A nursing perspective of interprofessional work in critical care: Findings from a secondary analysis

Abstract

3 ABSTRACTPurpose: This paper presents a secondary analysis of nurse interviews from a two-year comparative ethnographic study exploring cultures of collaboration across intensive care units (ICU). Critically ill patients rely on their interprofessional healthcare team to communicate and problem-solve quickly to give patients the best outcome available. Critical care nurses function at the hub of patient care giving them a distinct perspective of how interprofessional interactions impact collaborative practice. Materials and Methods: Secondary analysis of a subset of primary qualitative data is appropriate when analysis extends rather than exceeds the primary study aim. Primary ethnographic data included 178 semi-structured interviews of ICU professionals from eight medical-surgical ICUs in North America; purposeful maximum variation sampling was used to accurately represent each profession. Fifteen anonymized ICU nurse interview transcripts were coded iteratively to identify emerging themes impacting interprofessional collaborative practice. Results: Findings suggest quality of interprofessional collaboration is a product of a multitude of factors occurring at multiple levels within the organization. Managerial and organizational factors related to ICU nurse training and staffing may impede development of nurses' interprofessional skills. Conclusion: Deliberative development of ICU nurses' interprofessional skills is essential if nursing to move from primary coordinator to active collaborator in patient management.

Association Between Workplace Bullying Occurrence and Trauma Symptoms Among Healthcare Professionals in Cyprus

“…job dissatisfaction, professional burnout, poor communication among colleagues, etc. ), or socio-demographic, educational and occupational characteristics in emergency and critical care nurses (Kendall-Gallagher et al, 2017;Vahedian-Azimi et al, 2019). Previous studies in ED nurses have shown that the majority of those who were bullied reported decreased productivity and declined ability to respond to cognitive demands, as well as to provide support, effective communication and safe care (Al-Ghabeesh and Qattom, 2019).…”

Profile of users receiving Speech-Language Therapy service at a Critical Patient Unit

“…This hospital service has mainly medical and nursing professionals, for the advanced treatment and to support people in life risk 4,5 . Speech-language therapy has been incorporated in the swallowing therapy [6][7][8] , linguistic-communicative therapy 9,10 and cognitive therapy 11,12 of critical patients, developing a role specifically as a rehabilitator in this context 13 .…”

Evaluación Económica Del Costo De Estadía Hospitalaria en Una Unidad De Paciente Crítico

“…La dotación médica (6) y de enfermería (11) cumplen un rol central en el manejo del usuario con riesgo vital y el apoyo de otras profesiones de la salud puede contribuir al proceso de alta de los usuarios y complejiza la provisión del servicio (6,12) . El hecho de que un paciente requiera de más días de hospitalización implica un mayor gasto por parte de los centros hospitalarios (13) y se vuelve relevante valorar los costos asociados a la mantención de un paciente hospitalizado en una UPC, examinando de forma paralela el ujo intrahospitalario, en lo concerniente a servicio de procedencia y tipo de diagnóstico.…”