Improving Team Collaboration in Patient Transfer Processes by Co-Workers’ Perceptions and Suggestions
Abstract
Purpose: The purpose was twofold: first to describe how co-workers within a team perceived team collaboration in patient transfers from an intensive care unit (ICU) to general wards and, second, to describe co-workers’ suggestions for an improved future state of team collaboration.
Methodology/Approach: Focus group discussions (FGDs) were conducted at two medium-sized hospitals located in Sweden. Participants were multidisciplinary and from both ICUs and general wards. Data were analysed using qualitative deductive content analysis.
Findings: An expressed need for improving team collaboration was a defined and well-designed ICU transitional care process with a holistic view of how to create quality of care, and a standardised process for continuous improvements. This should involve co-workers from different professions and hospital units, as well as patients and relatives. Other views raised by the co-workers were clearer definitions of roles, responsibilities and deeper insights on how team members depend on each other’s work efforts to succeed.
Research Limitation/Implication: This study was conducted at two hospitals, hence no generalizable conclusions can be made.
Originality/Value of paper: Co-workers collaborating in a ICU transitional care process can have important insights in how to improve team collaboration. This can be of great importance in increasing quality of care where multiprofessional teams from different organisational cultures are collaborating.
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References
Boughzala, I., and de Vreede, G.-J., 2015. Evaluating Team Collaboration Quality: The Development and Field Application of a Collaboration Maturity Model. Journal of Management Information Systems, [e-journal] 32(3), pp.129-157. DOI: 10.1080/07421222.2015.1095042.
Chaboyer, W., James, H. and Kendall, M., 2005. Transitional care after the intensive care unit: current trends and future directions. Critical Care Nurse, [e-journal] 25(3), pp.16-29.
Elo, S., and Kyngäs, H., 2008. The qualitative content analysis process. Journal of Advanced Nursing, [e-journal] 62(1), pp.107-115. DOI: 10.1111/j.1365-2648.2007.04569.x.
Fine, B.A., Golden, B., Hannam, R. and Morra, D., 2009. Leading Lean: A Canadian Healthcare Leader's Guide. Healthcare Quarterly (Toronto, Ont.), [e-journal] 12(3), pp.32-41. DOI: 10.12927/hcq.2013.20877.
Häggström, M. and Bäckström, B., 2014. Organizing Safe Transitions from Intensive Care. Nursing Research and Practice, [e-journal] 2014 (Article ID 175314), 11p. DOI: 10.1155/2014/175314.
Häggström, M., Asplund, K. and Kristiansen, L., 2009. Struggle with a gap between intensive care units and general wards. International Journal of Qualitative Studies on Health and Well-Being, [e-journal] 4(3), pp.181-192. DOI: 10.1080/17482620903072508.
Häggström, M., Asplund, K. and Kristiansen, L., 2014. Important quality aspects in the transfer process. International Journal of Health Care Quality Assurance, [e-journal] 27(2), pp.123-139. DOI: 10.1108/IJHCQA-09-2012-0090.
Ingelsson, P, Bäckström I. and Snyder, K., 2018. Strengthening quality culture in private sector and health care: What can we learn from applying soft measures?. Leadership in Health Services, [e-journal] 31(3), pp.276-292. DOI: 10.1108/LHS-02-2018-0012.
Ljungberg, A. and Larsson, E., 2018. Processbaserad verksamhetsutveckling – Varför – Vad – Hur? (in Swedish). Lund: Studentlitteratur AB.
Lyubovnikova, J., West, M.A., Dawson, J.F. and Carter, M.R., 2015. 24-Karat or fool's gold? Consequences of real team and co-acting group membership in healthcare organizations. European Journal of Work and Organizational Psychology, [e-journal] 24(6), pp.929-950. DOI: 10.1080/1359432X.2014.992421.
Manser, T., 2009. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiologica Scandinavica, [e-journal] 53(2), pp.143-151. DOI: 10.1111/j.1399-6576.2008.01717.x.
Murphy, D.J. and Heberling, M.E., 1996. A Framework for Purchasing and Integrated Product Teams. International Journal of Purchasing and Materials Management, [e-journal] 32(2), pp.11-19. DOI: 10.1111/j.1745-493X.1996.tb00281.x.
Patton, M.Q., 2015. Qualitative research and evaluation methods: integrating theory and practice. 4th ed. Thousand Oaks, Calif.: SAGE Publications Inc.
Poksinska, B. and Swartling, D., 2018. From successful to sustainable Lean production – the case of a Lean Prize Award Winner. Total Quality Management & Business Excellence, [e-journal] 29(9-10), pp.996-1011. DOI: 10.1080/14783363.2018.1486539.
Polit, D.F. and Beck, C.T., 2004. Nursing Research: Principles and Methods. 7th ed. Philadelphia: Lippincott Williams & Wilkins.
Reader, T.W. and Cuthbertson, B.H., 2011. Teamwork and team training in the ICU: Where do the similarities with aviation end?. Critical Care, [e-journal] 15(6), pp.313-313. DOI: 10.1186/cc10353.
Richardson, J., 2011. An investigation of the prevalence and measurement of teams in organisations: the development and validation of the real team scale. PhD. Aston University. Available at: < http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.551041 > [Accessed 19 March 2021].
Richardson, J., West, M.A.. and Cuthbertson, B.H., 2010. Team working in intensive care: current evidence and future endeavors. Current Opinion in Critical Care, [e-journal] 16(6), pp.643-648. DOI: 10.1097/MCC.0b013e32833e9731.
Rose, L., 2011. Interprofessional collaboration in the ICU: how to define?. Nursing in Critical Care, [e-journal] 16(1), pp.5-10.
DOI: 10.1111/j.1478-5153.2010.00398.x.
Rosen, M.A., Diaz Granados, D., Dietz, A.S., Benishek, L.E., Thompson, D., Pronovost, P.J. and Weaver, S.J., 2018. Teamwork in healthcare: Key discoveries enabling safer, high-quality care. American Psychologist, [e-journal] 73(4), pp.433-450. DOI: 10.1037/amp0000298.
Salas, E., Shuffler, M.L., Thayer, A.L., Bedwell, W.L. and Lazzara, E.H., 2015. Understanding and Improving Teamwork in Organizations: A Scientifically Based Practical Guide. Human Resource Management, [e-journal] 54(4),
pp.599-622. DOI: 10.1002/hrm.21628.
Salas, E., Tannenbaum, S.I., Kraiger, K. and Smith-Jentsch, K.A., 2012. The Science of Training and Development in Organizations: What Matters in Practice. Psychological Science in the Public Interest, [e-journal] 13(2), pp.74-101. DOI: 10.1177/1529100612436661.
Sten, L.-M., Ingelsson, P., Bäckström, I. and Häggström, M., 2021. The development of a measurement instrument focusing on team collaboration in patient transfer processes. International Journal of Quality and Service Sciences, [e-journal] 13(1), pp.45-62. DOI: 10.1108/IJQSS-04-2020-0055.
Vyt, A., 2008. Interprofessional and transdisciplinary teamwork in health care. Diabetes/Metabolism Research and Reviews, [e-journal] 24(S1), pp.S106-S109. DOI: 10.1002/dmrr.835.
Walton, V., Hogden, A., Long, J.C., Johnson, J. and Greenfield, D., 2020. Exploring interdisciplinary teamwork to support effective ward rounds. International Journal of Health Care Quality Assurance, [e-journal] 14(33,4-5), pp.373-387. DOI: 10.1108/IJHCQA-10-2019-0178.
West, M.A. and Lyubovnikova, J., 2012. Real Teams or Pseudo Teams? The Changing Landscape Needs a Better Map. Industrial and Organizational Psychology, [e-journal] 5(1), pp.25-28. DOI: 10.1111/j.1754-9434.2011.01397.x.
West, M.A. and Lyubovnikova, J., 2013. Illusions of team working in health care. Journal of Health Organization and Management, [e-journal] 27(1), pp.134-142. DOI: 10.1108/14777261311311843.
West, M.A., 2013. Creating a culture of high-quality care in health services. Global Economics and Management Review, [e-journal] 18(2), pp.40-44. DOI: 10.1016/S2340-1540(13)70007-0.
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Copyright (c) 2021 Lilly-Mari Sten, Pernilla Ingelsson, Ingela Bäckström, Marie Häggström
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