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Healthcare professionals’ perceptions of interprofessional teamwork in the emergency department: a critical incident study
BACKGROUND: Interprofessional teams contribute to patient safety during clinical care. However, little is known about how interprofessional teams manage and cope with critical incidents in the emergency department (ED). Therefore, the study aimed to describe healthcare professionals (HCPs) perceptio...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9287907/ https://www.ncbi.nlm.nih.gov/pubmed/35841051 http://dx.doi.org/10.1186/s13049-022-01034-0 |
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author | Milton, Jenny Erichsen Andersson, Annette Åberg, N. David Gillespie, Brigid M. Oxelmark, Lena |
author_facet | Milton, Jenny Erichsen Andersson, Annette Åberg, N. David Gillespie, Brigid M. Oxelmark, Lena |
author_sort | Milton, Jenny |
collection | PubMed |
description | BACKGROUND: Interprofessional teams contribute to patient safety during clinical care. However, little is known about how interprofessional teams manage and cope with critical incidents in the emergency department (ED). Therefore, the study aimed to describe healthcare professionals (HCPs) perceptions of critical incidents linked to the enablers of and barriers to interprofessional teamwork in a high-risk setting, the ED. METHODS: Individual interviews with HCPs regarding events at the ED were held during the period of May 2019–January 2020. The Critical Incident Technique approach was used to guide the interviews and the qualitative analysis. Data were analyzed inductively using qualitative content analysis. RESULTS: Interview participants (n = 28) included 7 physicians (25%), 12 registered nurses (43%), 7 nurse assistants (25%) and 2 administrators (7%). Overall, 108 critical incidents were described. Eight categories that described functional and dysfunctional experiences within interprofessional teamwork were identified: salience of reflection; professional experience makes a difference; demanding physical and psychosocial work environment; balancing communication demands; lacking management support, structure, and planning; tensions between professional role and responsibility; different views on interprofessional teamwork; and confidence in interprofessional team members. CONCLUSION: Findings of this study indicate that poor ED-specific communication and limited professional experience are essential factors in handling critical incidents related to interprofessional teamwork. An important aspect of critical incident management is the ergonomics of the physical work environment and how it enables interprofessional teamwork. This study emphasizes the factors enabling interprofessional teamwork to manage critical incidents in the complex working environment of the ED. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13049-022-01034-0. |
format | Online Article Text |
id | pubmed-9287907 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-92879072022-07-17 Healthcare professionals’ perceptions of interprofessional teamwork in the emergency department: a critical incident study Milton, Jenny Erichsen Andersson, Annette Åberg, N. David Gillespie, Brigid M. Oxelmark, Lena Scand J Trauma Resusc Emerg Med Original Research BACKGROUND: Interprofessional teams contribute to patient safety during clinical care. However, little is known about how interprofessional teams manage and cope with critical incidents in the emergency department (ED). Therefore, the study aimed to describe healthcare professionals (HCPs) perceptions of critical incidents linked to the enablers of and barriers to interprofessional teamwork in a high-risk setting, the ED. METHODS: Individual interviews with HCPs regarding events at the ED were held during the period of May 2019–January 2020. The Critical Incident Technique approach was used to guide the interviews and the qualitative analysis. Data were analyzed inductively using qualitative content analysis. RESULTS: Interview participants (n = 28) included 7 physicians (25%), 12 registered nurses (43%), 7 nurse assistants (25%) and 2 administrators (7%). Overall, 108 critical incidents were described. Eight categories that described functional and dysfunctional experiences within interprofessional teamwork were identified: salience of reflection; professional experience makes a difference; demanding physical and psychosocial work environment; balancing communication demands; lacking management support, structure, and planning; tensions between professional role and responsibility; different views on interprofessional teamwork; and confidence in interprofessional team members. CONCLUSION: Findings of this study indicate that poor ED-specific communication and limited professional experience are essential factors in handling critical incidents related to interprofessional teamwork. An important aspect of critical incident management is the ergonomics of the physical work environment and how it enables interprofessional teamwork. This study emphasizes the factors enabling interprofessional teamwork to manage critical incidents in the complex working environment of the ED. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13049-022-01034-0. BioMed Central 2022-07-15 /pmc/articles/PMC9287907/ /pubmed/35841051 http://dx.doi.org/10.1186/s13049-022-01034-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Original Research Milton, Jenny Erichsen Andersson, Annette Åberg, N. David Gillespie, Brigid M. Oxelmark, Lena Healthcare professionals’ perceptions of interprofessional teamwork in the emergency department: a critical incident study |
title | Healthcare professionals’ perceptions of interprofessional teamwork in the emergency department: a critical incident study |
title_full | Healthcare professionals’ perceptions of interprofessional teamwork in the emergency department: a critical incident study |
title_fullStr | Healthcare professionals’ perceptions of interprofessional teamwork in the emergency department: a critical incident study |
title_full_unstemmed | Healthcare professionals’ perceptions of interprofessional teamwork in the emergency department: a critical incident study |
title_short | Healthcare professionals’ perceptions of interprofessional teamwork in the emergency department: a critical incident study |
title_sort | healthcare professionals’ perceptions of interprofessional teamwork in the emergency department: a critical incident study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9287907/ https://www.ncbi.nlm.nih.gov/pubmed/35841051 http://dx.doi.org/10.1186/s13049-022-01034-0 |
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