Dynamics of an orthopaedic team: Insights to improve teamwork through a design thinking approach
title_fullStr Dynamics of an orthopaedic team: Insights to improve teamwork through a design thinking approach
title_full_unstemmed Dynamics of an orthopaedic team: Insights to improve teamwork through a design thinking approach
title_short Dynamics of an orthopaedic team: Insights to improve teamwork through a design thinking approach
title_sort dynamics of an orthopaedic team: insights to improve teamwork through a design thinking approach
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218149/
https://www.ncbi.nlm.nih.gov/pubmed/30223410
http://dx.doi.org/10.3233/WOR-182777
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