Interdisciplinary team interactions: a qualitative study of perceptions of team function in simulated anaesthesia crises.

Abstract:

OBJECTIVES:We placed anaesthesia teams into a stressful environment in order to explore interactions between members of different professional groups and to investigate their perspectives on the impact of these interactions on team performance. METHODS:Ten anaesthetists, 5 nurses and 5 trained anaesthetic assistants each participated in 2 full-immersion simulations of critical events using a high-fidelity computerised patient simulator. Their perceptions of team interactions were explored through questionnaires and semi-structured interviews. Written questionnaire data and interview transcriptions were entered into N6 qualitative software. Data were analysed by 2 investigators for emerging themes and coded to produce reports on each theme. RESULTS:We found evidence of limited understanding of the roles and capabilities of team members across professional boundaries, different perceptions of appropriate roles and responsibilities for different members of the team, limited sharing of information between team members and limited team input into decision making. There was a perceived impact on task distribution and the optimal utilisation of resources within the team. CONCLUSIONS:Effective management of medical emergencies depends on optimal team function. We have identified important factors affecting interactions between different health professionals in the anaesthesia team, and their perceived influences on team function. This provides evidence on which to build appropriate and specific strategies for interdisciplinary team training in operating theatre staff.

journal_name

Med Educ

journal_title

Medical education

authors

Weller JM,Janssen AL,Merry AF,Robinson B

doi

10.1111/j.1365-2923.2007.02971.x

subject

Has Abstract

pub_date

2008-04-01 00:00:00

pages

382-8

issue

4

eissn

0308-0110

issn

1365-2923

pii

MED2971

journal_volume

42

pub_type

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