| Examining emergency department communication through a staff-based participatory research method: identifying barriers and solutions to meaningful change. | |
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MedLine Citation:
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PMID: 20382446 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY OBJECTIVE: We test an initiative with the staff-based participatory research (SBPR) method to elicit communication barriers and engage staff in identifying strategies to improve communication within our emergency department (ED). METHODS: ED staff at an urban hospital with 85,000 ED visits per year participated in a 3.5-hour multidisciplinary workshop. The workshop was offered 6 times and involved: (1) large group discussion to review the importance of communication within the ED and discuss findings from a recent survey of patient perceptions of ED-team communication; (2) small group discussions eliciting staff perceptions of communication barriers and best practices/strategies to address these challenges; and (3) large group discussions sharing and refining emergent themes and suggested strategies. Three coders analyzed summaries from group discussions by using latent content and constant comparative analysis to identify focal themes. RESULTS: A total of 127 staff members, including attending physicians, residents, nurses, ED assistants, and secretaries, participated in the workshop (overall participation rate 59.6%; range 46.7% to 73.3% by staff type). Coders identified a framework of 4 themes describing barriers and proposed interventions: (1) greeting and initial interaction, (2) setting realistic expectations, (3) team communication and respect, and (4) information provision and delivery. The majority of participants (81.4%) reported that their participation would cause them to make changes in their clinical practice. CONCLUSION: Involving staff in discussing barriers and facilitators to communication within the ED can result in a meaningful process of empowerment, as well as the identification of feasible strategies and solutions at both the individual and system levels. |
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Authors:
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Kenzie A Cameron; Kirsten G Engel; Danielle M McCarthy; Barbara A Buckley; Laura Min Mercer Kollar; Sarah M Donlan; Peter S Pang; Gregory Makoul; Paula Tanabe; Michael A Gisondi; James G Adams |
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Publication Detail:
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Type: Journal Article Date: 2010-04-10 |
Journal Detail:
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Title: Annals of emergency medicine Volume: 56 ISSN: 1097-6760 ISO Abbreviation: Ann Emerg Med Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-11-29 Completed Date: 2010-12-27 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8002646 Medline TA: Ann Emerg Med Country: United States |
Other Details:
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Languages: eng Pagination: 614-22 Citation Subset: AIM; IM |
Copyright Information:
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Copyright © 2010 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved. |
Affiliation:
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Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA. k-cameron@northwestern.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Communication* Communication Barriers* Emergency Nursing / manpower Emergency Service, Hospital / manpower, organization & administration*, standards Female Health Services Research / methods Humans Interdisciplinary Communication Internship and Residency / manpower Male Medical Errors / prevention & control Medical Secretaries Medical Staff, Hospital Middle Aged Patient Care Team / organization & administration Physician-Patient Relations Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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