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Title: Interdisciplinary communication in the intensive care unit
Authors: Reader, Tom
Flin, Rhona
Mearns, Kathryn
Cuthbertson, Brian
University of Aberdeen, School of Psychology, Psychology
University of Aberdeen, School of Medicine & Dentistry, Division of Applied Health Sciences
Keywords: Intensive Care Units
Interdisciplinary Communication
intensive care
organization and administration
patient care planning
patient care team
safety management
Issue Date: Mar-2007
Publisher: OUP
Citation: Reader, T.W., Flin, R. Mearns, K., and Cuthberston, B.H. (2007). Interdisciplinary communication in the intensive care unit. British Journal of Anaesthesia [Online], 98, pp.347-352. Available from:http://bja.oxfordjournals.org/content/vol98/issue3/index.dtl [Accessed 10 April 2008]
Abstract: BACKGROUND: Patient safety research has shown poor communication among intensive care unit (ICU) nurses and doctors to be a common causal factor underlying critical incidents in intensive care. This study examines whether ICU doctors and nurses have a shared perception of interdisciplinary communication in the UK ICU. METHODS: Cross-sectional survey of ICU nurses and doctors in four UK hospitals using a previously established measure of ICU interdisciplinary collaboration. RESULTS: A sample of 48 doctors and 136 nurses (47% response rate) from four ICUs responded to the survey. Nurses and doctors were found to have differing perceptions of interdisciplinary communication, with nurses reporting lower levels of communication openness between nurses and doctors. Compared with senior doctors, trainee doctors also reported lower levels of communication openness between doctors. A regression path analysis revealed that communication openness among ICU team members predicted the degree to which individuals reported understanding their patient care goals (adjR2 = 0.17). It also showed that perceptions of the quality of unit leadership predicted open communication. CONCLUSIONS: Members of ICU teams have divergent perceptions of their communication with one another. Communication openness among team members is also associated with the degree to which they understand patient care goals. It is necessary to create an atmosphere where team members feel they can communicate openly without fear of reprisal or embarrassment.
URI: http://hdl.handle.net/2164/199
DOI: http://dx.doi.org/10.1093/BJA/AEL372
ISSN: 1471-6771
Rights: This is a pre-copy-editing, author-produced PDF of an article accepted for publication in British Journal of Anaesthesia following peer review. The definitive publisher-authenticated version Reader, T., Flin, R., Mearns, KJ. & Cuthbertson, B. (2007). 'Interdisciplinary communicaton in the intensive care unit.' British Journal of Anaesthesia 98(3) pp. 347-352 is available online at: http://dx.doi.org/10.1093/BJA/AEL372.
Appears in Collections:Psychology research
Applied Health Sciences research
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