Reducing the Failure Risk of Interdisciplinary Healthcare Teams

Kilgore, Rachel V.; Langford, Rae W.

doi:10.1097/cnq.0b013e3181a27af2

Cited by 27 publications

(31 citation statements)

References 17 publications

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“…Multiple investigators have demonstrated that collaboration between providers of different disciplines (for example, physicians and nurses) or specialties (family physicians and specialists) is made more difficult by interdiscipline or inter-specialty differences in problem solving. [21][22][23] Petrie has noted the evolution of different 'cognitive maps' that can underlie problems with communication. 24 Ironically enough, the very differences that made communication barriers more likely to develop may also contribute to the difficulty in their resolution.…”

Section: Discussionmentioning

confidence: 99%

Perspectives on communication in labor and delivery: A focus group analysis

et al. 2010

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Objective: The objective of this study was to elicit and explore perceptions of barriers to optimal communication among clinicians on a labor and delivery unit, and to use this information to select and design approaches to improve communication.Study Design: A qualitative research design using a focus group format was utilized. Attending and resident obstetricians and anesthesiologists, as well as staff nurses, pharmacists and unit secretaries participated in the focus groups, which were recorded and transcribed. Data were analyzed using a framework analysis approach.Result: In total, 18 focus groups with a total of 92 participants were conducted. Eight key themes emerged regarding specific barriers to effective communication among clinicians in the labor and delivery setting. The most prominent of these themes included issues with inter-departmental coordination, clinical accessibility (the ability to reach other clinicians), lack of a consistent approach for clinical documentation, and the involvement of multiple care providers. On the basis of these themes, multiple interventions were designed to enhance communication. Conclusion:Focus group methodology can be used to elicit a detailed description of communication practices of clinicians on a labor and delivery unit, permitting an exploration of specific barriers to communication and the identification of potential solutions to those barriers.

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Section: Discussionmentioning

confidence: 99%

Perspectives on communication in labor and delivery: A focus group analysis

et al. 2010

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“…Based on the interdisciplinary approaches proposed in education (Lenoir & Hasni, 2004), the characteristics of interdisciplinary collaboration in Latin America, and the literature search about interdisciplinary collaboration (Kilgore & Langford, 2009;Young et al, 2011), we propose to delineate three distinct approaches related to interdisciplinary health care teams in gerontology and geriatrics (see Figure 1). …”

Section: Conceptual Approaches In Interdisciplinary Collaboration In mentioning

confidence: 99%

“…The interdisciplinary collaboration model has become the new health care delivery model, emphasizing that teams provide more integrated care that maximizes the potential outcomes of care (Kilgore & Langford, 2009). Several concepts determine how interdisciplinary collaboration develops and is consolidated in health care teams.…”

Section: Characteristics Of Interdisciplinary Collaboration In Geriatmentioning

confidence: 99%

“…In addition, although there were no improvements in mortality, significant reductions were observed in functional decline and mental health problems (Retchin, 2008 Because of the complexity of multiple comorbidities and the constellation of health and social needs, care for older adults is an ideal area in which to develop, test, and advance models of interdisciplinary care. There are several examples of interdisciplinary initiatives in geriatric research, education, and practice (Kilgore & Langford, 2009;Young et al, 2011). However, at present, the literature review reveals that there are very few randomized controlled trials about interdisciplinary collaboration in health (Zwarenstein, Goldman, & Reeves, 2009).…”

Section: Introductionmentioning

confidence: 98%

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Interdisciplinary Collaboration in Gerontology and Geriatrics in Latin America: Conceptual Approaches and Health Care Teams

Gómez

Curcio

2013

Gerontology & Geriatrics Education

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The underlying rationale to support interdisciplinary collaboration in geriatrics and gerontology is based on the complexity of elderly care. The most important characteristic about interdisciplinary health care teams for older people in Latin America is their subjective-basis framework. In other regions, teams are organized according to a theoretical knowledge basis with well-justified priorities, functions, and long-term goals, in Latin America teams are arranged according to subjective interests on solving their problems. Three distinct approaches of interdisciplinary collaboration in gerontology are proposed. The first approach is grounded in the scientific rationalism of European origin. Denominated "logical-rational approach," its core is to identify the significance of knowledge. The second approach is grounded in pragmatism and is more associated with a North American tradition. The core of this approach consists in enhancing the skills and competences of each participant; denominated "logical-instrumental approach." The third approach denominated "logical-subjective approach" has a Latin America origin. Its core consists in taking into account the internal and emotional dimensions of the team. These conceptual frameworks based in geographical contexts will permit establishing the differences and shared characteristics of interdisciplinary collaboration in geriatrics and gerontology to look for operational answers to solve the "complex problems" of older adults.

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“…4,5 Health care reform will require new strategies for optimally treating complex patients. Herein, we report our experience in designing and implementing interdisciplinary care 6 for dermatitis at the Department of Dermatology, University Hospitals of Cleveland Case Medical Center, Cleveland, Ohio.…”

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confidence: 99%