Challenging behaviours in interprofessional teamwork in the intensive care unit: a qualitative content analysis of focus group interviews

ObjectivesTo explore interprofessional team members’ experiences of teamwork at an intensive care unit.DesignQualitative content analysis of focus group interviews with members from the intensive care teams.SettingUniversity hospital in Sweden.ParticipantsIn total, 31 participants were interviewed....

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Vydáno v:BMJ open Ročník 15; číslo 5; s. e095341
Hlavní autoři: Jonsson, Karin, Brulin, Christine, Hultin, Magnus, Härgestam, Maria
Médium: Journal Article
Jazyk:angličtina
Vydáno: England British Medical Journal Publishing Group 15.05.2025
BMJ Publishing Group LTD
BMJ Publishing Group
Témata:
Adult
Attitude of Health Personnel
Behavior
Caring Sciences
Clinical Competence
Collaboration
Communication
Content analysis
Cooperative Behavior
Critical care
Data analysis
Decision Making
Female
Focus Groups
Humans
Intensive care
Intensive Care Units
Intensive Care Units - organization & administration
Interprofessional Relations
Interviews as Topic
Male
Medical errors
Medical personnel
Middle Aged
omvårdnadsforskning med medicinsk inriktning
Patient Care Team - organization & administration
Patient safety
Professionals
Professions
Qualitative Research
Sweden
Teams
Teamwork
Sweden
Decision Making
Clinical Competence
Interprofessional Relations
Intensive Care Units
Behavior
ISSN:2044-6055, 2044-6055
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Shrnutí:ObjectivesTo explore interprofessional team members’ experiences of teamwork at an intensive care unit.DesignQualitative content analysis of focus group interviews with members from the intensive care teams.SettingUniversity hospital in Sweden.ParticipantsIn total, 31 participants were interviewed. Enrolled nurses (n=7), critical care registered nurses (n=16), and intensive care physicians (n=8) employed at an intensive care unit were divided into nine focus groups organised according to the profession.ResultsThe overall theme, Balancing behaviour and knowledge in teamwork, emerged from the two categories of creating a safe atmosphere when working in an unknown environment and counteracting and mitigating destructive team dynamics. The theme captures how well-functioning teamwork must take into account members not acting as team players while also building a secure environment when working in new surroundings outside the intensive care unit. The categories describe how mutual respect, effective teamwork and a safe atmosphere were fostered through support without taking over tasks and countering power structures.ConclusionsNavigating teamwork during critical situations is inherently complex, making it essential to understand team interactions and factors influencing individual behaviour. To ensure patient safety, the interprofessional team must recognise, understand and manage diverse behaviours and knowledge in dynamic settings. This research contributes to existing knowledge on teamwork in the intensive care context by providing insights into how knowledge and behaviour in teamwork can be optimised to enhance patient safety.
Bibliografie:Original research
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SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2024-095341