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Improving communication and teamwork during labor: A feasibility, acceptability, and safety study
BACKGROUND: TeamBirth was designed to promote best practices in shared decision making (SDM) among care teams for people giving birth. Although leading health organizations recommend SDM to address gaps in quality of care, these recommendations are not consistently implemented in labor and delivery....
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9790687/ https://www.ncbi.nlm.nih.gov/pubmed/35233810 http://dx.doi.org/10.1111/birt.12630 |
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author | Weiseth, Amber Plough, Avery Aggarwal, Reena Galvin, Grace Rucker, Amber Henrich, Natalie Miller, Kate Subramanian, Laura Hawrusik, Rebecca Berry, William Gullo, Susan Spigel, Lauren Dever, Kimberly Loveless, Donald Graham, Kristin Paek, Bettina Shah, Neel T. |
author_facet | Weiseth, Amber Plough, Avery Aggarwal, Reena Galvin, Grace Rucker, Amber Henrich, Natalie Miller, Kate Subramanian, Laura Hawrusik, Rebecca Berry, William Gullo, Susan Spigel, Lauren Dever, Kimberly Loveless, Donald Graham, Kristin Paek, Bettina Shah, Neel T. |
author_sort | Weiseth, Amber |
collection | PubMed |
description | BACKGROUND: TeamBirth was designed to promote best practices in shared decision making (SDM) among care teams for people giving birth. Although leading health organizations recommend SDM to address gaps in quality of care, these recommendations are not consistently implemented in labor and delivery. METHODS: We conducted a mixed‐methods trial of TeamBirth among eligible laboring patients and all clinicians (nurses, midwives, and obstetricians) at four high‐volume hospitals during April 2018 to September 2019. We used patient and clinician surveys, abstracted clinical data, and administrative claims to evaluate the feasibility, acceptability, and safety of TeamBirth. RESULTS: A total of 2,669 patients (approximately 28% of eligible delivery volume) and 375 clinicians (78% response rate) responded to surveys on their experiences with TeamBirth. Among patients surveyed, 89% reported experiencing at least one structured full care team conversation (“huddle”) during labor and 77% reported experiencing multiple huddles. There was a significant relationship between the number of reported huddles and patient acceptability (P < 0.001), suggestive of a dose response. Among clinicians surveyed, 90% would recommend TeamBirth for use in other labor and delivery units. There were no significant changes in maternal and newborn safety measures. CONCLUSIONS: Implementing a care process that aims to improve communication and teamwork during labor with high fidelity is feasible. The process is acceptable to patients and clinicians and shows no negative effects on patient safety. Future work should evaluate the effectiveness of TeamBirth in improving care experience and health outcomes. |
format | Online Article Text |
id | pubmed-9790687 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-97906872022-12-28 Improving communication and teamwork during labor: A feasibility, acceptability, and safety study Weiseth, Amber Plough, Avery Aggarwal, Reena Galvin, Grace Rucker, Amber Henrich, Natalie Miller, Kate Subramanian, Laura Hawrusik, Rebecca Berry, William Gullo, Susan Spigel, Lauren Dever, Kimberly Loveless, Donald Graham, Kristin Paek, Bettina Shah, Neel T. Birth Original Articles BACKGROUND: TeamBirth was designed to promote best practices in shared decision making (SDM) among care teams for people giving birth. Although leading health organizations recommend SDM to address gaps in quality of care, these recommendations are not consistently implemented in labor and delivery. METHODS: We conducted a mixed‐methods trial of TeamBirth among eligible laboring patients and all clinicians (nurses, midwives, and obstetricians) at four high‐volume hospitals during April 2018 to September 2019. We used patient and clinician surveys, abstracted clinical data, and administrative claims to evaluate the feasibility, acceptability, and safety of TeamBirth. RESULTS: A total of 2,669 patients (approximately 28% of eligible delivery volume) and 375 clinicians (78% response rate) responded to surveys on their experiences with TeamBirth. Among patients surveyed, 89% reported experiencing at least one structured full care team conversation (“huddle”) during labor and 77% reported experiencing multiple huddles. There was a significant relationship between the number of reported huddles and patient acceptability (P < 0.001), suggestive of a dose response. Among clinicians surveyed, 90% would recommend TeamBirth for use in other labor and delivery units. There were no significant changes in maternal and newborn safety measures. CONCLUSIONS: Implementing a care process that aims to improve communication and teamwork during labor with high fidelity is feasible. The process is acceptable to patients and clinicians and shows no negative effects on patient safety. Future work should evaluate the effectiveness of TeamBirth in improving care experience and health outcomes. John Wiley and Sons Inc. 2022-03-01 2022-12 /pmc/articles/PMC9790687/ /pubmed/35233810 http://dx.doi.org/10.1111/birt.12630 Text en © 2022 The Authors. Birth published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Articles Weiseth, Amber Plough, Avery Aggarwal, Reena Galvin, Grace Rucker, Amber Henrich, Natalie Miller, Kate Subramanian, Laura Hawrusik, Rebecca Berry, William Gullo, Susan Spigel, Lauren Dever, Kimberly Loveless, Donald Graham, Kristin Paek, Bettina Shah, Neel T. Improving communication and teamwork during labor: A feasibility, acceptability, and safety study |
title | Improving communication and teamwork during labor: A feasibility, acceptability, and safety study |
title_full | Improving communication and teamwork during labor: A feasibility, acceptability, and safety study |
title_fullStr | Improving communication and teamwork during labor: A feasibility, acceptability, and safety study |
title_full_unstemmed | Improving communication and teamwork during labor: A feasibility, acceptability, and safety study |
title_short | Improving communication and teamwork during labor: A feasibility, acceptability, and safety study |
title_sort | improving communication and teamwork during labor: a feasibility, acceptability, and safety study |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9790687/ https://www.ncbi.nlm.nih.gov/pubmed/35233810 http://dx.doi.org/10.1111/birt.12630 |
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