An Explorative Study on Team Interactions in The Hospitalist-Based Ward
| Autor: | Chih-Wei Lin, 林智偉 |
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| Rok vydání: | 2019 |
| Druh dokumentu: | 學位論文 ; thesis |
| Popis: | 107 Purpose: The aim of this study was to explore the process of teamwork in Hospitalist-Based Ward, the model of team interactions and team members’ attitude toward the Hospital Medicine Care System. Methods: Qualitative research was employed in this study, including the methods of participant observation and interviews. Nine team members of Hospitalist-Based Ward were recruited by a convenience sampling from a medical center in Taipei. Semi-structured and in-depth interviews with participants were conducted for data collection and template analysis was utilized afterward. Results: Several findings in this study were as follows: (1) Team members realized specific objectives and character of the Hospitalist-Based Ward, including problems to solve. (2) Hospitalist-Based Ward relied on team members’ cooperation in groups under a hierarchical structure and collaboration with the transdisciplinary team. The team of Hospitalist-Based Ward operated efficiently by a flat organization structure. (3) There were four components in the Model of Team Interactions, including team members, the process of teamwork, team goals and the organizational context. (4) Unusual interactions could be found among team members of Hospitalist-Based Ward, such as using tactics of Fight or Ignore, mimicking the Doctor-nurse game (Stein, 1967), and adopting the strategy of Wait and See. (5) Having different opinions about making plans for patients was quite common to make a team conflict in the Hospitalist-Based Ward. Attending physicians had difficulties in overcoming barriers of communication by teamwork. Conclusion: Team members of the Hospitalist-Based Ward recognized the importance of Hospital Medicine Care System. Members achieved the team goals through the process of teamwork within the organizational context of Hospitalist-Based Ward. Finally, practical suggestions were proposed based on the findings of the study. |
| Databáze: | Networked Digital Library of Theses & Dissertations |
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