Interprofessional Team Member Communication Patterns, Teamwork, and Collaboration in Pre-family Meeting Huddles in a Pediatric Cardiac Intensive Care Unit.
Interprofessional communication
cardiac intensive care unit
pediatrics
team communication
teamwork
Journal
Journal of pain and symptom management
ISSN: 1873-6513
Titre abrégé: J Pain Symptom Manage
Pays: United States
ID NLM: 8605836
Informations de publication
Date de publication:
07 2019
07 2019
Historique:
received:
15
02
2019
revised:
10
04
2019
accepted:
12
04
2019
pubmed:
21
4
2019
medline:
17
3
2020
entrez:
21
4
2019
Statut:
ppublish
Résumé
Interprofessional teams often develop a care plan before engaging in a family meeting in the pediatric cardiac intensive care unit (CICU)-a process that can affect the course of the family meeting and alter team dynamics but that has not been studied. To characterize the types of interactions that interprofessional team members have in pre-family meeting huddles in the pediatric CICU by 1) evaluating the amount of time each team member speaks; 2) assessing team communication and teamwork using standardized instruments; and 3) measuring team members' perceptions of collaboration and satisfaction with decision making. We conducted a prospective observational study in a pediatric CICU. Subjects were members of the interprofessional team attending preparation meetings before care meetings with families of patients admitted to the CICU for longer than two weeks. We quantitatively coded the amount each team member spoke. We assessed team performance of communication and teamwork using the PACT-Novice tool, and we measured perception of collaboration and satisfaction with decision making using the Collaboration and Satisfaction About Care Decisions questionnaire. Physicians spoke for an average of 83.9% of each meeting's duration (SD 7.5%); nonphysicians averaged 9.9% (SD 5.2%). Teamwork behaviors were present and adequately performed as judged by trained observers. Significant differences in physician and nonphysician perceptions of collaboration were found in three of 10 observed meetings. Interprofessional team members' interactions in team meetings provide important information about team dynamics, revealing potential opportunities for improved collaboration and communication in team meetings and subsequent family meetings.
Identifiants
pubmed: 31004773
pii: S0885-3924(19)30177-0
doi: 10.1016/j.jpainsymman.2019.04.009
pmc: PMC6800217
mid: NIHMS1054310
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
11-18Subventions
Organisme : NHLBI NIH HHS
ID : K23 HL141700
Pays : United States
Informations de copyright
Copyright © 2019 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
Références
J Nurs Manag. 2001 Jan;9(1):3-11
pubmed: 11879439
Oncologist. 2006 May;11(5):520-6
pubmed: 16720852
MedGenMed. 2001 Mar 05;3(2):2
pubmed: 11549951
J Obstet Gynecol Neonatal Nurs. 2006 Jul-Aug;35(4):557-66
pubmed: 16882002
Am J Med Qual. 2007 May-Jun;22(3):214-7
pubmed: 17485563
Acad Med. 2012 Dec;87(12):1762-7
pubmed: 23095927
J Pain Symptom Manage. 2019 Jun;57(6):1089-1098
pubmed: 30876957
J Interprof Care. 2011 Jan;25(1):4-10
pubmed: 20795830
Am J Pharm Educ. 2016 Jun 25;80(5):85
pubmed: 27402988
Pediatrics. 2015 Sep;136(3):487-95
pubmed: 26260718
J Interprof Care. 2006 Aug;20(4):349-63
pubmed: 16905484
J Adv Nurs. 1994 Jul;20(1):176-82
pubmed: 7930118
Am J Respir Crit Care Med. 2009 Nov 1;180(9):853-60
pubmed: 19644049
J Interprof Care. 2015 May;29(3):223-9
pubmed: 25208089
Am J Crit Care. 1997 Sep;6(5):393-9
pubmed: 9283677
Health Serv Res. 2006 Aug;41(4 Pt 2):1576-98
pubmed: 16898980
Psychol Rep. 2004 Jun;94(3 Pt 1):739-50
pubmed: 15217020
J Adv Nurs. 2011 Aug;67(8):1817-23
pubmed: 21426376
Health Care Manage Rev. 2012 Jul-Sep;37(3):200-13
pubmed: 21934512
Mayo Clin Proc. 2011 Jan;86(1):31-6
pubmed: 21193653
J Palliat Med. 2011 Apr;14(4):421-7
pubmed: 21385083
Soc Sci Med. 2015 Nov;144:112-8
pubmed: 26409169