1. Interprofessional Team Collaboration and Work Environment Health in 68 US Intensive Care Units.
- Author
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Pun, Brenda T., Jun, Jin, Tan, Alai, Byrum, Diane, Mion, Lorraine, Vasilevskis, Eduard E., Ely, E. Wesley, and Balas, Michele
- Subjects
TEAMS in the workplace ,WORK environment ,INTENSIVE care units ,OCCUPATIONAL achievement ,ATTITUDES of medical personnel ,CROSS-sectional method ,CONTINUING education units ,SURVEYS ,INTERPROFESSIONAL relations ,QUALITY assurance ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,DECISION making ,RESEARCH funding - Abstract
Background: Safe, reliable, high-quality critical care delivery depends upon interprofessional teamwork. Objective: To describe perceptions of intensive care unit (ICU) teamwork and healthy work environments and evaluate whether perceptions vary by profession. Methods: In August 2015, Assessment of Interprofessional Team Collaboration Scale (AITCS) and the American Association of Critical-Care Nurses Healthy Work Environment Assessment Tool (HWEAT) surveys were distributed to all interprofessional members at the 68 ICUs participating in the ICU Liberation Collaborative. Overall scores range from 1 (needs improvement) to 5 (excellent). Results: Most of the 3586 surveys completed were from registered nurses (51.2%), followed by respiratory therapists (17.8%), attending physicians (10.5%), rehabilitation therapists (8.3%), pharmacists (4.9%), nursing assistants (3.1%), and physician trainees (4.1%). Overall, respondents rated teamwork and work environment health favorably (mean [SD] scores: AITCS, 3.92 [0.64]; HWEAT, 3.45 [0.79]). The highest-rated AITCS domain was "partnership/shared decision-making" (mean [SD], 4.00 [0.63); lowest, "coordination" (3.67 [0.80]). The highest-scoring HWEAT standard was "effective decision-making" (mean [SD], 3.60 [0.79]); lowest, "meaningful recognition" (3.30 [0.92]). Compared with attending physicians (mean [SD] scores: AITCS, 3.99 [0.54]; HWEAT, 3.48 [0.70]), AITCS scores were lower for registered nurses (3.91 [0.62]), respiratory therapists (3.86 [0.76]), rehabilitation therapists (3.84 [0.65]), and pharmacists (3.83 [0.55]), and HWEAT scores were lower for respiratory therapists (3.38 [0.86]) (all P ≤.05). Conclusions: Teamwork and work environment health were rated by ICU team members as good but not excellent. Care coordination and meaningful recognition can be improved. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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