Journal article
Transforming Team Culture: A Case Study From Critical Care
Chest, v 163(6), pp 1448-1457
01 Jun 2023
PMID: 36642367
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Interprofessional team conflict amplifies division and impedes patient care. Normal differences of opinion escalate to frank conflicts when members respond with indignation or resentment. These behaviors engender a workplace culture that degrades collaborative clinical management and patient safety. We describe the impacts of dysfunctional team culture along with interventions that can lead to more productive teams. In our case study, an interprofessional group of critical care clinicians recognized that their interactions impaired collaborative care and requested support. Two experts, a nurse and a physician, facilitated two 2-h workshops with 18 critical care physicians, nurses, and fellows to begin transforming their dysfunctional unit culture. After establishing psychological safety, facilitators introduced the learning pathways grid to explore (1) how faulty assumptions lead to dysfunctional interactions and suboptimal results and (2) how new assumptions informed by new insights enable teams to redesign their interactions. Through reflection and analysis, clinicians concluded that understanding other clinicians’ goals and perspectives benefits patients and families, helps clinicians feel valued, and fosters mutual trust. This exercise supports interprofessional teams to transform dysfunctional interactions by helping team members to develop a mindset of humility and inquiry and to remind themselves about the good intentions in others. To address conflict, we offer a conversational approach grounded in curiosity, respect, and transparency. Ultimately, the most important communication strategy for effective critical care is caring about the perspectives and experiences of other members of the interprofessional team.
Metrics
Details
- Title
- Transforming Team Culture: A Case Study From Critical Care
- Creators
- Laura K. Rock - Beth Israel Deaconess Medical CenterKate J. Morse - Drexel University, Office of the Associate Dean of NursingWalter Eppich - RCSI SIM Centre for Simulation Education and Research, RCSI University of Medicine and Health Sciences, Dublin, IrelandJenny W. Rudolph - Massachusetts General Hospital
- Publication Details
- Chest, v 163(6), pp 1448-1457
- Number of pages
- 10
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Office of the Associate Dean of Nursing; College of Nursing and Health Professions
- Web of Science ID
- WOS:001016489400001
- Scopus ID
- 2-s2.0-85159679230
- Other Identifier
- 991021861279404721
UN Sustainable Development Goals (SDGs)
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Source: SDGs in the Output
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Critical Care Medicine
- Respiratory System