Teamwork in Neurology: Perceptions of professionals
DOI:
https://doi.org/10.33448/rsd-v10i9.18050Keywords:
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.
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.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Pedro César Condeles; Lharissa Cristina Mateus; Letícia Gabriela de Ameida Noce; Carolina Feliciana Bracarense; Jéssica Fernanda Marcelina Fernandes Ferreira; Bibiane Dias Miranda Parreira; Bethania Ferreira Goulart
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.