Interprofessional collaboration between residents and nurses in general internal medicine: A qualitative study on behaviours enhancing teamwork quality
Virginie Muller-Juge,Stéphane Cullati,Katherine Blondon,Patricia Hudelson,Fabienne Maître,Nu Viet Vu,Georges L. Savoldelli,Mathieu Nendaz +7 more
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TLDR
Although they often relied on traditional types of interaction, residents and nurses also demonstrated readiness for increased sharing of responsibilities, and Interprofessional education should insist on better redefinition of respective roles and reinforce behaviours shown to enhance teamwork quality.Abstract:
Background
Effective teamwork is necessary for optimal patient care. There is insufficient understanding of interactions between physicians and nurses on internal medicine wards.
Objective
To describe resident physicians’ and nurses’ actual behaviours contributing to teamwork quality in the setting of a simulated internal medicine ward.
Methods
A volunteer sample of 14 pairs of residents and nurses in internal medicine was asked to manage one non-urgent and one urgent clinical case in a simulated ward, using a high-fidelity manikin. After the simulation, participants attended a stimulated-recall session during which they viewed the videotape of the simulation and explained their actions and perceptions. All simulations were transcribed, coded, and analyzed, using a qualitative method (template analysis). Quality of teamwork was assessed, based on patient management efficiency and presence of shared management goals and of team spirit.
Results
Most resident-nurse pairs tended to interact in a traditional way, with residents taking the leadership and nurses executing medical prescriptions and assuming their own specific role. They also demonstrated different types of interactions involving shared responsibilities and decision making, constructive suggestions, active communication and listening, and manifestations of positive team building. The presence of a leader in the pair or a truly shared leadership between resident and nurse contributed to teamwork quality only if both members of the pair demonstrated sufficient autonomy. In case of a lack of autonomy of one member, the other member could compensate for it, if his/her own autonomy was sufficiently strong and if there were demonstrations of mutual listening, information sharing, and positive team building.
Conclusions
Although they often relied on traditional types of interaction, residents and nurses also demonstrated readiness for increased sharing of responsibilities. Interprofessional education should insist on better redefinition of respective roles and reinforce behaviours shown to enhance teamwork quality.read more
Citations
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When Team Conflicts Threaten Quality of Care: A Study of Health Care Professionals' Experiences and Perceptions.
Stéphane Cullati,Naike Bochatay,Fabienne Maître,Thierry Laroche,Virginie Muller-Juge,Katherine Blondon,Noëlle Junod Perron,Nadia Masood Bajwa,Nu Viet Vu,Sara Kim,Georges L. Savoldelli,Patricia Hudelson,Pierre Chopard,Mathieu Nendaz +13 more
TL;DR: Quality of care was analyzed using the dimensions of care proposed by the Institute of Medicine Committee on Quality of Health Care in America (safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity) and 4 of 10 conflict stories had potential consequences for the quality of patient care.
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