EFFECTIVENESS OF MULTIDISCIPLINARY TEAM MEMBERS IN A COMPLEX, HIGH-RISK, AND STRESSFUL CRITICAL CARE UNIT (CCU)
DOI : 10.24269/ijhs.v4i2.2129
Background: Critical Care Unit (CCU) serves as the most complex unit of the health care sector. The performance of multi-disciplinary team members working in CCU is affected through various factors such as; ineffective leadership, lack of communication, inappropriate team structuring etc. This study aims to evaluate the performance effectiveness of multidisciplinary team members working in the complex, risky and stressful environment of the critical care unit of Alansar General Hospital (AGH). Methods: A descriptive correlational study design is used. Data were collected through a structured questionnaire provided to a sample of 56 nurses working in CCU. Results: Findings indicated that the team working in CCU face problems due to ineffective conflict handling. Competent leadership is effective in providing appropriate team structure. Also, communication between team members helps in making useful decisions by using the knowledge gained through team communication. Conclusion: Multidisciplinary teams must be provided effective training to promote quality communication, knowledge sharing, and proper team structuring to improve quality of health care.
- E. G. Liberati, M. Gorli, and G. Scaratti, “Invisible walls within multidisciplinary teams: disciplinary boundaries and their effects on integrated care,” Soc. Sci. Med., vol. 150, pp. 31–39, 2016.
- Z. Fanari, A. Barekatain, R. Kerzner, S. Hammami, W. S. Weintraub, and V. Maheshwari, “Impact of a multidisciplinary team approach including an intensivist on the outcomes of critically ill patients in the cardiac care unit,” in Mayo Clinic Proceedings, 2016, vol. 91, no. 12, pp. 1727–1734.
- S. Scholtz, E. W. Nel, M. Poggenpoel, and C. P. H. Myburgh, “The culture of nurses in a critical care unit,” Glob. Qual. Nurs. Res., vol. 3, p. 2333393615625996, 2016.
- B. T. Wessman, C. Sona, and M. Schallom, “Improving caregivers’ perceptions regarding patient goals of care/end-of-life issues for the multidisciplinary critical care team,” J. Intensive Care Med., vol. 32, no. 1, pp. 68–76, 2017.
- S. M. Fernando et al., “Monitoring intensive care unit performance—impact of a novel individualised performance scorecard in critical care medicine: a mixed-methods study protocol,” BMJ Open, vol. 8, no. 1, p. e019165, 2018.
- J. Richardson, M. A. West, and B. H. Cuthbertson, “Team working in intensive care: current evidence and future endeavors,” Curr. Opin. Crit. Care, vol. 16, no. 6, pp. 643–648, 2010.
- L. Nelsey and S. Brownie, “Effective leadership, teamwork and mentoring--Essential elements in promoting generational cohesion in the nursing workforce and retaining nurses,” Collegian, vol. 19, no. 4, pp. 197–202, 2012.
- V. Brunette and N. Thibodeau-Jarry, “Simulation as a tool to ensure competency and quality of care in the cardiac critical care unit,” Can. J. Cardiol., vol. 33, no. 1, pp. 119–127, 2017.
- A. Rochon, “Teamwork and staffing in an acute care hospital,” Laurentian University of Sudbury, 2014.
- D. Siassakos et al., “Attitudes toward safety and teamwork in a maternity unit with embedded team training,” Am. J. Med. Qual., vol. 26, no. 2, pp. 132–137, 2011.
- J. N. Katz et al., “The genesis, maturation, and future of critical care cardiology,” J. Am. Coll. Cardiol., vol. 68, no. 1, pp. 67–79, 2016.
- C. Lui and G. Whitman, “Cardiac Intensive Care Units: What Should Be the Standard of Care?,” in Seminars in thoracic and cardiovascular surgery, 2019, vol. 31, no. 1, pp. 7–10.
- M. Murphy, K. Curtis, and A. McCloughen, “What is the impact of multidisciplinary team simulation training on team performance and efficiency of patient care? An integrative review,” Australas. Emerg. Nurs. J., vol. 19, no. 1, pp. 44–53, 2016.
- J. N. Ervin, J. M. Kahn, T. R. Cohen, and L. R. Weingart, “Teamwork in the intensive care unit.,” Am. Psychol., vol. 73, no. 4, p. 468, 2018.
- A. L. Marini, R. Khan, and S. Mundekkadan, “Multifaceted bundle interventions shown effective in reducing VAP rates in our multidisciplinary ICUs,” BMJ Open Qual., vol. 5, no. 1, pp. u205566--w2278, 2016.
- J. E. Porter, R. P. Cant, and S. J. Cooper, “Rating teams’ non-technical skills in the emergency department: A qualitative study of nurses’ experience,” Int. Emerg. Nurs., vol. 38, pp. 15–20, 2018.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.