Teamwork Communication Research Articles

The Impact of Visibility on Teamwork, Collaborative Communication, and Security in Emergency Departments: An Exploratory Study.

The aim of this study was to examine the influence of visibility on teamwork, collaborative communication, and security issues in emergency departments (EDs). This research explored whether with high visibility in EDs, teamwork and collaborative communication can be improved while the security issues will be reduced. Visibility has been regarded as a critical design consideration and can be directly and considerably impacted by ED's physical design. Teamwork is one of the major related operational outcomes of visibility and involves nurses, support staff, and physicians. The collaborative communication in an ED is another important factor in the process of care delivery and affects efficiency and safety. Furthermore, security is a behavioral factor in ED designs, which includes all types of safety including staff safety, patient safety, and the safety of visitors and family members. This qualitative study investigated the impact of visibility on teamwork, collaborative communication, and security issues in the ED. One-on-one interviews and on-site observation sessions were conducted in a community hospital. Corresponding data analysis was implemented by using computer plan analysis, observation and interview content, and theme analyses. The findings of this exploratory study provided a framework to identify visibility as an influential factor in ED design. High levels of visibility impact productivity and efficiency of teamwork and communication and improve the chance of lowering security issues. The findings of this study also contribute to the general body of knowledge about the effect of physical design on teamwork, collaborative communication, and security.

Investigating the Implementation of a National Pilot Project on Wait List Management using Pooled Inpatient and Day Case Surgical Waiting List between a Level 4 Hospital and a Level 3 Hospital in Ireland

Introduction: We evaluated a national pilot project on wait-list management using pooled in-patient and day case surgical waiting list across two public hospitals in Ireland - a Level 4 Hospital and a Level 3 Hospital 120km away. We evaluated patients’ experiences of the pilot through a survey, and explored the factors contributing to the successful implementation of the pooling project via key informant interviews of members of the receiving site. Methods: A mixed methods study comprising an anonymous questionnaire survey for all patients treated under the project (N=79); and semi-structured interviews with project members in the receiving Hospital. Results: The survey revealed minor issues experienced by patients were related to the pre-admission process. Patients would prefer more information about the transfer process and transport options. Factors that enabled successful pilot implementation: the openness and willingness of both hospitals to try something new, teamwork and open communication, and clinical and administrative leadership. Barriers included: lack of dedicated administrative staffing, and lack of clinician involvement from the originating hospital. For the pilot to operate sustainably and scale up, interviewees recommended the development of a pre-screening questionnaire, and having a single point of contact on each hospital site. They also identified the lack of infrastructural and informational resources, and administrative and clinical capacity, as constraining factors that would restrict further implementation of this pilot. Discussion: The positive patient experiences demonstrate how a pooled waiting list across hospitals could be a feasible means of improving patient flow by transferring patients to appropriate facilities. The qualitative findings corroborate the barriers and facilitators identified in Pomey et al (2013)’s framework as being key to the implementation of wait-list management (Pomey et al 2013). Moreover, we have identified new critical factors that influence the successful implementation of waiting time management strategies at the local level, such as the need to establish proof of concept, the importance of central coordination, a single point of contact and the role of geography. Conclusion: The pooled waiting list is a good mechanism to enhance the flow of patients across hospital sites within a hospital group. Running the pooled waiting list across hospital sites smoothly require certain enabling conditions such as agreed pre-assessment criteria and central coordination. Lessons Learned: Clinician involvement on the original hospital site is essential if the project is to become sustainable. The importance of central coordination and having a single point of contact on each site would be crucial to the scaling up of the project. More involvement from the originating hospital in setting pre-assessment criteria and in providing patients with pre-travel information would also improve patient experience. Limitations and Suggestions for Future Research: The survey was only sent to patients who had their surgery and not those who declined. The qualitative interviews only involved members from the receiving hospitalFuture research should include the involvement of members on the originating hospital site in exploring implementation factors from their perspectives. More research to identify whether there is a difference between patients who accepted treatment and those who declined.

Can teamwork and situational awareness (SA) in ED resuscitations be improved with a technological cognitive aid? Design and a pilot study of a team situation display

Effective teamwork in ED resuscitations, including information sharing and situational awareness, could be degraded. Technological cognitive aids can facilitate effective teamwork. Objective: This study focused on the design of an ED situation display and pilot test its influence on teamwork and situational awareness during simulated resuscitation scenarios. Material and methods: The display design consisted of a central area showing the critical dynamic parameters of the interventions with an events time-line below it. Static information was placed at the sides of the display. We pilot tested whether the situation display could lead to higher scores on the Clinical Teamwork Scale (CTS), improved scores on a context-specific Situational Awareness Global Assessment Technique (SAGAT) tool, and team communication patterns that reflect teamwork and situational awareness. Results: Resuscitation teamwork, as measured by the CTS, was overall better with the presence of the situation display as compared with no situation display. Team members discussed interventions more with the situation display compared with not having the situation display. Situational awareness was better with the situation display only in the trauma scenario. Discussion: The situation display could be more effective for certain ED team members and in certain cases. Conclusions: Overall, this pilot study implies that a situation display could facilitate better teamwork and team communication in the resuscitation event.

The Impact of Environmental Design on Teamwork and Communication in Healthcare Facilities: A Systematic Literature Review.

The purpose of this systematic review is to investigate the current knowledge about the impact of healthcare facility design on teamwork and communication by exploring the relevant literature. Teamwork and communication are behavioral factors that are impacted by physical design. However, the effects of environmental factors on teamwork and communication have not been investigated extensively in healthcare design literature. There are no published systematic reviews on the current topic. Searches were conducted in PubMed and Google Scholar databases in addition to targeted design journals including Health Environmental Research & Design, Environment and Behavior, Environmental Psychology, and Applied Ergonomics. Inclusion criteria were (a) full-text English language articles related to teamwork and communication and (b) involving any healthcare built environment and space design published in peer-reviewed journals between 1984 and 2017. Studies were extracted using defined inclusion and exclusion criteria. In the first phase, 26 of the 195 articles most relevant to teamwork and 19 studies of the 147 were identified and reviewed to understand the impact of communication in healthcare facilities. The literature regarding the impact of built environment on teamwork and communication were reviewed and explored in detail. Eighteen studies were selected and succinctly summarized as the final product of this review. Environmental design, which involves nurses, support staff, and physicians, is one of the critical factors that promotes the efficiency of teamwork and collaborative communication. Layout design, visibility, and accessibility levels are the most cited aspects of design which can affect the level of communication and teamwork in healthcare facilities.

MODEL OF TEAMWORK-BASED IMPROVEMENT OF TEAM PERFORMANCE AT REgIONAL SECRETARIAT OF SEMARANG REGENCY

This study aims to examine the effect of communication and trust in teamwork and its impact on team performance. The research problem is how to improve team performance through communication and trust by mediated teamwork. The sample of this study is the employees of the Regional Secretariat of Ungaran as much as 115 respondents. Regression analysis done with Statistical Package of Social Science (SPSS) software, was used to analyze data. The analysis showed that communication and trust significantly influenced teamwork in improving team performance. The empirical findings indicated that communication significantly affected teamwork; trust had a significant effect on team performance; communication had significant influence on teamwork; trust had a significant effect on team performance; and teamwork had a significant effect on team performance . Keywords: communication, trust, teamwork and team performance

Imaging techniques in modern trauma diagnostics

Modern trauma room management requires interdisciplinary teamwork and synchronous communication between ateam of anaesthesists, surgeons and radiologists. As the length of stay in the trauma room influences morbidity and mortality of aseverely injured person, optimizing time is one of the main targets. With the direct involvement of modern imaging techniques the injuries caused by trauma should be detected within avery short period of time in order to enable apriority-orientated treatment. Radiology influences structure and process quality, management and development of trauma room algorithms regarding the use of imaging techniques. For the individual case interventional therapy methods can be added. Based on current data and on the Frankfurt experience the current diagnostic concepts of trauma diagnostics are presented.

Brazilian cross-cultural adaptation of the DocCom online module: communication for teamwork

ABSTRACTObjective:to carry out the cross-cultural adaptation of DocCom online module 38, which deals with teamwork communication into Portuguese for the Brazilian contexto. Method:the transcultural translation and adaptation were accomplished through initial translations, synthesis of the translations, evaluation and synthesis by a committee of experts, analysis by translators and back translation, pre-test with nurses and undergraduate students in Nursing, and analysis of the translators to obtain the final material. Results:in evaluation and synthesis of the translated version with the original version by the expert committee, the items obtained higher than 80% agreement. Few modifications were suggested according to the analysis by pretest participants. The final version was adequate to the proposed context and its purpose. Conclusion:it is believed that by making this new teaching-learning strategy of communication skills and competencies for teamwork available, it can be used systematically in undergraduate and postgraduate courses in the health area in Brazil in order to contribute to training professionals, and also towards making advances in this field.

Imaging techniques in modern trauma diagnostics

Modern trauma room management requires interdisciplinary teamwork and synchronous communication between ateam of anaesthesists, surgeons and radiologists. As the length of stay in the trauma room influences morbidity and mortality of aseverely injured person, optimizing time is one of the main targets. With the direct involvement of modern imaging techniques the injuries caused by trauma should be detected within avery short period of time in order to enable apriority-orientated treatment. Radiology influences structure and process quality, management and development of trauma room algorithms regarding the use of imaging techniques. For the individual case interventional therapy methods can be added. Based on current data and on the Frankfurt experience the current diagnostic concepts of trauma diagnostics are presented.

Virtual Work Research: Crossing Boundaries

Virtual work research has grown significantly and, over time, attracted scholars from diverse disciplines. While this has brought multiple perspectives, it has also brought the risk of segmentation into disparate clusters of research (e.g., virtual teams, telework). We used co-citation analysis to map network data and the development of virtual work research clusters for the past 20 years. We find some coalescing of research clusters, but also a separation into three primary clusters: virtual teamwork, telework and computer-mediated communication. Our panelists represent these distinct domains. Consistent with the conference theme, 'At the interface', the purpose of this panel symposium is to advance virtual work scholarship by identifying opportunities to bridge the boundaries between the research clusters described above in order to better leverage and integrate research from different domains. With this, we hope to identify future research opportunities cutting across the domains. This will be a highly...

Moving towards a competency-based training ideology

The landscape of cardiac surgery is changing due to the current patient population who present at an advanced age with multiple comorbidities. Robotic surgery and interventional procedures are altering surgical practice. The modern cardiothoracic surgeon needs to be technically competent in the new and existing skills and display qualities of professionalism, teamwork, leadership, and effective communication. Current training programs have no provision for this methodology. This article introduces the concept of competency-based training and has suggestions for implementation of the same.

Implementation and implication of total quality management on client- contractor relationship in residential projects

To make innovation and continuous improvement as a norm, some traditional practices must become unlearnt. Change for growth and competitiveness are required for sustainability for any profitable business such as the construction industry. The leading companies are willing to implement Total Quality Management (TQM) principles, to realise potential advantages and improve growth and efficiency. Ironically, researches recollected quality as the most significant provider for competitive advantage in industrial leadership. The two objectives of this paper are 1) Identify TQM effectiveness in residential projects and 2) Identify the client satisfaction/dissatisfaction areas using Analytical Hierarchy Process (AHP) and suggest effective mitigate measures. Using statistical survey techniques like set of questionnaire survey, it is observed that total quality management was applied in some leading successful organization to an extent. The main attributes for quality achievement can be defined as teamwork and better communication with single agreed goal between client and contractor. Onsite safety is a paramount attribute in the identifying quality within the residential projects. It was noticed that the process based quality methods such as onsite safe working condition; safe management system and modern engineering process safety controls etc. as interlinked functions. Training and effective communication with all stakeholders on quality management principles is essential for effective quality work. Late Only through effective TQM principles companies can avoid some contract litigations with an increased client satisfaction Index.

\u201cTeamwork in hospitals\u201d: a quasi-experimental study protocol applying a human factors approach

BackgroundEffective teamwork and sufficient communication are critical components essential to patient safety in today’s specialized and complex healthcare services. Team training is important for an improved efficiency in inter-professional teamwork within hospitals, however the scientific rigor of studies must be strengthen and more research is required to compare studies across samples, settings and countries. The aims of the study are to translate and validate teamwork questionnaires and investigate healthcare personnel’s perception of teamwork in hospitals (Part 1). Further to explore the impact of an inter-professional teamwork intervention in a surgical ward on structure, process and outcome (Part 2).MethodsTo address the aims, a descriptive, and explorative design (Part 1), and a quasi-experimental interventional design will be applied (Part 2). The study will be carried out in five different hospitals (A-E) in three hospital trusts in Norway. Frontline healthcare personnel in Hospitals A and B, from both acute and non-acute departments, will be invited to respond to three Norwegian translated teamwork questionnaires (Part 1). An inter-professional teamwork intervention in line with the TeamSTEPPS recommend Model of Change will be implemented in a surgical ward at Hospital C. All physicians, registered nurses and assistant nurses in the intervention ward and two control wards (Hospitals D and E) will be invited to to survey their perception of teamwork, team decision making, safety culture and attitude towards teamwork before intervention and after six and 12 months. Adult patients admitted to the intervention surgical unit will be invited to survey their perception of quality of care during their hospital stay before intervention and after six and 12 month. Moreover, anonymous patient registry data from local registers and data from patients’ medical records will be collected (Part 2).DiscussionThis study will help to understand the impact of an inter-professional teamwork intervention in a surgical ward and contribute to promote healthcare personnel’s team competences with an opportunity to achieve changes in work processes and patient safety.Trial registrationTrial registration number (TRN) is ISRCTN13997367. The study was registered retrospectively with registration date 30.05.2017.

Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME.

Hospitals have struggled for years regarding the handoff process of communicating patient information from one health care professional to another. Ineffective handoff communication is recognized as a serious patient safety risk within the health care community. It is essential to take communication into consideration when examining the safety of neonates who require immediate medical attention after birth; effective communication is vital for positive patient outcomes, especially with neonates in a delivery room setting. Teamwork and effective communication across the health care continuum are essential for providing efficient, quality care that leads to favorable patient outcomes. Interprofessional simulation and team training can benefit health care professionals by improving interprofessional competence, defined as one’s knowledge of other professionals including an understanding of their training and skillsets, and role clarity. Interprofessional teams that include members with specialization in obstetrics, gynecology, and neonatology have the potential to considerably benefit from training effective handoff and communication practices that would ensure the safety of the neonate upon birth. We must strive to provide the most comprehensive systematic, standardized, interprofessional handoff communication training sessions for such teams, through Graduate Medical Education and Continuing Medical Education that will meet the needs across the educational continuum.

Practice and evaluation of team-based learning in teaching of practice lesson of"aerospace nutri-tion and food hygiene"

Objective To explore the feasibility of team-based learning (TBL) for practice teaching of the aerospace nutrition and food hygiene. Methods A total of 90 students were investigated, and were di-vided into the TBL group (n=46) and the TL group (n=44) by simple random sampling. After the experi-ment teaching, a test and questionnaire were used to compare the teaching effect of TBL group and TL group. SPSS 18.0 was used for date and the data was analyzed by Independent-Samples t test and Chi-square test. Re-sults Students in TBL group achieved higher mean test scores (85.70±3.47) compared with students (74.10±2.41) in TL group and the difference was statistically significant (t=8.703, P=0.000). The results of the questionnaire showed that, compared with the TL group, TBL group students more agreed with the posi-tive impact of the teaching methods on their team work ability, interpersonal skills, communication ability, problem-solving and self-learning and other aspects, and the differences between two groups were statistical-ly significant (P<0.05). In addition, the majority of the respondents in TBL group [93.5% (43/46)] were satis-fied with TBL. Conclusions TBL teaching is better than the TL teaching, and it can significantly improve students' comprehension of knowledge and enhance their learning effect. Key words: Team-based learning; Aerospace nutrition and food hygiene; Teaching for interns

Imaging techniques in modern trauma diagnostics

Modern trauma room management requires interdisciplinary teamwork and synchronous communication between ateam of anaesthesists, surgeons and radiologists. As the length of stay in the trauma room influences morbidity and mortality of aseverely injured person, optimizing time is one of the main targets. With the direct involvement of modern imaging techniques the injuries caused by trauma should be detected within avery short period of time in order to enable apriority-orientated treatment. Radiology influences structure and process quality, management and development of trauma room algorithms regarding the use of imaging techniques. For the individual case interventional therapy methods can be added. Based on current data and on the Frankfurt experience the current diagnostic concepts of trauma diagnostics are presented.

Influences of Knowledge Sharing on Individual Performance in Saudi Organisations

Many studies in various fields try to contribute to the understanding of the factors influencing individual performance in organisations. This research contributes to those studies by focusing on exploring the relationship between knowledge sharing and individual performance in Saudi organisations. The focus of this study is on the effects of knowledge sharing on five aspects of individual performance: innovation, job satisfaction, job roles and responsibilities, communication in teamwork, and speed of completing tasks. This research has followed the descriptive and survey methodology by the design of a questionnaire that refereed and tested for validity and clarity. Total number of received and valid responses are 355. The results indicate a statistically positive relationship between the level of sharing knowledge and individual performance. It also recommends that organisations have more emphasis on knowledge focus meetings, workshops, developing an environment that supports trial and error, and having systems that manage suggestions, creativity, and innovation.

Use of Simulation to Improve Cardiopulmonary Resuscitation Performance and Code Team Communication for Pediatric Residents

Cardiorespiratory events are infrequent in pediatric teaching hospitals but can lead to significant morbidity and mortality. Clear communication within the response team prevents delays in action and allows all team members to contribute to providing optimum management. This resource was developed to simulate high-acuity and low-frequency events for pediatric residents. The scenario options are recurrent supraventricular tachycardia, prolonged QT syndrome, myocarditis, and respiratory syncytial virus bronchiolitis. The simulation is best performed in a simulation center with audio- and video-recording capabilities but could also be performed in situ in the pediatric intensive care unit or emergency room. Necessary personnel include a simulation technician and two instructors. A code cart, mock medications, and defibrillator with hands-free pads appropriate for the mannequin are necessary supplies. Critical actions include initial survey and intervention, rhythm recognition, cardiopulmonary resuscitation (CPR), use of defibrillator, and administration of anti-arrhythmic medications when needed. At the conclusion of the scenario, a formal debriefing with learners using structured feedback is performed. These cases have been used with groups of pediatric or emergency medicine residents approximately 16 times over the past 3 years. Learners have reported that participation increased their confidence and comfort with management of cardiorespiratory events and that communication technique practice improved their teamwork and sign-out skills. Rhythm recognition and CPR performance scores during the simulation scenarios improved, with subjective improvement during actual cardiorespiratory events. This resource advances learner knowledge of Pediatric Advanced Life Support algorithms and teamwork communication and identifies learner knowledge and management deficits.

Crisis resource management in relation to empowering people to speak up in emergency medical service clinical practice settings

Teamwork and effective communication have been identified as key principles in Crisis Resource Management (CRM) in the context of emergency care medicine. The aim of CRM is to ultimately improve patient safety and prevent at-risk situations or events. These principles optimise patient safety and benefits. Pre-hospital emergency care in Qatar is provided by the national Ambulance Service (HMCAS). Their operations are labour intensive, and depend on the professional readiness and communication of their culturally diverse practitioners. Structures within HMCAS are hierarchical, which may be a deterrent to effective communication in Qatar. Emergency medical care (EMC) practitioners may not be forthcoming with their concerns to the detriment of patient safety. These factors can create an environment which is not conducive to effective communication, and may inherently suppress free expression of speech in emergency situations and day-to-day working practices. Managers should therefore be encouraged to create an environment whereby practitioners can speak up, irrespective of culture, nationality, or the presence of more senior or experienced colleagues. CRM principles are well incorporated as part of the EMC's orientation programme and specialised professional development courses. Regular training involving all role players (including supervisors) in different settings, and appropriately simulated scenarios that call for application of CRM principles is required to further improve the quality of EMC service in Qatar.

18: ASSESSMENT OF EXISTENCE OF THE REQUIREMENTS OF CLINICAL RISK MANAGEMENT IN HOSPITALS

Background and aims:At present, modern advances in health care, serious deficiencies have been identified in the quality of care and patients' safety. One way to handle these challenges is the...

Pedagogical Reforms in Delivery of Undergraduate Heat and Mass Transfer Course towards Enhancements in Student Learning

The new genre learners need tech-savvy Teaching-Learning procedure to initiate dialogue between the instructor and pupils. The course at Graduate level was envisaged based on employment statistics that indicated sizable segment of graduates opting teaching profession. The need for this course was also strongly supported by potential employer expectations in new recruits to possess better professional skills of team work and communication. The reported pedagogical initiative streams a non-conventional approach in imparting concepts on essentials of engineering education at Graduate level. The ordeal aims at providing a hands-on experience on broad principles of engineering education to Graduate students from multiple disciplines in Engineering. The course delivery involved oral and written presentations using conventional modes blended with Moodle-platform. The Course delivery and Assessment strategies were meticulously executed to foster interactive learning that lead to attainment of higher levels in Graduate attributes PO3 and PO5. The pedagogical impact of the course presented in form of statistical data strongly portrayed affirmative catalysis towards improved team work culture and communication skills.