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医疗保健专业人员对产科护理中沟通和团队合作不良事件看法的定性评价
Author(s) -
Rönnerhag Maria,
Severinsson Elisabeth,
Haruna Megumi,
Berggren Ingela
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13864
Subject(s) - teamwork , thematic analysis , focus group , patient safety , nursing , health care , qualitative research , context (archaeology) , medicine , safety culture , preparedness , medical education , psychology , sociology , paleontology , social science , management , political science , anthropology , law , economics , biology , economic growth
Aim The aim of this study was to explore healthcare professionals’ (HCPs) perceptions of adverse events (AE) during childbirth with focus on communication and teamwork. Background Inadequate communication, a poor teamwork climate and insufficient team training are harmful to women. Reviews of reported AE can be used to develop a safety culture based on preparedness for preventing AE and strengthening patient safety (PS). Design Action research principles were used to facilitate the implementation and evaluation of this study. Methods An interprofessional team of HCPs comprising obstetricians, registered midwives and assistant nurses employed at a labour ward agreed to take part. Data were collected from multistage focus group interviews (March 2016–June 2016) and analysed by means of interpretative thematic analysis. Findings Two analytical themes based on five sub‐themes emerged; promoting interprofessional teamwork and building capabilities by involving HCPs and elucidating relevant strategies. The findings reveal the importance of facilitating relationships based on trust and respectful communication to ensure a safe environment and provide safe maternity care. Conclusion There is a need for formal and informal support for quality interprofessional teamwork. Research on PS may reduce AE related to miscommunication and poor teamwork. We recommend different forms of communication and teamwork training in interprofessional teams to increase the ability to provide feedback. Accumulated research is required for the evaluation of evidence‐based models in the PS context.