Team working in intensive care: current evidence and future endeavors

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Abstract

Purpose of review: It has recently been argued that the future of intensive care medicine will rely on high quality management and teamwork. Therefore, this review takes an organizational psychology perspective to examine the most recent research on the relationship between teamwork, care processes, and patient outcomes in intensive care. Recent findings: Interdisciplinary communication within a team is crucial for the development of negotiated shared treatment goals and short-team patient outcomes. Interventions for maximizing team communication have received substantial interest in recent literature. Intensive care coordination is not a linear process, and intensive care teams often fail to discuss how to implement goals, trigger and align activities, or reflect on their performance. Despite a move toward interdisciplinary team working, clinical decision-making is still problematic and continues to be perceived as a top-down and authoritative process. The topic of team leadership in intensive care is underexplored and requires further research. Summary: Based on findings from the most recent research evidence in medicine and management, four principles are identified for improving the effectiveness of team working in intensive care: engender professional efficacy, create stable teams and leaders, develop trust and participative safety, and enable frequent team reflexivity.

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  • Team working in intensive care

    Rights statement: This is a non-final version of an article published in final form in Richardson, J., West, M. A., & Cuthbertson, B. H. (2010). Team working in intensive care: current evidence and future endeavors. Current opinion in critical care, 16(6), 643-648.

    Submitted manuscript, 47 KB, PDF-document

Details

Original languageEnglish
Pages (from-to)643-648
Number of pages6
JournalCurrent Opinion in Critical Care
Volume16
Issue number6
DOIs
Publication statusPublished - Dec 2010

    Keywords

  • intensive care medicine, quality management, teamwork, organizational psychology, care processes, patient outcomes

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