Team Communication Research Articles

SEDATION AND LARYNGOSPASM IN PEDIATRIC SURGERY

Introduction: The use of anesthetics in pediatrics is essential for diagnostic and therapeutic procedures. The incidence of post-anesthetic respiratory complications is often avoidable with appropriate intervention. Laryngospasm, a reflex obstruction of the vocal cords, is more common in children. Objective: To discuss respiratory complications, with an emphasis on laryngospasm, during the use of anesthetics in pediatric procedures. Method: The Medical Literature Analysis and Retrieval System Online (MEDLINE, via PUBMED), Latin American and Caribbean Health Sciences Literature (LILACS), Scientific Electronic Library Online (SciELO), and Virtual Health Library (VHL) databases were used. Seven articles were selected that met the systematic review criteria. Results: The incidence of laryngospasm is 0.87% in adults, 1.7% in children, and 2.82% in babies. In children, it occurs mainly during emergence from anesthesia. Risk factors include inadequate anesthesia, respiratory infections and multiple attempts at airway management. Drug combinations such as propofol, ketamine and fentanyl are used to minimize complications. Preventive measures include clearing secretions and adequate depth of anesthesia. Drugs such β2-adrenergic agonists, such as albuterol, are used to reduce respiratory resistance during intubation. Training strategies with low-cost simulators are effective for managing difficult airways in pediatrics. In pediatric surgery, the laryngeal mask is preferred to endotracheal intubation to reduce respiratory complications. Studies indicate that positive communication between anesthesia teams improves performance in critical situations. Conclusion: Laryngospasm is a serious complication in pediatric anesthesia, more common in children due to their anatomy and sensitive reflexes. Risk factors include respiratory infections, asthma, smoking, gastroesophageal reflux, and superficial anesthesia. Prevention involves the proper use of anesthetics, cleaning secretions and careful monitoring. Medications such as propofol, ketamine, and albuterol can reduce adverse effects. Simulator training and effective communication in anesthesia teams improve clinical performance. With proper management, most episodes are resolved without long-term complications.

A UK-wide survey of community forensic services for adults with intellectual disability and/or autism.

Specialist forensic community teams for people with intellectual disability and/or autism have been developed, but little is known about their extent and delivery. To describe specialist forensic community teams for people with intellectual disability and/or autism across the UK. An online survey was sent to representatives of each UK Trust/Health Board providing adult mental health and/or intellectual disability services. Questions covered the availability, structure and activities of specialist community forensic services. Quantitative data were summarised and associations between access to specialist forensic teams and care were tested with Chi-squared tests. Thematic analysis of free-text survey responses was used to understand the challenges of providing community forensic mental health services for this group. A total of 49 out of 78 (63%) eligible Trusts/Health Boards responded, of which 25 (51%) had access to a specialist forensic community team. Teams operated either as part of a single Trust/Board (n = 13) or over a larger regional footprint (n = 12). The availability of specialist forensic community teams was associated with better access to offence-related interventions (χ2 = 15.1002, P < 0.005) and co-production of patient care plans (χ2 = 7.8726, P = 0.005). Respondents reported a wide variation in availability, expertise and perceived quality of community services. The availability of secure and generic in-patient beds, commissioning and legal barriers were also significant challenges in providing appropriate care. Coverage of specialist community forensic teams is not universal. There are indications that such teams are associated with improved care processes, but further work is needed to establish longer-term outcomes and the optimal model of care.

Intraoperative teamwork and occupational stress during robot-assisted surgery: An observational study

Robot-assisted surgery (RAS) differs from traditional OR set-ups in several ways such as operation of technology and obstructed team communication that potentially affect surgical staff's stress experiences. The current study investigates the effects of key intraoperative job demands and resources on mental workload and perceived stress in RAS. We focused on the role of intraoperative teamwork as a resource that potentially reduces occupational stress. Combining standardized expert observations in the OR with healthcare providers' self-reports, the study involved two types of robot-assisted, urological interventions. The sample consisted of 73 observed surgeries and included 242 post-operative surveys on perceived stress and mental workload from surgeons and surgical nurses. Multilevel regression analyses reveal differential effects for stress and workload. Importantly, whereas better surgical teamwork was associated with lower stress, it was unrelated to workload. Our findings provide a nuanced picture of occupational stress in RAS, particularly regarding the role of intraoperative teamwork.

2223 Older patients admitted with a fragility fracture—a review of discharge summary documentation in accordance with HIQA national

Abstract Background Fragility fractures, defined as fractures resulting from low energy trauma (1), are consistent with a diagnosis of osteoporosis. When a patient is discharged from hospital, guidelines recommend principal and additional diagnoses, relevant co-morbidities contributing to primary diagnosis, medications and relevant investigations are recorded (2). Methods This audit reviewed discharge summaries of all patients discharged from a rehabilitation unit over two months, in accordance with the Health Information and Quality Authority’s (HIQA) National Standard for Patient Discharge Summary Information (2). Patients with fragility fractures were identified through medical record review. Principal and additional diagnoses were reviewed, with cause and mechanism of falls considered relevant co-morbidities. Discharge prescriptions for anti-resorptive medications were noted. Dual-energy x-ray absorptiometry (DXA) was recorded as a relevant investigation (3). Results 33 discharge summaries met inclusion criteria. 12 patients were admitted with fragility fractures with a mean age of 81 years (69–90). 83.3% (n = 10) were female. Osteoporosis was mentioned in 50% (n = 6) of discharge summaries of patients with fragility fractures. On review of relevant co-morbidities, likely cause of the fall was documented in 58.3% (n = 7) and mechanism in 75.0% (n = 9). Bone protection was planned in 83.3% (n = 10). Plan for DXA was documented in 8.3% (n = 1). Conclusion This audit demonstrates suboptimal communication between hospital and community teams, despite chronic disease being predominantly managed in the community. In Europe, Ireland has one of the largest disease burdens relating to osteoporosis and the largest increase predicted in the next ten years (4). It is of utmost importance we improve communication to minimise disease burden.

Substance Use in Forensic Assertive Community Treatment: Development and Implementation of a Pilot Project for Internees in Belgium

Substance use is a significant factor associated with new arrests, detentions and compulsory admissions for patients in forensic assertive community teams (FACT). To enhance community tenure for forensic patients and facilitate their sustainable integration into society, a treatment that offers a community-based alternative to admission following substance use was developed. In this paper, the development of the project, FENIX + is described along with the reporting of a pilot study of all included patients during 12 months (N = 24). Recidivism risk and community integration were assessed utilizing the Short-Term Risk Assessment and Treatability (START) as well as the Measurements in Addiction for Triage and Evaluation (MATE) scales. The included patients avoided 60% of admissions, exhibited positive changes in their desire for assistance, and successfully reduced their risk of recidivism. By accessing the community-based alternative, they were able to delay admissions effectively. These promising results suggest that a community-based treatment could benefit patients at risk of reoffending following substance use.

Quo Vadis, ECMO? Multidisciplinary Hybrid Extra Corporeal Membrane Oxygenation Rounds During the COVID-19 Pandemic

The complex care of patients on ECMO requires a high level of collaboration between multiple medical specialties and allied health professionals. Effective and timely communication between team members is imperative in ensuring patient safety. The COVID-19 pandemic posed unique challenges in the care of patients on ECMO. Communication between team members was complicated by social distancing recommendations, increased patient volume, and staff turnover. In this article, we describe a hybrid approach to rounds that allowed team members to attend virtually or in-person to improve team communication. Weekly hybrid ECMO rounds were held to discuss patient cases and work collectively to establish patient centered goals for the following week. Critical care and surgical consultants, RN ECMO specialists, RNs, perfusionists, respiratory therapists, physical and occupational therapists, pharmacists, ethics committee members, and patient family members were invited to attend hybrid ECMO rounds. After eight months of rounds, medical care team members were asked to provide feedback regarding the rounds format, strengths, and weaknesses. The most frequently identified strengths were improved multidisciplinary communication and continuity of care. This article demonstrates that hybrid virtual and in-person patient rounds are a feasible way for ECMO programs to improve team communication and overall patient care.

The Impact of Workflow Interruptions on Team Communication in Multidisciplinary Healthcare Settings

The Impact of Workflow Interruptions on Team Communication in Multidisciplinary Healthcare Settings

Incorporating lived experience narratives into interdisciplinary environmental communication projects: A technique for better environmental communication

This paper describes how lived experience research, a qualitative research method based on phenomenology, can be modified and incorporated into interdisciplinary environmental risk communication projects. Lived experience methods can give insight into stakeholders’ needs and concerns, enabling development of better communication products and potentially helping overcome disciplinary barriers on project teams. We describe the purposes and methods of lived experience research, draw upon two cases from our own experiences to outline how methods can be adapted for the contexts of interdisciplinary research projects, and describe potential barriers to and opportunities for using this research method in team communication projects, including co-production of knowledge, internal research team acceptance, and making project products more responsive to user needs.

Research priorities according to Dutch NICU nurses

PurposeTo study prioritisation regarding research subjects according to nurses who provide care in Dutch neonatal intensive care units (NICUs). DesignA national multicentre cross-sectional survey among all neonatal intensive care nurses. A digital questionnaire, based on the results of a former Delphi study, with open questions added, was used for data collection. Results294 direct-care nurses of 9 NICUs prioritised research statements. Top five statement in descending order are: optimal nursing staffing levels, pain and stress, sepsis management and care, healthcare team communication and collaboration, the care of the mechanically ventilated infant. Nurses stated they need more communication about research to feel more involved. They also want to learn more about the set-up of research and how to search, assess and interpret literature. ConclusionThese research priorities can be used as a guide to explore and perform further, most desired nursing research and avoid research waste.

Building and Maintaining a Whole Community Initiative: Health Communication in Practice with Be Well Communities™

ABSTRACT The most effective health communication builds from evidence-based best practices and theory. In practice, health campaigns rely on considerations often under-discussed in health communication, such as consistent agency-style client service, image management, and community coalition-building. Health outcome progress often requires change at multiple levels, from individual cognition and behavior to policy creation. These multi-level needs further highlight the importance of effective practical health communication supporting a range of outcomes and building toward replication. This article covers the complexities of building and implementing a theory-informed health communication structure for a multifaceted, place-based cancer prevention initiative. Part of the overall process includes detailing the internal communications of a health communication group, interorganizational communication, engaging community partner support, the message creation process, and longitudinal efforts on program maintenance and assessment. Furthermore, this article seeks to offer an example of the client service role a health communication team can play to combine theory, empirical message development, and community goals in whole community efforts. Ultimately, the goal is to share experiences from seven years of program work to help guide future community-based efforts in other health contexts and foster progress in theoretical and practical understandings of health communication.

KOMUNIKASI MITIGASI BENCANA

This study aims to analyze the government's disaster mitigation communication in this case the Regional Disaster Management Agency (BPBD) of west Java Province in the face of earthquakes caused by the Lembang fault. This research was conducted using qualitative research method. The research approach is a case study, using Haddow's theory of disaster communication strategy. As the subject of his research is the Regional Disaster Management Agency of West Java Province (BPBD Jabar). This research data was obtained through in-depth interviews and Library studies. The results showed that disaster mitigation communication conducted by the Regional Disaster Management Agency of West Java Province (BPBD Jabar) has not been carried out to the maximum because it is not a top priority so it does not have a clear pattern in disaster mitigation communication, although it has held mitigation programs such as: 1. Socialization of disaster risk areas 2. Disaster response training 3. Installation of Road Maps and Evacuation Signs assisted by the community / disaster volunteers. 4. Create educational media for school children (video animation). 5. establish a disaster preparedness village. These programs have not been conducted intensively plus BPBD Jabar itself does not have a disaster mitigation communication team that focuses on providing understanding to the community regarding the risk of earthquake disasters due to the fault of lembang.

Artificial Intelligence Implementation in Agile Project Management Addressing Challenges and Maximizing Impact

The Agile methodology, with an 80% adoption rate, often faces challenges leading to project failures. This study investigates using artificial intelligence (AI) to overcome these challenges through a systematic literature review of 44 papers. It examines AI's impact on key Agile phases: envision, speculate, explore, adapt, and close. Findings highlight AI's critical role in improving project outcomes by addressing implementation challenges. AI tools aid in risk assessment and project selection during planning, enhance effort estimation and task allocation in speculation, improve team communication and technical issue resolution in exploration, optimize systems in adaptation, and provide valuable insights in closure. The paper offers guidance on effective AI integration to enhance Agile Project Management success.

Visual Mapping of Operating Theater Team Dynamics and Communication for Reflexive Feedback and Surgical Practice Optimization.

Effective operating theater (OT) communication and teamwork are essential to optimal surgical outcomes. We mapped the OT team dynamics and infection control practices using visual methods to guide reflexive feedback and optimize perioperative practices. Data were gathered from adult gastrointestinal surgical teams at a tertiary hospital in India using observations, sociograms (communication mapping tool), and focus group discussions (FGDs). Our methods aimed to map team communication, roles and responsibilities in infection-related practices, and door openings. Qualitative data were thematically analyzed. Quantitative data were analyzed using descriptive statistics. Data were gathered from 10 surgical procedures (over 51 hours) using 16 sociograms, 15 traffic flow maps, and 3 FGDs. Senior surgeons directly influence team hierarchies, dynamics, and communication. While the surgeons, anesthetic residents, and technicians lead most tasks during procedures, the scrub nurse acts as a mediator coordinating activity among role players across hierarchies. Failing to provide the scrub nurse with complete details of the planned surgery leads to multiple door openings to fetch equipment and disposables. Traffic flow observed in 15-minute intervals corresponds to a mean frequency of 56 door openings per hour (min: 16; max: 108), with implications for infection control. Implementing the World Health Organization surgical safety checklist was inconsistent across pathways and does not match reported compliance data. Human factors research is important in optimizing surgical teamwork. Using visual methods to provide feedback to perioperative teams on their communication patterns and behaviors, provided an opportunity for contextualized enhancement of infection prevention and control practices.

The effect of information integration on team communication in a simulated submarine control room task

Submarine control rooms are characterised by dedicated individual roles for information types (e.g. Sonar operator processes sound energy), with individuals verbally reporting the information that they receive to other team members to help resolve uncertainty in the operational environment (low information integration). We compared this work design with one that ensured critical information was more readily available to all team members (high information integration). We used the Event Analysis of Systemic Teamwork (EAST) method to analyse task, information, and social networks for novice teams operating within a simulated submarine control room under low versus high information integration. Integration impacted team member centrality (importance relative to other operators) and the nature of information shared. Team members with greater centrality reported higher workload. Higher integration across consoles altered how team members interacted and their relative status, the information shared, and how workload was distributed. However, overall network structures remained intact.

Effects of nursing team communication and collaboration on treatment outcomes in intensive care unit patients with severe pneumonia.

Severe pneumonia is a common severe respiratory infection worldwide, and its treatment is challenging, especially for patients in the intensive care unit (ICU). To explore the effect of communication and collaboration between nursing teams on the treatment outcomes of patients with severe pneumonia in ICU. We retrospectively analyzed 60 patients with severe pneumonia who were treated at the ICU of the hospital between January 1, 2021 and December 31, 2023. We compared and analyzed the respiratory mechanical indexes [airway resistance (Raw), mean airway pressure (mPaw), peak pressure (PIP)], blood gas analysis indexes (arterial oxygen saturation, arterial oxygen partial pressure, and oxygenation index), and serum inflammatory factor levels [C-reactive protein (CRP), procalcitonin (PCT), cortisol (COR), and high mobility group protein B1 (HMGB1)] of all patients before and after treatment. Before treatment, there was no significant difference in respiratory mechanics index and blood gas analysis index between 2 groups (P > 0.05). However, after treatment, the respiratory mechanical indexes of patients in both groups were significantly improved, and the improvement of Raw, mPaw, plateau pressure, PIP and other indexes in the combined group after communication and collaboration with the nursing team was significantly better than that in the single care group (P < 0.05). The serum CRP and PCT levels of patients were significantly decreased, and the difference was statistically significant compared with that of nursing group alone (P < 0.05). The levels of serum COR and HMGB1 before and after treatment were also significantly decreased between the two groups. The communication and collaboration of the nursing team have a significant positive impact on respiratory mechanics indicators, blood gas analysis indicators and serum inflammatory factor levels in the treatment of severe pneumonia patients in ICU.

Digital Leadership: Predicting Team Dynamics, Communication Effectiveness, and Team Performance

Digitalization is essential in modern business organizations, where it transforms the operational framework and increases competitive advantage through the integration of advanced technologies. This transformation enables real-time data analysis, improves communication channels, and automates routine tasks, thereby driving innovation and efficiency that ultimately drives sustainable growth and success in a highly competitive market environment. The research observed the effect of digital leadership on team dynamics, communication effectiveness, and team performance. Data were collected by using a Likert scale questionnaire with 117 individual respondents across various business organizations in Yogyakarta and Banten, Indonesia. Then, the data obtained were analyzed using Structural Equation Modeling (SEM) in AMOS software. The results show that digital leadership has a significant effect on team dynamics and communication effectiveness. In addition, communication effectiveness has been proven to have a significantly positive effect on team performance. However, there is no direct relationship between team dynamics and performance. The results underscore the importance of strengthening digital leadership and communication effectiveness to improve team performance. Organizations should prioritize fostering a collaborative culture through digital platforms, effectively managing conflicts, and ensuring timely communication. Digital leadership should promote a participatory culture, handle conflicts adeptly, and maintain teams motivated through an effective digital approach. Lastly, organizations must provide effective digital communication tools and ensure team members understand how to use them.

When Interruption Becomes Innovation: How Integrated Behavioral Health in Primary Care Adapted During COVID-19.

Integrated behavioral health (IBH) delivered in primary care is critical to addressing the growing behavioral health crisis in the United States. COVID-19 prompted changes to the core components of IBH, causing the model to shift. The specifics of how IBH teams adapted and what these adaptations mean for the future of IBH teams in primary care are uncertain. We conducted individual interviews with IBH team members using a semistructured interview guide. A purposive convenience sample consisted of primary care clinicians (N=20) from nine states. We used qualitative thematic analysis to code and generate themes. Four themes emerged: (a) permanent changes to the physical structure of the team; (b) increased reliance on technology for team communication; (c) shift in team collaboration, often occurring asynchronously; and (d) telehealth embraced for IBH. COVID-19 interrupted the originally designed IBH model of team-based care. Changes to the physical proximity of team members disrupted all other components of IBH, requiring adapted workflows, communication via digital channels, virtual team building, asynchronous care coordination, and remote service delivery. Long-term evaluation of these innovations is needed to examine whether shifts in core components impact model efficacy. Training family medicine, primary care, and behavioral health clinicians for these adapted models of IBH will be needed.

Determinants of poor planning in public sector construction projects in Nigeria

The study assessed the determinants of poor planning in public-sector construction projects in Nige­ria. The paper adopted a questionnaire survey. A struc­tured questionnaire was administered to 217 construc­tion professionals, out of which 156, representing 71.9%, correctly filled questionnaires were analysed. The study deployed descriptive statistics such as mean and stand­ard deviation for data analysis. Results indicated that the primary determinants of poor project planning are the need for qualified personnel, with a mean of 4.70; experience, with a mean of 4.63; and poor communica­tion among the project teams, with a mean of 4.63. The significant factors influencing the implementation of project planning in public sector construction projects include natural occurrences, the use of computers and ICT, differing approaches of those who produce the plans and those who deliver the project, the leadership of the project team, application of planning techniques, only trained project managers should plan the project, non-availability of labour, lack of experience. The criti­cal barriers to project planning implementation in pub­lic construction projects include lack of communication, performance problems, political influence, dissatisfied project teams, abandonment of the project, time over­run, absence of new technology and software for plan­ning, compromised project quality, and wrong estima­tion. The research suggests that contractors involved in public sector construction projects in Nigeria should enhance their planning and performance through various measures. These measures include conducting financial and ethical client checks, employing dedicated project managers, utilising com­puterised planning systems, and improving team communication through reliable channels.

Promoting employee well-being and commitment in communication industries

PurposeThe purpose of this study is to examine the well-being initiatives and programs offered to full-time communication employees and identifies antecedents of employee subjective well-being and commitment in the workplace (e.g. organizational attention to mental health in the workplace and perceived organizational support, POS).Design/methodology/approachGuided by organizational support theory (OST), we conducted an online survey with 262 full-time communication professionals.FindingsThe data show that a variety of well-being initiatives and programs (e.g. mental health assistance programs and flexible working hours) are offered to communication employees, who receive this information from various sources (e.g. emails and announcements at employee meetings). Additionally, the number of well-being initiatives also positively predicted organizational attitudes and attention to mental health in the workplace. Supporting OST, attitudes and attention to mental health in the workplace positively predicted POS, which subsequently predicted subjective well-being and organizational commitment.Research limitations/implicationsThe study offers practical implications around the communication professionals’ experience in employee well-being and culture. Perspectives from internal communication teams will help organizations leverage their efficiency in creating a supportive work culture around mental well-being and contribute to the understanding of well-being in communication industries. Theoretically, we extended the range of OST, by testing the theory in a new context of communication professionals during the pandemic.Originality/valueAlthough communication professionals carry a critical internal communication role in actively promoting employee mental health, well-being and healthy organizational cultures, very little research has been dedicated to investigating how they handle these subjects themselves. Therefore, this study provides original value by focusing on the perceptions, knowledge and action taken by communication professionals when responding to organizations’ well-being programs/initiatives offerings during the peak of COVID-19 and the factors that influence communication professionals’ subjective well-being.

Los retos de la Comunicación Estratégica de los museos ante la nueva Era Digital

Understanding the strategic nature of communication is essential for achieving institutional objectives, not only because of the preponderance it must have but also the profile of those who lead it. Through in-depth interviews with communication experts, the analysis of the functions these units perform and the tools they use, an approach is made to the strategic level given to this area in museums. Based on the ranking of the most visited museums in Spain by El Diario, the number of members of the communication team, professional profiles, experience, and platforms used to exercise communication are analyzed, allowing us to understand how this practice is carried out. It was detected that communication is not centralized in a department, thus reducing its strategic meaning. Furthermore, within the organization chart, the communication units do not have a directive or decision-making nature, preventing aligned and cohesive communication.