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Team performance in the emergency room: assessment of inter-disciplinary attitudes.

Abstract：

:In-hospital emergency medicine in central Europe relies on inter-disciplinary co-operation. To improve team performance in the emergency room (ER), a questionnaire for assessment of attitudes and judgements in resuscitation procedures was developed. A total of 43 items were evaluated according to a five-point Likert scale. With a response rate of 81%, 143 questionnaires were evaluated. Assessment of data was performed with regard to professional speciality and level in the medical hierarchy. Factorial analysis identified four main factors: Assessment of 'quality of performance' (F1), 'importance of structure' (F2), 'quality of team culture' (F3), and 'importance of hierarchy' (F4). Influences from the categories 'speciality' and 'hierarchy' and from the covariate 'gender' on these main factors were evaluated by two-factorial analysis of variance. For all four factors, 'speciality' produced significant differences. Surgeons accorded high values to F1 and low values to F2, whereas anaesthesiologists accorded low values to F1 and high values to F2. F3 showed a low ranking from within the ER nursing staff and the residents in internal medicine, whereas F4 received high scores by medical residents and staff members. For F1 and F3, there was a tendency towards hierarchy dependency, whereas no factor was influenced by gender. In conclusion, team performance in the ER is mainly influenced by different perceptions and attitudes of the different disciplines involved in the resuscitation process.

journal_name

Resuscitation

journal_title

Resuscitation

authors

Ummenhofer W,Amsler F,Sutter PM,Martina B,Martin J,Scheidegger D

doi

10.1016/s0300-9572(00)00304-x

keywords:

subject

Has Abstract

pub_date

2001-04-01 00:00:00

pages

39-46

issue

1

eissn

0300-9572

issn

1873-1570

pii

S0300-9572(00)00304-X

journal_volume

49

pub_type

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