A Typology of Interprofessional Teamwork in Acute Geriatric Care: A Study in 55 units in Belgium
Autor: | Ruth Piers, Sophie Lambrecht, Johan Devoghel, André Vyt, Karen Versluys, Nele Van Den Noortgate |
---|---|
Rok vydání: | 2017 |
Předmět: |
Typology
Teamwork Team culture medicine.medical_specialty 030504 nursing business.industry Geriatric care media_common.quotation_subject education Coaching 03 medical and health sciences 0302 clinical medicine Nursing Multicenter study Family medicine Medicine Interprofessional teamwork 030212 general & internal medicine Safety culture Geriatrics and Gerontology 0305 other medical science business health care economics and organizations media_common |
Zdroj: | Journal of the American Geriatrics Society. 65:2064-2070 |
ISSN: | 0002-8614 |
Popis: | Objectives To explore the quality of interprofessional teamwork in acute geriatric care and to build a model of team types. Design Cross-sectional multicenter study. Setting Acute geriatric units in Belgium. Participants Team members of different professional backgrounds. Measurements Perceptions of interprofessional teamwork among team members of 55 acute geriatric units in Belgium were measured using a survey covering collaborative practice and experience, managerial coaching and open team culture, shared reflection and decision-making, patient files facilitating teamwork, members’ belief in the power of teamwork, and members’ comfort in reporting incidents. Cluster analysis was used to determine types of interprofessional teamwork. Professions and clusters were compared using analysis of variance. Results The overall response rate was 60%. Of the 890 respondents, 71% were nursing professionals, 20% other allied health professionals, 5% physicians, and 4% logistic and administrative staff. More than 70% of respondents scored highly on interprofessional teamwork competencies, consultation, experiences, meetings, management, and results. Fewer than 55% scored highly on items about shared reflection and decision-making, reporting incidents from a colleague, and patient files facilitating interprofessional teamwork. Nurses in this study rated shared reflection and decision-making lower than physicians on the same acute geriatric units (P < .001). Using the mean score on each of the six areas, four clusters that differed significantly in all areas were identified using hierarchical cluster analysis and scree plot analysis (P < .001). Conclusion Interprofessional teamwork in acute geriatric units is satisfactory, but shared reflection and decision-making needs improvement. Four types of interprofessional teamwork are identified and can be used to benchmark the teamwork of individual teams. |
Databáze: | OpenAIRE |
Externí odkaz: |