Uncovering teamwork in a pediatric emergency department
department or school: Applied Science, Faculty of
department or school: Nursing, School of
data provider: DSpace
degree campus: UBCV
creator: Manio, Trisha Joyce
issued: 2019-01-10T17:08:28Z
issued: 2018
related degree: Master of Science in Nursing - MSN
degree grantor: University of British Columbia
description: Effective teamwork underpins multidisciplinary healthcare practices providing safe, quality care to children and their families. Emergency departments (EDs) are multifaceted, acute health care environments, imbued with uncertainties and prone to potential adverse events. There exists a paucity of research however about the impact of, the barriers and facilitators for, as well as, the overarching features of effective teamwork in a pediatric emergency setting. The current study addressed the knowledge gap by providing foundational insights to build future work to enhance, support and sustain this multidisciplinary collaboration and teamwork. Offered here are insights to the teamwork practices of a diverse group of 15 health care professionals (HCPs) who worked in a pediatric Emergency department (ED). Comprising individual interviews, the timing of the data collection coincided with the department relocating to new larger premises. The current study findings revealed that collaboration, communication and skilled leadership were highly rated facilitators of effective teamwork. Within the context of established and ad-hoc teams (teams that assembled quickly without pre-planning to provide intensive acute emergency care), respect, role awareness and trust were disclosed as contributing factors to effective teamwork. Barriers to achieving effective teamwork were also discussed, and most ran counter to the aforementioned facilitators. For example, ineffectual leadership negatively affected teamwork to the extent that staff retention issues were linked to feeling undervalued and subordinate to some report line leaders. This was particularly evident during trauma situations when ad-hoc teams formed and leadership wavered. Additionally, within the context of jockeying for position and jurisdictions (turf wars and tensions), the findings revealed challenges related to the ownership of care, further fracturing teamwork and signaling a need for culture shifts. The study conclud…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/68229
note: Uncovering Teamwork in a Pediatric Emergency Department by TRISHA JOYCE MANIO B.N., The University of Manitoba (2004) A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER IN SCIENCE IN NURSING in THE FACULTY OF GRADUATE AND POSTDOCTORAL STUDIES (Nursing) THE UNIVERSITY OF BRITISH COLUMBIA (Vancouver) December 2018 © Trisha Joyce Manio, 2018 ii The following individuals certify that they have read, and recommend to the Faculty of Graduate and Postdoctoral Studies for acceptance, a thesis/dissertation entitled: Uncovering Teamwork in a Pediatric Emergency Department submitted by Trisha Joyce Manio in partial fulfillment of the requirements for the degree of Master in Science in Nursing Examining Committee: Dr. John Oliffe, Professor and Associate Director Research at the School of Nursing, UBC Supervisor Dr. Helen Brown, Associate Professor at the School of Nursing, UBC Supervisory Committee Member Ms. Christy Hay, Program Manager of Emergency and Trauma Services BC Children’s Hospital, Adjunct Professor at the School of Nursing, UBC Supervisory Committee Member iii ABSTRACT Effective teamwork underpins multidisciplinary healthcare practices providing safe, quality care to children and their families. Emergency departments (EDs) are multifaceted, acute health care environments, imbued with uncertainties and prone to potential adverse events. There exists a paucity of research however about the impact of, the barriers and facilitators for, as well as, the overarching features of effective teamwork in a pediatric emergency setting. The current study addressed the knowledge gap by providing foundational insights to build future work to enhance, support and sustain this multidisciplinary collaboration and teamwork. Offered here are insights to the teamwork practices of a diverse group of 15 health care professionals (HCPs) who worked in a pediatric Emergency department (ED). Comprising individual interviews, the timing of the data collect…
has type: Thesis/Dissertation
date issued: 2019-02
is shown at: 10.14288/1.0376037
language: eng
degree discipline: Nursing
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
type: Text
identifier URI: http://hdl.handle.net/2429/68229