Teamwork in Neurology: Perceptions of professionals

Authors

DOI:

https://doi.org/10.33448/rsd-v10i9.18050

Keywords:

Patient Care Team; Cooperative Behavior; Interprofessional Relations; Critical Care; Neurology.

Abstract

Objective: to identify the perceptions of teamwork according to professionals in a Neurology Unit. Methods: exploratory study with a qualitative approach. 44 health professionals from the Neurology unit of a public teaching hospital participated. Data collection took place through semi-structured interviews, audio-recorded, from August to November 2017, considering the research question: What do Neurology professionals think and how do they experience teamwork in that scenario? Data analysis followed Content Analysis, thematic modality, and was based on the theoretical framework of the health work process. Results: three thematic categories emerged: Work process agents; Non-material instruments of the work process in Neurology; and Management: coordination and leadership. The thematic categories revealed the professionals' perceptions about teamwork, as well as its facilitators and obstacles, in the neurology unit. Final Considerations: interprofessional relationships based on complementarity, knowledge exchange, effective articulation, and leadership facilitate teamwork and contribute to the quality of health care.

Author Biographies

Pedro César Condeles, Universidade Federal do Triângulo Mineiro

Universidade Federal do Triângulo Mineiro. Uberaba, MG, Brasil.

Lharissa Cristina Mateus, Universidade Federal do Triângulo Mineiro

Universidade Federal do Triângulo Mineiro. Uberaba, MG, Brasil.

Letícia Gabriela de Ameida Noce, Universidade Federal de Uberlândia

Universidade Federal de Uberlância. Uberlândia, MG, Brasil.

Carolina Feliciana Bracarense, Prefeitura Municipal de Uberaba

Secretaria Municipal de Saúde/Prefeitura Municipal de Uberaba. Uberaba, MG, Brasil.

Jéssica Fernanda Marcelina Fernandes Ferreira, Universidade Federal do Triângulo Mineiro

Universidade Federal do Triângulo Mineiro. Uberaba, MG, Brasil.

Bibiane Dias Miranda Parreira, Universidade Federal do Triângulo Mineiro

Universidade Federal do Triângulo Mineiro. Uberaba, MG, Brasil.

Bethania Ferreira Goulart, Universidade Federal do Triângulo Mineiro

Universidade Federal do Triângulo Mineiro. Uberaba, MG, Brasil.

References

Arruda, P. L., Xavier, R. O., Lira, G. G., Arruda, R. G., Melo, R. A., & Fernandes, F. E. C. V. (2019). Clinical evolution and survival of neurocritical patients. Revista da Escola de Enfermagem da USP, 53, e03505.

Baird, J., Ashland, M., & Rosenbluth, G. (2019). Interprofessional teams current trends and future directions. Pediatric Clinics of North America, 66(4,) 739-750.

Barros, N. F., Spadacio, C., & Costa, M. V. (2018). Interprofessional work in Integrative and Complementary Practices in the context of Primary Health Care: potentials and challenges. Saúde em Debate, 42(Spe 1), 163-173.

Bragadóttir, H., Kalisch, B. J., & Tryggvadóttir, G. B. (2017). Correlates and predictors of missed nursing care in hospitals. Journal of Clinical Nursing, 26(11-12), 1524-1534.

Carney, P. A., Thayer, E. K., Palmer, R., Galper, A. B., Zierler, B., & Eiff, M. P. (2019). The benefits of interprofessional learning and teamwork in primary care ambulatory training settings. Journal of Interprofessional Education & Practice, 15, 119-126.

Dariel, O. P. D., & Cristofalo, P. (2018). A meta-ethnographic review of interprofessional teamwork in hospitals: what it is and why it doesn’t happen more often. Journal of Health Services Research & Policy, 23(4), 272-279.

Ervin, J. N., Kahn, J. M., Cohen, T. R., & Weingart, L. R. (2018). Teamwork in the Intensive Care Unit. The American Psychologist, 73(4), 468-477.

Escalda, P., & Parreira, C. M. S. F. (2018). Dimensions of interprofessional work and of collaborative practices developed at a primary care unit by a Family Health team. Interface - Comunicação, Saúde e Educação, 22(Suppl 2), 1717-1727.

Ferreira, V. H. S., Teixeira, V. M., Giacomini, M. A., Alves, L. R., Gleriano, J. S., & Chaves, L. D. P. (2019). Contributions and challenges of hospital nursing management: scientific evidence. Revista Gaúcha de Enfermagem, 40, e20180291.

Fiscella, K., Mauksch, L., Bodenheimer, T., & Salas, E. (2017). Improving Care Teams Functioning Recommendations from Team Science. The Joint Commission Journal on Quality and Patient Safety, 43(7), 361-368.

Fox, L., Onders, R., Hermansen-Kobulnicky, C. J., Nguyen, T., Myran, L., Linn, B., & Hornecker, J. (2017). Teaching interprofessional teamwork skills to health professional students: a scoping review. Journal of Interprofessional Care, 32(2), 127-135.

Franz, S., Muser, J., Thielhorn, U., Wallesch, C. W., & Behrens, J. (2018). Inter-professional communication and interaction in the neurological rehabilitation team: a literature review. Disability and Rehabilility, 42(11), 1607-1615.

Gleddie, M., Stahlke, S., & Paul, P. (2018). Nurses’ perceptions of the dynamics and impacts of teamwork with physicians in labour and delivery. Journal of Interprofessional Care, 01-11.

Golom, F. D., Schreck, J. S. (2018). The journey to interprofessional collaborative practice are we there yet?. Pediatric Clinics of North America, 64(1), 1-12.

Gonçalves, R. B. M. (1992). Práticas de saúde: processos de trabalho e necessidades. São Paulo: CEFOR.

Im, D., & Aaronson, E. (2020). Best Practices in Patient Safety and Communication. Emergency Medicine Clinics of North America, 38(3), 693-703.

Kendall-Gallagher, D., Reeves, S., Alexanian, J. A., & Kitto, S. (2017). A nursing perspective of interprofessional work in critical care: findings from a secondary analysis. Journal of Critical Care, 38, 20-26.

Minayo, M. C. S., Deslandes, S. F., & Gomes, R. (2016). Pesquisa social: teoria, método e criatividade. Petrópolis: Vozes.

Peduzzi, M., & Agreli, H. F. (2018). Teamwork and collaborative practice in Primary Health Care. Interface - Comunicação, Saúde e Educação, 22(Suppl 2), 1525-1534.

Peduzzi, M., Agreli, H. L. F., Silva, J. A. M., & Souza, H. S. (2020). Teamwork: revisiting the concept and its developments in inter-professional work. Trabalho, Educação e Saúde, 18(Suppl 1), e0024678.

Peduzzi, M., Aguiar, C., Lima, A. M. V., Montanari, P. M., Leonello, V. M., & Oliveira, M. R. (2019). Expansion of the interprofessional clinical practice of Primary Care nurses. Revista Brasileira de Enfermagem, 72(Suppl 1), 114-121.

Peruzzo, H. E., Bega, A. G., Lopes, A. P. A. T., Haddad, M. C. F. L., Peres, A. M., & Marcon, S. S. (2018). The challenges of teamwork in the family health strategy. Escola Anna Nery Revista de Enfermagem, 22(4), 1-9.

Purvis, T. L., & Saylor, D. (2019). Burnout and resilience among neurosciences critical care unit staff. Neurocritical Care, 31(2), 406-410.

Rosen, M. A., Diaz Granados, D., Dietz, A. S., Benishek, L. E., Thompson, D., Pronovost, P. J., & Weaver, S. (2018). Teamwork in healthcare: key discoveries enabling safer, high-quality care. The American Psychologist, 73(4), 433-450.

Rydenfält, C., Borell, J., & Erlingsdottir, G. (2019). What do doctors mean when they talk about teamwork? possible implications for interprofessional care. Journal of Interprofessional Care, 33(6), 714-723.

Schwartz, M. E., Welsh, D. E., Paull, D. E., Knowles, R. S., DeLeeuw, L. D., Hemphill, R. R., Essen, K. W., & Sculli, G. (2018). The effects of crewresource management on teamworkandsafetyclimateatVeterans Health Administration facilities. Journal of Healthcare Risk Management, 38(1), 17-37.

Thiagarajan, P., & McKimm, J. (2019). Mapping transactional analysis to clinical leadership models. British Journal of Hospital Medicine, 80(10), 600-604.

Tong, A., Sainsbury, P., & Craig, J. (2007). Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care, 19(6), 349-357.

van Dongen, J. J. J., Lenzen, S. A., Bokhoven, M. A., Daniels, R., Weijden, T. V. D., & Beurskens, A. (2016). Interprofessional colaboration regarding patientes care plans in primary care: a focus grup study into influential factors. BMC Family Practice, 17, 58.

Walton, V., Hodgen, A., Long, J. C., Johnson, J., & Greenfield, D. (2020). Exploring interdisciplinary team work to support effective ward rounds. International Journal for Quality in Health Care Assurance, 33(4-5), 373-387.

Whitehair, L., Hurley, J., & Provost, S. Envisioning successful teamwork: An exploratory qualitative study of team processes used by nursing teams in a paediatric hospital unit. Journal of Clinical Nursing, 27(23-24), 4257-4269.

Published

25/07/2021

How to Cite

CONDELES, P. C. .; MATEUS, L. C.; NOCE, L. G. de A. .; BRACARENSE, C. F.; FERREIRA, J. F. M. F.; PARREIRA, B. D. M. .; GOULART, B. F. Teamwork in Neurology: Perceptions of professionals. Research, Society and Development, [S. l.], v. 10, n. 9, p. e27410918050, 2021. DOI: 10.33448/rsd-v10i9.18050. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/18050. Acesso em: 23 sep. 2021.

Issue

Section

Health Sciences