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Inter-Professional Practice Survey: Factors enhancing collaborative obstetric care
Abstract Number: S-18
Abstract Type: Original Research
Introduction: Delivery of safe clinical care on a high-volume, high-risk obstetric unit hinges on effective & highly collaborative inter-professional (IP) practice. We assess the safety & teamwork climate survey data from a busy inpatient obstetric unit in order to gain deeper understanding of what factors 4 major collaborating IP groups think have promoted teamwork, which might inform further attempt to improve IP practice.
Methods: All obstetrics, anesthesiology, nursing, midwifery providers on a busy obstetric unit were asked to complete an anonymous survey (14 open-ended questions, 40 agreement statements, demographic data) evaluating perceptions of teamwork & safety. Data were analyzed after the 4-week survey period concluded. All three investigators coded answers independently, negotiated differences, and identified dominant themes. Analysis was facilitated by qualitative data management software (NVivo9, QRS Internat’l Pty Ltd). This analysis is limited to one question: “Describe at least one factor you think has enhanced your ability to work collaboratively with others.”
Results: Response rate: 122/254 (52%), including 21 partially completed surveys. Dominant themes identified: Communication [72 coded references], I-P Interface Opportunities ; Leadership ; Role Competence (awareness of & appreciation for other professions’ roles in team care) ; Esprit de Corps ; Personal Familiarity & Relationship Building ; Clinical Support ; Positive Attitudes & Behaviors (collegial; pleasant; receptive; open to ideas) ; Mentoring & Support for Learning .
Dominant communication subthemes included technological (personal cell phones carried by providers , OB Emergency Team [OBET] rapid response system ), content (i.e. care plan, debriefs, plan changes, orders) , and manner (direct, calm, proactive) . Respondents also cited specific IP interface opportunities (bedside report , IP board sign-out rounds ; debriefings ; shared work-spaces ).
Conclusions: Not surprisingly, communication was a leading teamwork enhancing factor cited by respondents.(ref) IP interface opportunities, communication technologies, and social, cultural, individual, and spatial factors, all unique to our unit, were viewed by many as important in promoting team knowledge & collaboration. These results will be used to inform initiatives to further enhance collaborative IP practice.
Ref: Manser T. Acta Anaesthesiol Scand 2009;53:143-51