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Barriers and Facilitators of Safe Communication in Obstetrics: Results from Qualitative Interviews with Physicians, Midwives and Nurses
Patient safety is an important objective in health care. Preventable adverse events (pAEs) as the counterpart to patient safety are harmful incidents that fell behind health care standards and have led to temporary or permanent harm or death. As safe communication and mutual understanding are of cru...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908168/ https://www.ncbi.nlm.nih.gov/pubmed/33494448 http://dx.doi.org/10.3390/ijerph18030915 |
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author | Schmiedhofer, Martina Derksen, Christina Keller, Franziska Maria Dietl, Johanna Elisa Häussler, Freya Strametz, Reinhard Koester-Steinebach, Ilona Lippke, Sonia |
author_facet | Schmiedhofer, Martina Derksen, Christina Keller, Franziska Maria Dietl, Johanna Elisa Häussler, Freya Strametz, Reinhard Koester-Steinebach, Ilona Lippke, Sonia |
author_sort | Schmiedhofer, Martina |
collection | PubMed |
description | Patient safety is an important objective in health care. Preventable adverse events (pAEs) as the counterpart to patient safety are harmful incidents that fell behind health care standards and have led to temporary or permanent harm or death. As safe communication and mutual understanding are of crucial importance for providing a high quality of care under everyday conditions, we aimed to identify barriers and facilitators that impact safe communication in obstetrics from the subjective perspective of health care workers. A qualitative study with 20 semi-structured interviews at two university hospitals in Germany was conducted to explore everyday perceptions from a subjective perspective (subjective theories). Physicians, midwives, and nurses in a wide span of professional experience and positions were enrolled. We identified a structural area of conflict at the professional interface between midwives and physicians. Mandatory interprofessional meetings, acceptance of subjective mistakes, mutual understanding, and debriefings of conflict situations are reported to improve collaboration. Additionally, emergency trainings, trainings in precise communication, and handovers are proposed to reduce risks for pAEs. Furthermore, the participants reported time-constraints and understaffing as a huge burden that hinders safe communication. Concluding, safety culture and organizational management are closely entwined and strategies should address various levels of which communication trainings are promising. |
format | Online Article Text |
id | pubmed-7908168 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-79081682021-02-27 Barriers and Facilitators of Safe Communication in Obstetrics: Results from Qualitative Interviews with Physicians, Midwives and Nurses Schmiedhofer, Martina Derksen, Christina Keller, Franziska Maria Dietl, Johanna Elisa Häussler, Freya Strametz, Reinhard Koester-Steinebach, Ilona Lippke, Sonia Int J Environ Res Public Health Article Patient safety is an important objective in health care. Preventable adverse events (pAEs) as the counterpart to patient safety are harmful incidents that fell behind health care standards and have led to temporary or permanent harm or death. As safe communication and mutual understanding are of crucial importance for providing a high quality of care under everyday conditions, we aimed to identify barriers and facilitators that impact safe communication in obstetrics from the subjective perspective of health care workers. A qualitative study with 20 semi-structured interviews at two university hospitals in Germany was conducted to explore everyday perceptions from a subjective perspective (subjective theories). Physicians, midwives, and nurses in a wide span of professional experience and positions were enrolled. We identified a structural area of conflict at the professional interface between midwives and physicians. Mandatory interprofessional meetings, acceptance of subjective mistakes, mutual understanding, and debriefings of conflict situations are reported to improve collaboration. Additionally, emergency trainings, trainings in precise communication, and handovers are proposed to reduce risks for pAEs. Furthermore, the participants reported time-constraints and understaffing as a huge burden that hinders safe communication. Concluding, safety culture and organizational management are closely entwined and strategies should address various levels of which communication trainings are promising. MDPI 2021-01-21 2021-02 /pmc/articles/PMC7908168/ /pubmed/33494448 http://dx.doi.org/10.3390/ijerph18030915 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Schmiedhofer, Martina Derksen, Christina Keller, Franziska Maria Dietl, Johanna Elisa Häussler, Freya Strametz, Reinhard Koester-Steinebach, Ilona Lippke, Sonia Barriers and Facilitators of Safe Communication in Obstetrics: Results from Qualitative Interviews with Physicians, Midwives and Nurses |
title | Barriers and Facilitators of Safe Communication in Obstetrics: Results from Qualitative Interviews with Physicians, Midwives and Nurses |
title_full | Barriers and Facilitators of Safe Communication in Obstetrics: Results from Qualitative Interviews with Physicians, Midwives and Nurses |
title_fullStr | Barriers and Facilitators of Safe Communication in Obstetrics: Results from Qualitative Interviews with Physicians, Midwives and Nurses |
title_full_unstemmed | Barriers and Facilitators of Safe Communication in Obstetrics: Results from Qualitative Interviews with Physicians, Midwives and Nurses |
title_short | Barriers and Facilitators of Safe Communication in Obstetrics: Results from Qualitative Interviews with Physicians, Midwives and Nurses |
title_sort | barriers and facilitators of safe communication in obstetrics: results from qualitative interviews with physicians, midwives and nurses |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7908168/ https://www.ncbi.nlm.nih.gov/pubmed/33494448 http://dx.doi.org/10.3390/ijerph18030915 |
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