Communication Huddles: The Secret of Team Success

Johnson, Ingrid

doi:10.3928/00220124-20180918-04

Cited by 15 publications

(15 citation statements)

References 3 publications

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“…23 When HCWs do not trust the diagnosis, huddles could help team members communicate about risks, address potential concerns, and lead to consistent and appropriate RPE use. 24 Team huddles are a proven management and communication approach 25 that could be used to review emerging patient diagnostic data and discuss with team members how to best use RPE for the unique situation. This deliberate review and clarification of risk levels may lead to HCWs' increased trust in infection control systems and belief that the hospital is motivated not by finances, but instead HCW safety.…”

Section: Discussionmentioning

confidence: 99%

Health care workers’ perceptions and reported use of respiratory protective equipment: A qualitative analysis

Fix

Reisinger

Etchin

et al. 2019

American Journal of Infection Control

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Background:Little is known about health care workers' (HCW) perceptions of, or experiences using, respiratory protective equipment (RPE). We sought to characterize their perceptions and identify reasons underlying inappropriate use. Methods: We conducted 12 focus groups with nurses and nursing assistants at 4 medical centers. We analyzed the thematic content of 73 discrete "stories" told by focus group participants. Results: We identified 5 story types surrounding RPE use: 1) policies are known and seen during work routines; 2) during protocol lapses, use is reinforced through social norms; 3) clinical experiences sometimes supersede protocol adherence; 4) when risk perception is high, we found concern regarding accessing RPE; and 5) HCWs in emergency departments were viewed as not following protocol because risk was ever-present. Discussion: HCWs were aware of the importance of RPE and protocols for using it, and these supported use when protocol lapses occurred. However, protocol adherence was undermined by clinical experience, perceived risk, and the distinct context of the emergency department where patients continually arrive with incomplete or delayed diagnoses. Conclusions: Protocols, visual cues, and social norms contribute to a culture of safety. This culture can be undermined when HCWs experience diagnostic uncertainty or they mistrust the protocol and instead rely on their clinical experiences.Published by Elsevier Inc. on behalf of Association for Professionals in Infection Control and Epidemiology, Inc.

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Section: Discussionmentioning

confidence: 99%

Health care workers’ perceptions and reported use of respiratory protective equipment: A qualitative analysis

Fix

Reisinger

Etchin

et al. 2019

American Journal of Infection Control

View full text Add to dashboard Cite

show abstract

“…This belief is contradicted by other studies showing that "communication breakdowns account for the overwhelming majority of sentinel events" (Pfrimmer, 2009, p. 294). Although communication plays a critical role in health outcomes, it is still referred to colloquially as a "soft skill" (Ray & Overman, 2014 Johnson, 2018). However, the present study helps to refine that type of training by providing exact areas in need of improvement from the perspectives of the NA themselves.…”

Section: Discussionmentioning

confidence: 87%

“…The field of nursing is moving toward an emphasis on the role of communication in interprofessional teams (e.g. Johnson, ). However, the present study helps to refine that type of training by providing exact areas in need of improvement from the perspectives of the NA themselves.…”

Section: Discussionmentioning

confidence: 99%

Nursing assistants' perceptions of their role in the resident experience

Abrahamson

Fox

Roundtree

et al. 2019

Nursing & Health Sciences

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The aim of this study was to examine nursing assistants' perspectives of their role in the nursing home resident experience. Recent efforts to improve nursing home quality are focused on providing person‐centered care and improving the resident experience. However, the literature on nursing home quality lacks the perspective and experiences of nursing assistants themselves, despite their crucial role in the resident experience. Semistructured interviews were conducted with 25 nursing assistants from 17 organizations and seven states. Data were analyzed using an interpretive approach that identified relevant codes and themes. Respondents perceived that they play a pivotal role in the resident experience by providing choices, communicating important information, comforting, and living within the daily reality of cognitively impaired residents. Nursing assistants' challenges included using non‐verbal communication, balancing personal care while maintaining boundaries, and dealing with a perceived lack of trust. Nursing assistants are integral to interpersonal engagement with residents and relationship‐based activities, such as communication, caring, and protecting. Increased nursing assistant input into programs and policies to improve the resident experience is warranted. Quality assessment should incorporate direct input from residents and nursing assistants regarding person‐centered care.

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“…The knowledge and confidence provided by the huddles empowered bedside staff to provide more efficient care to their patients. 15…”

Section: Discussionmentioning

confidence: 99%

Situational Awareness Huddles in a Pediatric Cardiac Intensive Care Unit During the COVID-19 Pandemic

Christensen

Colman

Voorhis

et al. 2021

Critical Care Nurse

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Background The COVID-19 pandemic has created challenges for provider teams working in intensive care units, including rapidly changing patient care regulations, staffing considerations, and preservation of personal protective equipment. The need for enhanced respiratory precautions for infected patients and patients under investigation has necessitated a new process for interventions and resuscitation. Local Problem Along with changing regulations and equipment, significant staff anxiety surrounded caring for infected patients and preparing for emergency situations. Methods A huddle process was implemented in the pediatric cardiac intensive care unit for acutely ill patients who required enhanced respiratory precautions and were at risk of imminent decompensation, or who required a bedside procedure. During a huddle, the multidisciplinary team used process maps displayed in patient rooms; the huddle process created a situational awareness of events among these teams. Intervention After implementation of huddles, a survey was distributed to cardiac intensive care unit staff in order to understand their satisfaction with the huddle process. Results A total of 36 staff responded to the survey. They thought the huddles helped them to prepare for resuscitation scenarios, helped limit the number of personnel responding to an emergency, and reduced their anxiety surrounding caring for these patients. Staff suggested generalizing this huddle process to all patients at acute risk for decompensation in the cardiac intensive care unit. Conclusions A novel huddle process created situational awareness among staff caring for patients requiring enhanced respiratory isolation because of COVID-19. Multidisciplinary huddles allowed staff from various disciplines to apply a process map for interventions and resuscitations among critically ill children with heart disease.

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Communication Huddles: The Secret of Team Success

Cited by 15 publications

References 3 publications

Health care workers’ perceptions and reported use of respiratory protective equipment: A qualitative analysis

Health care workers’ perceptions and reported use of respiratory protective equipment: A qualitative analysis

Nursing assistants' perceptions of their role in the resident experience

Situational Awareness Huddles in a Pediatric Cardiac Intensive Care Unit During the COVID-19 Pandemic

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