TY - JOUR
T1 - Barriers to and Facilitators of Interprofessional-Interdepartmental Interventions
T2 - Unearthing Departmental Culture
AU - Michalec, Barret
AU - Reinhold, Natalie
AU - Dressler, Robert
AU - Laskowski-Jones, Linda
AU - Adarve, Laura
AU - Elliott, Daniel
N1 - Publisher Copyright:
© 2014 by the American College of Medical Quality.
PY - 2015/3/16
Y1 - 2015/3/16
N2 - This study evaluates how emergency department (ED) and medical intensive care unit (MICU) providers interact in the setting of a quality improvement project designed to enhance transport/care for patients from the ED to the MICU. Focus groups were conducted with nurses, residents, physician assistants, and physicians from the ED and MICU at baseline and 6 months regarding their thoughts on and perspectives of the intervention and working with colleagues from another department. Data were then analyzed utilizing a multistep coding scheme that identified key barriers to and facilitators of the interprofessional-interdepartmental intervention. Analysis also showed, however, that variances in departmental culture play a significant role in the willingness and ability of providers to practice interdepartmental team-based care. It is argued that anticipating and acknowledging these differences and designing systems to address them prior to launch will be essential to the development and implementation of effective interdepartmental quality improvement interventions.
AB - This study evaluates how emergency department (ED) and medical intensive care unit (MICU) providers interact in the setting of a quality improvement project designed to enhance transport/care for patients from the ED to the MICU. Focus groups were conducted with nurses, residents, physician assistants, and physicians from the ED and MICU at baseline and 6 months regarding their thoughts on and perspectives of the intervention and working with colleagues from another department. Data were then analyzed utilizing a multistep coding scheme that identified key barriers to and facilitators of the interprofessional-interdepartmental intervention. Analysis also showed, however, that variances in departmental culture play a significant role in the willingness and ability of providers to practice interdepartmental team-based care. It is argued that anticipating and acknowledging these differences and designing systems to address them prior to launch will be essential to the development and implementation of effective interdepartmental quality improvement interventions.
KW - departmental culture
KW - emergency department
KW - interdepartmental care
KW - medical intensive care unit
KW - quality improvement interventions
UR - http://www.scopus.com/inward/record.url?scp=84924853798&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84924853798&partnerID=8YFLogxK
U2 - 10.1177/1062860613518963
DO - 10.1177/1062860613518963
M3 - Article
C2 - 24443319
AN - SCOPUS:84924853798
SN - 1062-8606
VL - 30
SP - 126
EP - 134
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
IS - 2
ER -