Facilitators of an Interprofessional Approach to Care in Medical and Mixed Medical/Surgical ICUs: A Multicenter Qualitative Study

Research in Nursing and Health

Volumn 37, Issue 4, 2014, Pages 326-335

  Costa, Deena Kelly ^a   Barg, Frances K ^b   Asch, David A ^b,c   Kahn, Jeremy M ^a  

^a UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

^c VETERANS AFFAIRS MEDICAL CENTER   (United States)

Author keywords

Collaboration; Communication; Critical care; Health care delivery; Hospital institutional environment; Interprofessional care

Indexed keywords

ADULT; ARTICLE; COLLABORATION; COOPERATION; FEMALE; HEALTH CARE DELIVERY; HEALTH PERSONNEL ATTITUDE; HOSPITAL/INSTITUTIONAL ENVIRONMENT; HUMAN; INTENSIVE CARE; INTENSIVE CARE UNIT; INTERPERSONAL COMMUNICATION; INTERPROFESSIONAL CARE; MALE; MEDICAL STAFF; METHODOLOGY; MULTICENTER STUDY; ORGANIZATION AND MANAGEMENT; PSYCHOLOGICAL ASPECT; PUBLIC RELATIONS; QUALITATIVE RESEARCH;

COLLABORATION; COMMUNICATION; CRITICAL CARE; HEALTH CARE DELIVERY; HOSPITAL/INSTITUTIONAL ENVIRONMENT; INTERPROFESSIONAL CARE;

ADULT; ATTITUDE OF HEALTH PERSONNEL; COOPERATIVE BEHAVIOR; DELIVERY OF HEALTH CARE; FEMALE; HUMANS; INTENSIVE CARE UNITS; INTERPROFESSIONAL RELATIONS; MALE; MEDICAL STAFF, HOSPITAL; QUALITATIVE RESEARCH;

EID: 84906962997     PISSN: 01606891     EISSN: 1098240X     Source Type: Journal    
DOI: 10.1002/nur.21607     Document Type: Article

References (46)

1. Baggs, J. G., & Schmitt, M. H. (1997). Nurses' and resident physicians' perceptions of the process of collaboration in an MICU. Research in Nursing & Health, 20, 71-80. doi: 10.1002/(SICI)1098-240X(199702)20:1<71:AID-NUR8>3.0.CO;2-R
2. Baggs, J. G., Schmitt, M. H., Mushlin, A. I., Eldredge, D. H., Oakes, D., & Hutson, A. D. (1997). Nurse-physician collaboration and satisfaction with the decision-making process in three critical care units. American Journal of Critical Care, 6, 393-399.
3. Baggs, J. G., Schmitt, M. H., Mushlin, A. I., Mitchell, P. H., Eldredge, D. H., Oakes, D., & Hutson, A. D. (1999). Association between nurse-physician collaboration and patient outcomes in three intensive care units. Critical Care Medicine, 27, 1991-1998. Retrieved from http://journals.lww.com/ccmjournal/toc/1999/09000
4. Bernard, H. (2000). Social research methods: Qualitative and quantitative approaches. Thousand Oaks, CA: SAGE Publications.
5. Burns, S. M., Earven, S., Fisher, C., Lewis, R., Merrell, P., Schubart, J. R., ... Bleck, T. P. (2003). Implementation of an institutional program to improve clinical and financial outcomes of mechanically ventilated patients: One-year outcomes and lessons learned. Critical Care Medicine, 31, 2752-2763. doi: 10.1097/01.CCM.0000094217.07170.75
6. Collaboration. (n.d.). Merriam-Webster's online dictionary (14th ed.). Retrieved from http://www.merriam-webster.com/dictionary/collaboration
7. Cook, D. J., Meade, M. O., Hand, L. E., & McMullin, J. P. (2002). Toward understanding evidence uptake: Semirecumbency for pneumonia prevention. Critical Care Medicine, 30, 1472-1477. Retrieved from http://journals.lww.com/ccmjournal/toc/2002/07000
8. Cooke, C. R., Watkins, T. R., Kahn, J. M., Treggiari, M. M., Caldwell, E., Hudson, L. D., & Rubenfeld, G. D. (2008). The effect of an intensive care unit staffing model on tidal volume in patients with acute lung injury. Critical Care, 12, R134. doi: 10.1186/cc7105
9. Curtis, J. R. A., Cook, D. J. B., Wall, R. J. A., Angus, D. C. C., Bion, J. D., Kacmarek, R. E., ... Puntillo, K. J. (2006). Intensive care unit quality improvement: A "how-to" guide for the interdisciplinary team. Critical Care Medicine, 34, 211-218. doi: 10.1097/01.CCM.0000190617.76104.AC
10. Ely, E. W., Baker, A. M., Dunagan, D. P., Burke, H. L., Smith, A. C., Kelly, P. T., ... Haponik, E. F. (1996). Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. The New England Journal of Medicine, 335, 1864-1869. doi: 10.1056/NEJM199612193352502
11. Ely, E. W., Meade, M. O., Haponik, E. F., Kollef, M. H., Cook, D. J., Guyatt, G. H., & Stoller, J. K. (2001). Mechanical ventilator weaning protocols driven by nonphysician health-care professionals: Evidence-based clinical practice guidelines. Chest, 120, 454S-463S. doi: 10.1378/chest.120.6_suppl.454S
12. Fairman, J. A., & Lynaugh, J. E. (1998). Critical care nursing: A history. Philadelphia, PA: University of Pennsylvania Press.
13. Garland, A. (2005). Improving the ICU: Part 1. Chest, 127, 2151-2164.
14. Gattinoni, L., Tognoni, G., Pesenti, A., Taccone, P., Mascheroni, D., Labarta, V., ... Latini, R. (2001). Effect of prone positioning on the survival of patients with acute respiratory failure. New England Journal of Medicine, 345, 568-573. doi: 10.1056/NEJMoa010043
15. Goodenough, W. (1994). Toward a working theory of culture. In R. Borofsky (Ed.), Assessing cultural anthropology (pp. 262-282). New York, NY: McGraw-Hill.
16. Goold, S. (2002). Trust, distrust and trustworthiness. Journal of General Internal Medicine, 17, 79-81. doi:
17. Groeger, J. S., Strosberg, M. A., Halpern, N. A., Raphaely, R. C., Kaye, W. E., Guntapalli, K. K., ... Davis, W. R. (1992). Descriptive analysis of critical care units in the United States. Critical Care Medicine, 20, 846-862.
18. Guest, G., MacQueen, K. M., & Namey, E. E. (2011). Applied thematic analysis. Thousand Oaks, CA: SAGE Publications.
19. Hackman, J.R. (1998). Why teams don't work. In R. S. Tindale, L. Heath, & J. Edwards (Eds.), Theory and research on small groups. (pp. 245-267). New York, NY: Plenum.
20. Kahn, J. M., Brake, H., & Steinberg, K. P. (2007). Intensivist physician staffing and the process of care in academic medical centres. Quality and Safety in Health Care, 16, 329-333. doi: 10.1136/qshc.2007.022376
21. Kaye, J., Ashline, V., Erickson, D., Zeiler, K., Gavigan, D., Gannon, L., ... Morton, J. (2000). Critical care bug team: A multidisciplinary team approach to reducing ventilator-associated pneumonia. American Journal of Infection Control, 28, 197-201. doi: dx.doi.org/10.1067/mic.2000.102794
22. Kelly, D. M., Kutney-Lee, A., McHugh, M. D., Sloane, D. M., & Aiken, L. H. (2014). Impact of critical care nursing on 30-day mortality of mechanically ventilated older adults. Critical Care Medicine, 42, 1089-1095. doi: 10.1097/CCM.0000000000000127
23. Kim, M. M., Barnato, A. E., Angus, D. C., Fleisher, L. A., & Kahn, J. M. (2010). The effect of multidisciplinary care teams on intensive care unit mortality. Archives of Internal Medicine, 170, 369-376. doi: 10.1001/archinternmed.2009.521
24. Koppel, R., Metlay, J. P., Cohen, A., Abaluck, B., Localio, A. R., Kimmel, S. E., & Strom, B. L. (2005). Role of computerized physician order entry systems in facilitating medication errors. The Journal of the American Medical Association, 293, 1197-1203. doi: 10.1001/jama.293.10.1197
25. Leape, L. L., Cullen, D. J., Clapp, M. D., Burdick, E., Demonaco, H. J., Erickson, J. I., & Bates, D. W. (1999). Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. The Journal of the American Medical Association, 282, 267-270. doi: 10.1001/jama.282.3.267
26. Levy, M. M., Rapoport, J., Lemeshow, S., Chalfin, D. B., Phillips, G., & Danis, M. (2008). Association between critical care physician management and patient mortality in the intensive care unit. Annals of Internal Medicine, 148, 801-809. doi: 10.7326/0003-4819-148-11-200806030-00002
27. Manthous, C. A., & Hollingshead, A. B. (2011). Team science and critical care. American Journal of Respiratory and Critical Care Medicine, 184, 17-25. doi: 10.1164/rccm.201101-0185CI
28. Piquette, D., Reeves, S., & Leblanc, V. R. (2009). Interprofessional intensive care unit team interactions and medical crises: A qualitative study. Journal of Interprofessional Care, 23, 273-285. doi: 10.1080/13561820802697818
29. Plsek, P. E., & Wilson, T. (2001). Complexity, leadership and management in healthcare organisations. BMJ, 323, 746-749. doi: 1-/1136/bmj.323.7315.746
30. Pronovost, P. J., Angus, D. C., Dorman, T., Robinson, K. A., Dremsizov, T. T., & Young, T. L. (2002). Physician staffing patterns and clinical outcomes in critically ill patients: A systematic review. The Journal of the American Medical Association, 288, 2151-2162. doi: 10.1001/jama.288.17.2151
31. Pronovost, P., Needham, D., Berenholtz, S., Sinopoli, D., Chu, H., Cosgrove, S., ... Goeschel, C. (2006). An intervention to decrease catheter-related bloodstream infections in the ICU. The New England Journal of Medicine, 355, 2725-2732. doi: 10.1056/NEJMoa061115
32. Reeves, S., Lewin, S., Espin, S., & Zwarenstein, M. (2010). Interprofessional teamwork for health and social care. West Sussex, UK: John Wiley & Sons.
33. Rose, L. (2011). Interprofessional collaboration in the ICU: How to define? Nursing in Critical Care, 16, 5-10. doi: 10.1111/j.1478-5153.2010.00398.x
34. Salas, E., Sims, D. E., & Burke, C. S. (2005). Is there a "big five" in teamwork? Small Group Research, 36, 555-599. doi: 10.1177/1046496405277134
35. Sandelowski, M. (1995). Sample size in qualitative research. Research in Nursing & Health, 18, 179-183. doi: 10.1002/nur.4770180211
36. Scott, T., Mannion, R., Davies, H., & Marshall, M. (2003). The quantitative measurement of organizational culture in health care: A review of the available instruments. Health Services Research, 38, 923-945. doi: 10.1111/1475-6773.00154
37. Sexton, J. B., Thomas, E. J., & Helmreich, R. L. (2002). Error, stress and teamwork in medicine and aviation: Cross-sectional surveys. British Medical Journal, 320, 745-749. Retrieved from http://www.jstor.org/stable/25187414
38. Sinuff, T., Cook, D. J., & Giacomini, M. (2007). How qualitative research can contribute to research in the intensive care unit. Journal of Critical Care, 22, 104-111. doi: 10.1016/j.jcrc.2007.03.001
39. Smyrnios, N. A., Connolly, A., Wilson, M. M., Curley, F. J., French, C. T., Heard, S. O., & Irwin, R. S. (2002). Effects of a multifaceted, multidisciplinary, hospital-wide quality improvement program on weaning from mechanical ventilation. Critical Care Medicine, 30, 1224-1230. doi: 10.1097/00003246-200206000-00009
40. The Acute Respiratory Distress Syndrome Network. (2000). Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and acute respiratory distress syndrome. New England Journal of Medicine, 342, 1301-1308. doi: 10.1056/NEJM200005043421801
41. Weiss, C. H., Moazed, F., McEvoy, C. A., Singer, B. D., Szleifer, I., Amaral, L. A. N., ... Wunderink, R. G. (2011). Prompting physicians to address a daily checklist and process of care and clinical outcomes: A single-site study. American Journal of Respiratory and Critical Care Medicine, 184, 680-686. doi: 10.1164/rccm.201101-0037OC
42. Young, M. P., Gooder, V. J., Oltermann, M. H., Bohman, C. B., French, T. K., & James, B. C. (1998). The impact of a multidisciplinary approach on caring for ventilator-dependent patients. International Journal of Quality in Health Care, 10, 15-26. doi: 10.1093/intqhc/10.1.15
43. Zimmerman, J. E., Shortell, S. M., Rousseau, D. M., Duffy, J., Gillies, R. R., Knaus, W. A., ... Draper, E. A. (1993). Improving intensive care: Observations based on organizational case studies in nine intensive care units: A prospective, multicenter study. Critical Care Medicine, 21, 1443-1451.
44. Zwarenstein, M., Goldman, J., & Reeves, S. (2009). Interprofessional collaboration: Effects of practice-based interventions on professional practice and healthcare outcomes (Review). The Cochrane Library, (3), doi: 10.1002/146518.CD000072.pub2
45. Zwarenstein, M., & Reeves, S. (2006). Knowledge translation and interprofessional collaboration: Where the rubber of evidence-based care hits the road of teamwork. The Journal of Continuing Education in the Health Professions, 26, 46-54. doi: 10.1002/chp.50
46. Zwarenstein, M., Rice, K., Gotlib-Conn, L., Kenaszchuk, C., & Reeves, S. (2013). Disengaged: A qualitative study of communication and collaboration between physicians and other professions on general internal medicine wards. BMC Health Services Research, 13, 494. doi: 10.1186/1472-6963-13-494