The Influence of Visibility on Medical Teamwork in Emergency Departments: A Mixed-Methods Study

Gharaveis, Arsalan; Pati, Debajyoti; Hamilton, D. Kirk; Shepley, Mardelle McCuskey; Rodiek, Susan; Najarian, Mohammad

doi:10.1177/1937586719885376

Cited by 8 publications

(10 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Also, the findings were supported by other qualitative studies (Gharaveis, A., Hamilton, D. K., et al, 2019; Gharaveis et al, 2019). Recently, a group of authors (Gharaveis, A., Pati, D., et al, 2020) investigated the impact of visibility on teamwork in a mixed-methods study and found some visibility values are associated with efficient teamwork. What has not been fully addressed in these studies is the magnitude of influence visibility has on communication.…”

Section: Significance Of the Studymentioning

confidence: 99%

The Correlation Between Visibility and Medical Staff Collaborative Communication in Emergency Departments

Gharaveis

Pati

Hamilton

et al. 2020

HERD

Self Cite

View full text Add to dashboard Cite

Objectives: This study empirically investigates the correlation between visibility and nurses and physicians’ collaborative communication in emergency departments (EDs). The researchers hypothesized that higher visibility levels in EDs are associated with higher collaborative communication among nurses and physicians. Background: The review of related literature addresses the role of communication in EDs, and more specifically, how visibility has been found to affect nurse and physician behavior in healthcare facilities. Method: The visibility levels in four EDs within the same hospital system were quantitatively measured in this study. Also, the communication levels among medical staff were explored by two methods. Data collection included computerized floor plan analyses, observations, and surveys. Results: The researchers found statistically significant relationships between several underlying dimensions of ED visibility and collaborative communication among the medical staff members. Conclusion: Understanding the role of visibility provides a critical design principle for future EDs. The enhancement of ED design helps nurses and physicians to benefit from supportive environments.

show abstract

Section: Significance Of the Studymentioning

confidence: 99%

The Correlation Between Visibility and Medical Staff Collaborative Communication in Emergency Departments

Gharaveis

Pati

Hamilton

et al. 2020

HERD

Self Cite

View full text Add to dashboard Cite

show abstract

“…Collaboration is a multifaceted and complex measure. Other factors like central location of the physicians’ workstation in the unit (Gharaveis et al, 2018), staff-staff visibility (Gharaveis et al, 2020), and proximity to the nursing stations (Weaver et al, 2017) may impact collaborative communication. One reason for insignificant results may be the use of a collaboration scale not meant to study the effect of design.…”

Section: Discussionmentioning

confidence: 99%

“…Zamani (2018) reported that the lack of private spaces to have discussions with team members in the ED impacted team collaboration negatively. Factors like central location of the physicians’ workstation with increased visibility to and from the different locations on the unit (Gharaveis et al, 2018), increased staff-to-staff visibility (Gharaveis et al, 2020), and proximity to the nurse stations are other factors that positively impact collaboration in the ED. A longitudinal case study conducted at three hospitals in Australia examined three different workstation layouts—an open staff workstation with no structural barriers or glass windows, a semi-open staff workstation with glass windows and an open doorway, and a fully enclosed workstation with glass windows in the door (Gum et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Measuring Potential Visual Exposure of Physicians During Shift-End Handoffs and Its Impact on Interruptions, Privacy, and Collaboration

Joshi¹,

Ossmann

Joseph

2022

HERD

View full text Add to dashboard Cite

Background: Frequent interruptions, inadequate privacy, and lack of collaboration are barriers to safe and efficient end-of-shift handoffs between emergency physicians. Varying levels of visibility to and from physicians can impact these outcomes. This study quantifies potential visual exposure of physicians in workstations with varying enclosure levels using isovist connectivity (IC) as a measure. Further, this study examines the association of IC with number of interruptions/hour, perceived collaboration, and privacy during handoffs. Methods: In-person observations were conducted during 60 handoffs to capture interruptions. Surveys were administered to the incoming and outgoing physicians to garner their perceptions of the extent of interruptions, collaboration, and privacy. Spatial analysis was conducted using DepthmapX. Results: Findings demonstrate significant differences in IC scores based on (a) physicians location within the workstation during; (b) handoff approach (individual or collaborative); (c) position during handoff (sitting or standing). Documented interruptions were highest in the high IC locations and lowest in the medium and low IC locations. Physicians in low IC locations perceived to have sufficient privacy to conduct handoffs. Limitations and Conclusion: It should be noted that the three pods, each housing a physician workstation with different enclosure levels, varied in number of patient rooms, patient acuity, overall size, and the location of workstations. While contextual variables were considered to the extent possible, several other factors could have resulted in differences in number of interruptions and collaboration levels. This study provides design recommendations for handoff locations and a method to test emergency physician workstation designs prior to construction.

show abstract

“…Holtrop et al (2016) [29] introduce using MMR in the case of health services research to examine the potential for innovations in MMR procedures and to illustrate these points through a project on care management that used a convergent mixed methods design. Gharaveis et al (2019) [30] apply the mixed methods study to deliver empirical evidence on the influence of visibility on healthcare teamwork in Emergency Departments. Bakon & Millichamp (2017) [31] in the regional Australian hospital environment based on mixed methods, research the handover process and conclude that to deliver an optimal nursing handover from the emergency department to various wards, handovers should be structured and provide standardized content.…”

Section: -Theoretical Backgroundmentioning

confidence: 99%

Study on the Impacts of Emergency on Economic, Environmental and Social Areas Using Mixed Methods Research

et al. 2022

View full text Add to dashboard Cite

Mixed methods research methodology appears to be a suitable approach for researching complex phenomena such as emergencies. Researchers study the impacts on different areas such as economy, society, or environment, mostly in separate studies. To better understand the reality of emergencies, it is necessary to study the problem in the broadest possible context. So, examining those impacts in one single study is a challenge. The objective of this article is to process a comprehensive assessment of an emergency that has the potential to establish the basis of a robust tool for public managers to support their decision-making, using mixed methods research methodology. The crisis is an explosion of an ammunition storage site in the Czech Republic - the former satellite country of the Soviet Union. The sub-methods used in mixed methods research are analysis of data, interviews, questionnaire surveys, and field research. The main findings include that in the economic area, growth of public budget expenditures was found; in the environmental area, primary and inducted impacts have been proved. Survey also confirms that the emergency reduced the personal sense of security and trust in public institutions in the affected community. Doi: 10.28991/ESJ-2022-06-01-07 Full Text: PDF

show abstract

The Influence of Visibility on Medical Teamwork in Emergency Departments: A Mixed-Methods Study

Cited by 8 publications

References 51 publications

The Correlation Between Visibility and Medical Staff Collaborative Communication in Emergency Departments

The Correlation Between Visibility and Medical Staff Collaborative Communication in Emergency Departments

Measuring Potential Visual Exposure of Physicians During Shift-End Handoffs and Its Impact on Interruptions, Privacy, and Collaboration

Study on the Impacts of Emergency on Economic, Environmental and Social Areas Using Mixed Methods Research

Contact Info

Product

Resources

About