What can acute medicine learn from qualitative methods?

Heasman, Brett; Reader, Tom W.

doi:10.1097/mcc.0000000000000234

Cited by 6 publications

(4 citation statements)

References 48 publications

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“…As such, observational approaches to MDM working are useful, feasible, and non-intrusive (i.e., do not intrude on patient time or add to team workload), providing an opportunity to perform out assessments in real-life setting and understand areas in which the MDMs are doing particularly well and those that need further improvement. Such approaches were developed on the backdrop of a growing tradition within health care for the use of observational evaluations of team skills and performance in both clinical environments, e.g., operating theaters, 37 intensive care units, 38 emergency departments, 39 and within simulated settings. 40 Overall, this is based on the premise that team assessment and feedback can help teams reflect on their own performance and improve their working.…”

Section: Overview Of Evidencementioning

confidence: 99%

Successful strategies in implementing a multidisciplinary team working in the care of patients with cancer: an overview and synthesis of the available literature

Soukup¹,

Lamb²,

Arora³

et al. 2018

JMDH

233

311

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In many health care systems globally, cancer care is driven by multidisciplinary cancer teams (MDTs). A large number of studies in the past few years and across different literature have been performed to better understand how these teams work and how they manage patient care. The aim of our literature review is to synthesize current scientific and clinical understanding on cancer MDTs and their organization; this, in turn, should provide an up-to-date summary of the current knowledge that those planning or leading cancer services can use as a guide for service implementation or improvement. We describe the characteristics of an effective MDT and factors that influence how these teams work. A range of factors pertaining to teamwork, availability of patient information, leadership, team and meeting management, and workload can affect how well MDTs are implemented within patient care. We also review how to assess and improve these teams. We present a range of instruments designed to be used with cancer MDTs – including observational tools, self-assessments, and checklists. We conclude with a practical outline of what appears to be the best practices to implement (Dos) and practices to avoid (Don’ts) when setting up MDT-driven cancer care.

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Section: Overview Of Evidencementioning

confidence: 99%

Successful strategies in implementing a multidisciplinary team working in the care of patients with cancer: an overview and synthesis of the available literature

Soukup¹,

Lamb²,

Arora³

et al. 2018

JMDH

233

311

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“…We believe that the scarcity of healthcare complaints does not necessarily determine the fulfillment of high quality or complete satisfaction. Complaint management requires engaged personnel to understand the opinions of the complainers, similar to qualitative methods in the healthcare studies, especially in acute medicine such as in the ICU setting [ 34 , 35 ]. To obtain more details and rationales for improvement, future prospective study of the combination of complaint interview and qualitative analysis is warranted.…”

Section: Discussionmentioning

confidence: 99%

Comparison of complaints to the intensive care units and those to the general wards: an analysis using the Healthcare Complaint Analysis Tool in an academic medical center in Taiwan

Jerng

Huang

et al. 2018

Crit Care

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BackgroundThe management of complaints in the setting of intensive care may provide opportunities to understand patient and family experiences and needs. However, there are limited reports on the structured application of complaint analysis tools and comparisons between healthcare complaints in the critical care setting and other settings.MethodsFrom the complaint management database of a university-affiliated medical center in Taiwan, we retrospectively identified the records of healthcare complaints to the intensive care units (ICUs) from 2008 to 2016. Complaints to the general wards in the same period were randomly selected from the database with twice the number of that of the ICU complaints. We coded, typed, and compared the complaints from the two settings according to the Healthcare Complaint Analysis Tool.ResultsWe identified 343 complaints to the ICUs and randomly selected 686 complaints to the general wards during the 9-year study period. Most (94.7%) of the complaints to the ICUs came from the family members, whereas more complaints to the general wards came from the patients (44.2%). A total of 1529 problems (441 from ICU and 818 from general wards) were identified. Compared with the general ward complaints, in the ICU there were more complaints with multiple problems (25.1% vs. 16.9%, p = 0.002), complaints were referred more frequently to the nurses (28.1% vs. 17.5%, p < 0.001), and they focused more commonly on the care on the ICU/ward (60.5% vs. 54.2%, p = 0.029). The proportions of the three domains (clinical, management, and relationship) of complaints were similar between the ICU and general ward complaints (p = 0.121). However, in the management domain, the problems from ICU complaints focused more on the environment than on the institutional processes (90.9% vs. 74.5%, p < 0.001), whereas in the relationship domain, the problems focused more on communication (17.9% vs. 8.0%) and less on listening (34.6% vs. 46.5%) (p = 0.002) than the general ward complaints.ConclusionsA structured typing and systematic analysis of the healthcare complaints to the ICUs may provide valuable insights into the improvement of care quality, especially to the perceptions of the ICU environment and communications of the patients and their families.Electronic supplementary materialThe online version of this article (10.1186/s13054-018-2271-y) contains supplementary material, which is available to authorized users.

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“…A qualitative approach with in-depth interviews was carried out to support the findings from the quantitative study. The concept of methodological triangulation was used whereby the quantitative design aided in providing a validated method to measure patient perceptions of doctor’s communication behaviour, whereas the qualitative design aided in gathering an in-depth understanding of patients’ experiences and expectations of communication with doctors [ 22 , 23 , 24 ].…”

Section: Methodsmentioning

confidence: 99%

Doctor–Patient Communication in Primary Health Care: A Mixed-Method Study in Fiji

Chandra

Mohammadnezhad

2021

IJERPH

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From a clinical perspective, effective and efficient communication is part of a strategy to ensure doctors are providing high-quality care to their patients. Despite the positive impact of effective doctor–patient communication on health outcomes, limited information is available on this in Fiji. This study was carried out to determine the current patients’ perception of doctors’ communication behaviour and identify factors affecting the doctor–patient communication in Fiji. This mixed-method study was conducted in the outpatient setting of three randomly selected health centres in the Suva Subdivision, Fiji. For the quantitative phase, systematic random sampling was used to select the 375 participants who completed the structured questionnaire; of those, 20 participants were selected for the qualitative interview. From the patients’ perception, 45.6% of them perceived doctors’ communication behaviour as good, 53.6% as fair, and 0.8% as poor communication behaviour. Qualitative findings highlight factors such as the attitude of the doctors, their approach, their interaction with the patients, and them providing an explanation as important factors during doctor–patient communication. In Fiji, the majority of patients perceived doctors’ communication behaviour as fair to good and the doctors’ skills were important for effective doctor–patient communication. This study highlighted the importance of doctor–patient communication and suggested that doctors might not be practicing patient-centred care and communication; thus, they need to upgrade their patient-centred communication skills.

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What can acute medicine learn from qualitative methods?

Cited by 6 publications

References 48 publications

Successful strategies in implementing a multidisciplinary team working in the care of patients with cancer: an overview and synthesis of the available literature

Successful strategies in implementing a multidisciplinary team working in the care of patients with cancer: an overview and synthesis of the available literature

Comparison of complaints to the intensive care units and those to the general wards: an analysis using the Healthcare Complaint Analysis Tool in an academic medical center in Taiwan

Doctor–Patient Communication in Primary Health Care: A Mixed-Method Study in Fiji

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