Medical hegemony in decision‐making – a barrier to interdisciplinary working in intensive care?

Coombs, Maureen; Ersser, Steven J.

doi:10.1111/j.1365-2648.2004.02984.x

Cited by 143 publications

(130 citation statements)

References 22 publications

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“…Additionally, our observations indicated the possible wider impact of medical dominance on shaping these routines and hierarchies, as evident in the informal rules that govern practices such as rounds and decision-making. The dominant role of medicine has been well-researched in various 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 fields, and our findings contribute to literature on the dominant role of medicine within a larger interprofessional work environment (44)(45)(46).…”

Section: Discussionsupporting

confidence: 66%

Beyond the Team

Alexanian

Kitto

Rak³

et al. 2015

Critical Care Medicine

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Main results: While the concept of teamwork is often central to interventions to improve patient safety in the ICU, our observations suggest that this concept does not fully describe how interprofessional work actually occurs in this setting. With the exception of crisis situations, most interprofessional interactions in the two ICUs we studied could be better described as forms of interprofessional work other than teamwork, that include collaboration, coordination, and networking.Conclusions: A singular notion of team is too reductive to account for the ways in which work happens in the ICU, and therefore cannot be taken for granted in quality improvement initiatives or amongst health care professionals in this setting. Adapting interventions to the complex nature of interprofessional work and each ICUs unique local 1

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Section: Discussionsupporting

confidence: 66%

Beyond the Team

Alexanian

Kitto

Rak³

et al. 2015

Critical Care Medicine

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“…The same researcher or team of researchers published several articles on the same study. [24][25][26][27][28][29][30][31][32][33][34] In 8 studies, the researchers collected data across several ICUs, but and covered interprofessional interactions (between 2 or more professional groups). One autoethnographic article 23 was excluded, for a final sample size of 23.…”

Section: Resultsmentioning

confidence: 99%

Delivering Interprofessional Care in Intensive Care: A Scoping Review of Ethnographic Studies

Paradis¹,

Leslie²,

Puntillo³

et al. 2014

American Journal of Critical Care

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BackgroundThe sustained clinical and policy interest in the United States and worldwide in quality and safety activities initiated by the release of To Err Is Human has resulted in some high-profile successes and much disappointment. Despite the energy and good intentions poured into developing new protocols and redesigning technical systems, successes have been few and far between, leading some to argue that more attention should be given to the context of care. Objective To examine the insights provided by qualitative studies of interprofessional care delivery in intensive care. Methods A total of 532 article abstracts were reviewed. Of these, 24 met the inclusion criteria. Results Articles focused on the nurse-physician relationship, patient safety, patients' families and end-of-life care, and learning and cognition. The findings indicated the complexities and nuances of interprofessional life in intensive care and also that much needs to be learned about team processes. Conclusion The fundamental insight that interprofessional interactions in intensive care do not happen in a historical, social, and technological vacuum must be brought to bear on future research in intensive care if patient safety and quality of care are to be improved.

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“…Pilotstudien medførte ingen strukturelle eller innholdsmessige endringer av spørreskje-maet. (9,15). i legeforeningens retningslinjer for smertebehandling til opioidavhengige pasienter framgår at det er helt essensielt å kartlegge bruks-og avhengighetstype for å forebygge abstinenser og for å kunne gi adekvat smertelindring (5).…”

Section: Introduksjonunclassified

Smertebehandling av rusmisbrukere innlagt i sykehus

Andenæs

Undall³

et al. 2012

Sykepleien

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Medical hegemony in decision‐making – a barrier to interdisciplinary working in intensive care?

Cited by 143 publications

References 22 publications

Beyond the Team

Beyond the Team

Delivering Interprofessional Care in Intensive Care: A Scoping Review of Ethnographic Studies

Smertebehandling av rusmisbrukere innlagt i sykehus

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