Evidence map›Paper›PMID 38097232›Full record

Observational studyBMJ open2023

Defining conditions for effective interdisciplinary care team communication in an open surgical intensive care unit: a qualitative study.

Carmen M Diaz, Abahuje Egide, Andrew Berry, Miriam Rafferty, Ali Amro, Kaithlyn Tesorero, Michael Shapiro, Bona Ko, Whitney Jones, John D Slocum and 2 more

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Observational
  2. Review
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Carmen M DiazNorthwestern University, Evanston, Illinois, USA.
Abahuje EgideDepartment of Surgery, Northwestern University, Evanston, Illinois, USA.
Andrew BerryDepartment of Medical Social Sciences, Northwestern University, Evanston, Illinois, USA.ORCID 0000-0002-3167-4716
Miriam Rafferty19th floor Strength+Endurance AbilityLab, Shirley Ryan AbilityLab, Chicago, Illinois, USA.
Ali AmroDepartment of Surgery, Northwestern University, Evanston, Illinois, USA.
Kaithlyn TesoreroUniversity of Illinois Chicago, Chicago, Illinois, USA.
Michael ShapiroDepartment of Surgery, Northwestern University, Evanston, Illinois, USA.
Bona KoDepartment of Surgery, Northwestern University, Evanston, Illinois, USA.
Whitney JonesDepartment of Surgery, Northwestern University, Evanston, Illinois, USA.
John D SlocumDepartment of Surgery, Northwestern University, Evanston, Illinois, USA.
Julie JohnsonDepartment of Surgery, Northwestern University, Evanston, Illinois, USA.
Anne Madeleine SteyDepartment of Surgery, Northwestern University, Evanston, Illinois, USA as013j@gmail.com.ORCID 0000-0002-8334-0304

Funding

Northwestern University Minority Health and Health Disparities Research Training (NU-MHRT)T37MD014248 · NIMHD · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SIMON, MELISSA A. · 2019 to 2023
$1.4M
Timeliness of Management of Trauma Related Hemorrhage and Trauma Related CoagulopathyK23HL157832 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI STEY, ANNE M · 2021 to 2025
$929k
NHLBI NIH HHS K23 HL157832NIMHD NIH HHS T37 MD014248
6 · The paper itself

Abstract

objectivePoor interdisciplinary care team communication has been associated with increased mortality. The study aimed to define conditions for effective interdisciplinary care team communication.

designAn observational cross-sectional qualitative study.

settingA surgical intensive care unit in a large, urban, academic referral medical centre.

participantsA total 6 interviews and 10 focus groups from February to June 2021 (N=33) were performed. Interdisciplinary clinicians who cared for critically ill patients were interviewed. Participants included intensivist, transplant, colorectal, vascular, surgical oncology, trauma faculty surgeons (n=10); emergency medicine, surgery, gynaecology, radiology physicians-in-training (n=6), advanced practice providers (n=5), nurses (n=7), fellows (n=1) and subspecialist clinicians such as respiratory therapists, pharmacists and dieticians (n=4). Audiorecorded content of interviews and focus groups were deidentified and transcribed verbatim. The study team iteratively generated the codebook. All transcripts were independently coded by two team members. PRIMARY OUTCOME: Conditions for effective interdisciplinary care team communication.

resultsWe identified five themes relating to conditions for effective interdisciplinary care team communication in our surgical intensive care unit setting: role definition, formal processes, informal communication pathways, hierarchical influences and psychological safety. Participants reported that clear role definition and standardised formal communication processes empowered clinicians to engage in discussions that mitigated hierarchy and facilitated psychological safety.

conclusionsStandardising communication and creating defined roles in formal processes can promote effective interdisciplinary care team communication by fostering psychological safety.

Indexed as

Interdisciplinary CommunicationPatient Care TeamCommunicationCritical CareCross-Sectional StudiesHumansIntensive Care UnitsQualitative Researchadult intensive & critical careclinical reasoningemotional intelligencehealth services administration & managementinterprofessional relationsorganisational development

Identifiers

PMID38097232
PMCPMC10729088

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.