Dynamics of an orthopaedic team: Insights to improve teamwork through a design thinking approach
Dynamics of an orthopaedic team: Insights to improve teamwork through a design thinking approach
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DOI：
10.3233/wor-182777
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发表时间：
2018-01-01
影响因子：
2.3
通讯作者：
Melles, M.
中科院分区：
文献类型：
--
作者：
Caprari, E.;Porsius, J. T.;Melles, M.
背景：支持医疗保健中的团队合作是一种促进护理质量和安全的方式，并为所有团队成员提供更好的工作条件。目的：通过分析骨科团队的团队合作动力学，通过分析设计思维方法，找出团队合作干预的具体机会。方法：采用改编的学习历史方法，对荷兰一家顶级临床教学医院的26名骨科团队成员进行跟踪、观察和访谈。结果：我们确定了五个主题，并将它们转化为四个干预设计机会，即：a)通过减少认知过载和增强信心来改善日常查房；b)通过建立同理心来改善协作；c)将患者与专业团队联系起来；以及d)通过促进学习来支持变化。针对每个机会提出了具体行动的建议。结论：改善医疗保健专业人员，特别是骨科专业人员之间的团队合作的机会，围绕着创造共同知识，促进相互理解，以及设计支持这些过程的工具和活动。
BACKGROUND: Supporting teamwork in healthcare is a way to foster both the quality and safety of care, and better working conditions for all the team members. Although increasing attention is paid to this topic on a general level, there is less knowledge about its unfolding in orthopaedic units and its translation to interventions.OBJECTIVE: To identify concrete opportunities for teamwork intervention through a design thinking approach by analysing the teamwork dynamics of an orthopaedic team.METHODS: An adaptation of the learning history method, comprising shadowing, observations and interviews involving 26 orthopaedic team members at a top clinical teaching hospital in the Netherlands, was applied. A thematic analysis was conducted to derive themes that describe team dynamics and to subsequently extrapolate opportunities for intervention.RESULTS: We identified five themes and translated them into four design opportunities for intervention, namely: a) Improve daily rounds by reducing cognitive overload and promoting confidence; b) Improve collaboration by building empathy; c) Connect the patient with the professional team; and d) Support changes by fostering learning. Suggestions for concrete actions are presented for each opportunity.CONCLUSIONS: Opportunities to improve teamwork among healthcare professionals, specifically those in orthopaedics, revolve around the creation of common knowledge, the fostering of mutual understanding, and the design of tools and activities that support these processes.