Interdisciplinary Communication in the ICU

Interdisciplinary communication in the Intensive Care Unit (ICU) is complicated by the dynamic workflow of clinicians, instability of patients, and highly technological therapies, equipment and information systems. Many countries have examined methods to improve clinician communication and to understand common patient care goals. Using focus group and interview transcripts of ICU nurse practitioners, medical residents, medical fellows and attending physicians about antibiotic prescribing, we performed a secondary analysis of themes related to interdisciplinary communication with registered nurses (RNs). This qualitative descriptive user analysis utilized Baggs and Schmitt's Interdisciplinary Collaboration Model as a coding framework. We found that the clinicians studied value the availability of time sensitive information when it impacts their decisions and workflow and trust RNs' judgment of clinical information and situations. Future work should include analyses of RN perceptions of interdisciplinary communication in the ICU.

[1]  A. Edmondson Speaking Up in the Operating Room: How Team Leaders Promote Learning in Interdisciplinary Action Teams , 2003 .

[2]  E. Larson,et al.  The impact of physician-nurse interaction on patient care. , 1999, Holistic nursing practice.

[3]  J. Sexton,et al.  Error, stress, and teamwork in medicine and aviation: cross sectional surveys , 2000, BMJ : British Medical Journal.

[4]  E. Draper,et al.  Improving intensive care: Observations based on organizational case studies in nine intensive care units A prospective, multicenter study , 1993, Critical care medicine.

[5]  K Lauche,et al.  Non-technical skills in the intensive care unit. , 2006, British journal of anaesthesia.

[6]  S M Shortell,et al.  The Performance of Intensive Care Units: Does Good Management Make a Difference? , 1994, Medical care.

[7]  P. Miller,et al.  Nurse-physician collaboration in an intensive care unit. , 2001, American journal of critical care : an official publication, American Association of Critical-Care Nurses.

[8]  L. Kohn,et al.  To Err Is Human : Building a Safer Health System , 2007 .

[9]  Vimla L. Patel,et al.  Designing Human-Centered Distributed Information Systems , 2002, IEEE Intell. Syst..

[10]  Michael A. West,et al.  Job satisfaction and teamwork: The role of supervisor support , 2001 .

[11]  P. Pronovost,et al.  Improving communication in the ICU using daily goals. , 2003, Journal of critical care.

[12]  R. Flin,et al.  Interdisciplinary communication in the intensive care unit. , 2007, British journal of anaesthesia.

[13]  Andy P. Field,et al.  Discovering Statistics Using SPSS , 2000 .

[14]  J Bryan Sexton,et al.  Discrepant attitudes about teamwork among critical care nurses and physicians* , 2003, Critical care medicine.

[15]  C. Fagin Collaboration between nurses and physicians: no longer a choice , 1992, Academic medicine : journal of the Association of American Medical Colleges.

[16]  Scott Reeves,et al.  Working together but apart: barriers and routes to nurse--physician collaboration. , 2002, The Joint Commission journal on quality improvement.

[17]  Diane K Boyle,et al.  Enhancing Collaborative Communication of Nurse and Physician Leadership in Two Intensive Care Units , 2004, The Journal of nursing administration.

[18]  M. Leonard,et al.  The human factor: the critical importance of effective teamwork and communication in providing safe care , 2004, Quality and Safety in Health Care.

[19]  Peter J Pronovost,et al.  Acute Decompensation after Removing a Central Line: Practical Approaches to Increasing Safety in the Intensive Care Unit , 2004, Annals of Internal Medicine.

[20]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[21]  G R Baker,et al.  Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR , 2005, Quality and Safety in Health Care.