An interdisciplinary team communication framework and its application to healthcare 'e-teams' systems design

Kuziemsky, Craig; Borycki, Elizabeth M.; Purkis, Mary Ellen; Black, Fraser; Boyle, Michael; Cloutier-Fisher, Denise; Fox, Lee Ann; MacKenzie, Patricia; Syme, Ann; Tschanz, Coby; Wainwright, Wendy; Wong, Helen

doi:10.1186/1472-6947-9-43

Cited by 58 publications

(79 citation statements)

References 26 publications

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“…Another collaboration aspect is that of leadership and meeting chairs, which we find are very important to ensure that the meeting is relevant to all participants, which is in line with the findings of Brown et al (2009), Kuziemsky et al (2009), Swanson Jaecks (2009) and Walsh et al (2010). Wenger et al (2002) suggest that successful CoPs have a rhythm, consisting of regular meetings, informal conversations, Web site activity, and so on.…”

Section: Identity Expertise and Participationsupporting

confidence: 71%

Collaboration processes, outcomes, challenges and enablers of distributed clinical communities of practice

Friberger

Falkman

2013

Behaviour & Information Technology

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Modern healthcare's need for knowledge sharing and bridging the researchpractice-gap requires new forms of collaboration, in which clinicians of varying clinical and research expertise work together over geographical and organisational borders. To support such distributed communities of practice (CoPs), an understanding of their collaboration processes, outcomes, challenges, and enablers is needed. The paper examines these issues through a case study of a long-running CoP, the Swedish Oral Medicine Network (SOMNet). SOMNet's main form of collaboration is monthly telephone conference meetings centred on case consultations. Cases are submitted by the clinicians via a Web-based system. The methods used were interviews, observations, and a questionnaire.The work adds to previous research by studying a distributed CoP explicitly focused on supporting the transfer of scientific results from researchers to practitioners.We found that the regular meetings give a rhythm to the community. The centrality of cases means an immediate benefit for the submitter while the share an overarching goal of general improvement and harmonisation of patient care.However, the present study focuses on distributed collaboration where there are more than two types of participants, which sets it apart from the common format of teleconsultations. The studied distributed CoP makes the case discussions available to a larger group of clinicians, while adding challenges related to handling a larger and heterogeneous group. This study also has commonalities with the format of the MDTM, but without the emphasis on the coordination between the different roles and disciplines involved in caring for a specific patient, and with more loosely coupled participants.Within the studied collaboration, there is little variation with respect to the discipline, but much variation in the other aspects, such as degree of specialisation, experience, focus on clinical work or on research, access to external evidence, location, and level of partici- 2004). Third, given that the single previously studied CoP aimed at sharing knowledge among researchers and practitioners is based on the sending of emails between com-

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Section: Identity Expertise and Participationsupporting

confidence: 71%

Collaboration processes, outcomes, challenges and enablers of distributed clinical communities of practice

Friberger

Falkman

2013

Behaviour & Information Technology

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“…3,8 The fact that the colposcopy clinic consisted of a small number of physicians, who were all involved in the development of the CIS and committed to the goal of the CIS to address the organizational commitment to research and quality care, was key given the long duration and number of changes that were required with its development. The availability of IT specialists and their responsiveness to the clinical needs of practitioners and the provision of computer support and education were also instrumental to its development.…”

Section: Discussionmentioning

confidence: 99%

The Development and Implementation of an Electronic Departmental Note in a Colposcopy Clinic

Goldman

Abramovich²,

Sadovy³

et al. 2012

CIN: Computers, Informatics, Nursing

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Hospital-wide electronic medical records can be limited in addressing clinical department needs. A study was undertaken to examine the development and implementation of an electronic informaton system in a colposcopy unit in a large teaching hospital in Canada. A case study design was used, and 24 semistructured interviews were conducted with nurses and physicians working in the colposcopy clinic and individuals from the information technology team. Interviews occurred in two phases-directly after implementation and again 9 months later. Computerized audit data were gathered to examine usage patterns. The results provide insight into the processes and challenges of defining and capturing information for both clinical and research purposes and creating a standardized referral note. The findings demonstrated some initial uncertainty around roles and responsibilities concerning the electronic system and its integration into clinical routines. After a period of 12 months, and further refinement, it was found that the system was accessible and user-friendly, although some concerns raised during the developmental stage persisted. Audit data revealed that 9 months after its introduction, nurses' adoption of the system rate reached 89%, and physicians, 96%. This study has demonstrated that practitioners in a colposcopy clinic successfully collaborated with information technology specialists and each other to develop and implement a clinical departmental information system. While certain challenges were encountered, nurses and physicians have bought into the system, recognize its potential for research and patient care, and are therefore committed to figuring out how to adapt to the changes in communication both within the clinic and with referring physicians.

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“…20 An analysis of the structures, processes, and outcomes associated with effective palliative care team communication revealed several critical concepts. 26 Regarding structure, both internal and external concepts were essential. Internal concepts included the membership of the team, policies, procedures, and communication practices.…”

Section: Communicationmentioning

confidence: 99%

The Interdisciplinary Team

Paice¹

2011

Palliative Care

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An interdisciplinary team communication framework and its application to healthcare 'e-teams' systems design

Cited by 58 publications

References 26 publications

Collaboration processes, outcomes, challenges and enablers of distributed clinical communities of practice

Collaboration processes, outcomes, challenges and enablers of distributed clinical communities of practice

The Development and Implementation of an Electronic Departmental Note in a Colposcopy Clinic

The Interdisciplinary Team

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