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There are few studies that examine the processes that interdisciplinary teams engage in and how we can design health information systems (HIS) to support those team processes. This was an exploratory study with two purposes: (1) To develop a framework for interdisciplinary team communication based on structures, processes and outcomes that were ide...
Citations
... Interdisciplinary informatics is a collaborative, team working process that integrates expertise from multiple disciplines (strictly two or more disciplines) to achieve goals beyond the scope of any of the team's component disciplines. It requires exceptional communication [3]. ...
... Organisation of a primary care sentinel network requires interdisciplinary informatics. We manage an end-to-end data process from collection of routine data through to reporting disease incidence and vaccine effectiveness relying on interdisciplinary team work [3]. Developments in informatics, alongside the great use of IT in routine care plus other scientific developments, have enabled the quadrupling of the size of the primary care sentinel network and much more rapid reporting of sophisticated analyses than was previously possible. ...
The Oxford-Royal College of General Practitioners (RCGP) Research and Surveillance Centre (RSC) is one of Europe’s oldest sentinel systems, providing sentinel surveillance since 1967. We report the interdisciplinary informatics required to run such a system. We used the Donabedian framework to describe the interdisciplinary informatics roles that support the structures, processes and outcomes of the RSC. Over the course of the COVID-19 pandemic University, RCGP, information technology specialists, SQL developers, analysts, practice liaison team, network member primary care providers, and their registered patients have nearly quadrupled the size of the RSC from working with 5 million to 19 million peoples pseudonymised health data. We have produced outputs used by the UK Health Security Agency to describe the epidemiology of COVID-19 and report vaccine effectiveness. We have also supported a trial of community-based therapies for COVID-19 and other observational studies. The home of the primary care sentinel surveillance network is with a clinical informatics research group. Interdisciplinary informatics teamwork was required to support primary care sentinel surveillance; such teams can accelerate the scale, scope and digital maturity of surveillance systems as demonstrated by the RSC across the COVID-19 pandemic.
... Τα μέλη εργάζονται αλληλοεξαρτώμενα για να συγκεντρώσουν τις γνώσεις τους προκειμένου να επιτύχουν έναν κοινό στόχο που οδηγεί σε περισσότερα από ένα επιτυχή αποτελέσματα. 7 Αυτό κατορθώνεται μόνο με αλληλοεξαρτώμενη συνεργασία, ανοικτή επικοινωνία και κοινή λήψη αποφάσεων. 3 Τέλος, η ΔΟ μπορεί να χαρακτηριστεί και ως φροντίδα που παρέχεται από σχετικά μικρές ομάδες, οι οποίες έχουν δημιουργηθεί σκόπιμα από άτομα που αναγνωρίζουν τη συλλογική ταυτότητα της ομάδας, καθώς και την κοινή υπευθυνότητα. ...
In recent decades, teamwork, and specifically the role of the interdisciplinary team, have become increasingly important in the treatment of various conditions. The interdisciplinary team increases the quality of the performance
of those involved, maximizing the skills for optimal functioning within the team, and thus optimizing the state of health of the patient. Although the scientific community has not established a final definition for the interdisciplinary team, a number of studies refer to it as the collaborative approach of a set of health scientists, with participants
from a variety of health services. In Greece there is currently no institutionalized legal framework for the operation
of interdisciplinary team. For this collaborative approach to be effective, the team members need training in the appropriate collaborative qualities, namely collaboration, desire to participate and commitment. The right composition and structure are important properties of the interdisciplinary team and successful communication, both between
team members and with the patient is crucial. Successful interdisciplinary teamwork brings positive results for both the professionals who make up the team and the patients who receive this intervention. Self-determination, self-confidence, and mutual understanding are the main benefits for the team’s health scientists, and the patients profit from a more comprehensive and holistic approach to their needs. Interdisciplinary teams face various challenges, including leadership issues, the unclear role of each professional and a lack of appropriate and targeted training on the collaborative approach. These issues, when unresolved, can lead to conflict among team members, and subsequently to inadequate patient care. The increase in people belonging to vulnerable groups has highlighted the need for a holistic and collaborative approach to providing treatment for these patients that will improve their quality of life. Cultivation of the necessary team characteristics, with emphasis on the role of both the interdisciplinary team and each participating health professional, will ensure the provision of an effective collaborative approach.
... The subject covered several theoretical structures of medication communication issues including some relationship with medication incidents [e.g. Australian Pharmaceutical Advisory Council's Partnership Model APAC [10,25,1] and the study considered the hospital context in terms of hospital admission and discharge effects of communication. Twenty-four articles were selected, which were subjected to quality appraisal using the Joanna Briggs Institute guidelines [26]. ...
... In the current study, interdisciplinary communication was seen as part of the concept, which is in line with several previous theories [1,10,25,[28][29][30][31]. Kitson et al.s' [24] view of communication covering nine process phases of medication management, including team communication such as planning, teaching and leadership, was adopted in current study. ...
... Kuziemsky et al. [25] From references from Kitson et al. [24] Communication was described as part of a care delivery within a team and between teams. Donabedian meta-concepts were used in the description (structure, process, and outcome) of team communication. ...
Aims
(1) To identify and analyse the conceptual framework and operationalise the concept of communication issues related to medication incidents in hospital to facilitate the development of a future tool for measuring frequencies of the communication issues. (2) To determine how the concept is distinct from related concepts.
Design
Concept analysis.
Data sources
Twenty-three articles from seven scientific databases covering the years 2010–2020 and two official documents.
Methods
Walker and Avant’s concept analysis method was used. That was started by a systematised literature review on 2 November 2020 using specified criteria. Two authors evaluated articles’ quality by Joanna Brigg's Institute's criteria. Literature review results were analysed deductive-inductively; conceptual framework was developed and concept defined presenting case scenarios. EQUATOR’s standards were used in study reporting.
Results
A conceptual framework and the concept of ‘communication related to medication incidents in hospitals’ were defined, comprising six main attribute categories: (1) communication dyads involved in communication, (2) patients’ or professionals’ individual issues, (3) institutional, (4) contextual and process issues, (5) communication concerning medication prescriptions and (6) qualitative characteristics of communication. The categories consisted of 128 quantitatively measurable and 10 qualitative attributes describing communication issues. The concept is distinct from related concepts by collating fragmented communication issues into the same concept.
Conclusion
The 128-item conceptual framework and the concept of communication related to medication incidents in hospitals were defined, as there was not one. The concept assembled parts of previous theories and fragmented information to one entity. The concept needs further condensing and validation to develop a tool for measuring communication issues.
Impact on medication safety
The conceptual framework can be used in practice and education as indicative rationale for reflection of current communication issues. The concept contributes to research by providing necessary grounding for tool development for measuring communication factors relating medication incidents.
... Effective interdisciplinary collaboration involving communication and shared decision-making that enables separate and shared knowledge and skills of healthcare professionals to guide patient care, should not be underestimated (Sinclair, Lingard & Mohabeer 2009). Effective communication leads to improved patient and family outcomes, resulting in high levels of patient and family satisfaction, better symptom control and reduction in costs (Kuziemsky et al. 2009). Each member of the interdisciplinary team plays a vital role in providing quality patient care, and if the structure of the team is hierarchical rather than collaborative, there is a higher possibility for ineffective communication (Cristian & Batmangelich 2014). ...
Background: Musculoskeletal diseases (MSDs) are a major cause of disability worldwide. It is essential to address effective MSD management, including appropriate referrals to physiotherapists and other healthcare professionals. Limited information is available regarding the referral practices of medical practitioners for patients with MSD. The doctors’ referral practices to physiotherapists can impact the patient population and the South African health system.
Objectives: To investigate or understand the referral practices of medical practitioners in Bloemfontein, South Africa, to physiotherapy services, for individuals living with MSD.
Method: A quantitative study approach, implementing a semi-structured questionnaire, was used. Forty-nine participants completed the questionnaire.
Results: The referral of patients with MSDs by medical practitioners to physiotherapy services varied and multidimensional factors influenced their referral practices. Medical practitioners were unsure of the specific role played by physiotherapists in the management of individuals living with MSD. A need for improved relationships and communication between medical practitioners and physiotherapists was identified.
Conclusions: Medical practitioners regularly referred individuals living with MSD to physiotherapists, but referral practices should be optimised in terms of evidence-based practice and the use of specialised physiotherapy services. In an attempt to decrease the burden of MSD, adequate awareness should be created for improved referral practices between medical practitioners and physiotherapists.
Clinical implications: Collaborative development of detailed guidelines for apt, evidence-based referrals should be developed, to ensure early detection and management of individuals living with MSD. Health care professionals should be educated and encouraged to refer individuals living with MSD to physiotherapists for appropriate management with clinical benefits including improvement of HRQOL and cost effectiveness of this management not only to the individual but also to the health system in South Africa. Physiotherapists should try to communicate their role in the treatment of individuals living with MSD to medical practitioners for the benefit of the patient.
... In general, effective cross-disciplinary collaboration depends on several key principles that facilitate team dynamics(O′Rourke et al., 2013) and need to be built into the start of a collaboration; namely, respect and trust among all team members, clear communication, common goals, and effective project leadership(Nancarrow et al., 2013). Research shows that clear team communication is essential for optimizing project outcomes(Anderson-Cook et al., 2019;Kuziemsky et al., 2009), as it is the foundation for identifying shared objectives and building interpersonal relationships that are necessary for teams to remain cohesive during times of conflict ...
Terrestrial ecosystems regulate Earth’s climate through water, energy, and biogeochemical transformations. Despite a key role in regulating the Earth system, terrestrial ecology has historically been underrepresented in the Earth system models (ESMs) that are used to understand and project global environmental change. Ecology and Earth system modeling must be integrated for scientists to fully comprehend the role of ecological systems in driving and responding to global change. Ecological insights can improve ESM realism and reduce process uncertainty, while ESMs offer ecologists an opportunity to broadly test ecological theory and increase the impact of their work by scaling concepts through time and space. Despite this mutualism, meaningfully integrating the two remains a persistent challenge, in part because of logistical obstacles in translating processes into mathematical formulas and identifying ways to integrate new theories and code into large, complex model structures. To help overcome this interdisciplinary challenge, we present a framework consisting of a series of interconnected stages for integrating a new ecological process or insight into an ESM. First, we highlight the multiple ways that ecological observations and modeling iteratively strengthen one another, dispelling the illusion that the ecologist’s role ends with initial provision of data. Second, we show that many valuable insights, products, and theoretical developments are produced through sustained interdisciplinary collaborations between empiricists and modelers, regardless of eventual inclusion of a process in an ESM. Finally, we provide concrete actions and resources to facilitate learning and collaboration at every stage of data‐model integration. This framework will create synergies that will transform our understanding of ecology within the Earth system, ultimately improving our understanding of global environmental change and broadening the impact of ecological research.
... Donabedian model depict in Fig. 2, this model has three dimensions (structure, process, and outcomes). The main objective for this model is to enhance healthcare system's quality in general, and to be as reference in improving models and frameworks in healthcare in particular [20]. For this study, we develop an instrument (questionnaire) to be used in healthcare to enhance teamwork communication. ...
... Figure 1 presents socio-technical theory. [20]. Donabedian model addresses the structure and the process for interdisciplinary teamwork model and provides a set of factors that support teamwork structure and teamwork process that lead to support implementation and designing HIS. ...
Healthcare face many problems, one of these problems is embodied in teamwork communication systems, the current HISs lack of teamwork communication tools. To introduce a teamwork communication instrument (questionnaire) in healthcare which plays a key role in health information system area. The proposed a research model for this study applied a quantitative approach using a survey method. To formulate the problem a preliminary data was collected by survey method to test and introduce a validated instrument (questionnaire). This study proposed and validated an instrument (questionnaire) to be used in healthcare teamwork communication studies. The findings of this study will be contributed to teamwork communication in healthcare and will be a reference for any healthcare communication related study. This study is the first of its kind in Jordan and has added a new dimension in the teamwork communication in healthcare.
... Interprofessional communication structures consist of team members, policies and procedures, and communication practices. In health care, interprofessional communication is largely focused on care planning, information exchange, teaching, decision making, negotiation, and leadership (Kuziemsky et al., 2009). ...
... Technology eHealth and other technological innovations (e.g., secure text messaging, videoconferencing) offer the opportunity for clinical teams to communicate from a distance (Kuziemsky et al., 2009). A review by Janssen et al. (2017) on the use of eHealth in interprofessional cancer care found many advantages to its application, including greater efficiency in communication, improved coordination of care, reduced treatment times for patients, and improved communication with outside specialists. ...
Background:
The COVID-19 pandemic placed challenges on interprofessional communication patterns among clinical care teams at a time when effective communication was greatly needed. The development of enhanced systems for communication that integrate the latest evidence and communication technologies can offer a solution to this crisis.
Objectives:
This article provides a framework for ways in which nursing teams can develop evidence-based enhanced interprofessional communication systems during a pandemic.
Methods:
Based on communication models and related technologies, this article reviews strategies to enhance interprofessional communication. Two case studies are included that illustrate how nursing teams can enhance communication during a pandemic.
Findings:
To improve communication during a pandemic, clinicians can incorporate interprofessional communication models in clinical practice and apply enhanced communication strategies.
... On some occasions, this even happens on the physical plane of the patient's condition. One study found that "spiritual disease management can sometimes shed insight about a patient's physical disease status" (Kuziemsky et al., 2009). The chaplain in this case was able to uncover diagnostic data that had eluded the physician. ...
Would patients and families benefit from a Doctor Body Cam? Linked from www.DoctorBodyCam.com, this article explores innovations providing accountability for ethical communication surrounding major healthcare decisions. One of the greatest challenges physicians face is living up to their own ideals, let alone others’ expectations, for high-stakes doctor-patient/family communication, especially at the end of life. From emotional strains to time limitations, a multiplicity of factors obfuscates the pursuit of excellence in this vital endeavor. Evidence suggests that, like nearly every other sector of healthcare and society, African American patients and families are most likely to get the short end of the physician communication stick. Drawing on the current literature, this piece makes a compelling case for the inclusion of third-party specialists to take some of the communication load off of overworked physicians in end-of-life discussions and earlier difficult healthcare issues. A more team-oriented approach to the interdisciplinary art of patient/family-provider health communication surrounding complex issues and treatment decisions may be a win-win for everyone involved.
... There is a need to constitute an interdisciplinary team to systematically address these challenges. 36 Deployment of AI-enabled telepsychiatry is not possible without clinical validation and addressing current challenges. ...
Background
Published literature shows the overall challenges associated with artificial intelligence (AI)-enabled medicine and telepsychiatry more from the western perspective, with no specific mention from the perspective of individual stakeholders or Indians. This study was conceptualized to understand the perceived challenges of building, deploying, and using AI-enabled telepsychiatry for clinical practice from the perspectives of psychiatrist, patients, and the technology experts (who build such services) in urban India.
Methods
Between February 2020 and April 2020, a semistructured topic guide was drafted for qualitative exploratory study among psychiatrists ( n = 14), their patients ( n = 14), technology experts ( n = 13), and Chief Executive Officers (CEOs) ( n = 5) of health technology incubation centers. Interviews were conducted over the phone, recorded, and analyzed using the grounded theory approach.
Results
Almost all respondents cited ethical, legal, accountability, and regulatory implications as challenges. The major issues stated by patients were privacy/confidentiality, ethical violations, security/ hacking, and data ownership. Psychiatrists cited lack of clinical validation, lack of established studies or trials, iatrogenic risk, and healthcare infrastructure issues as the main challenges. Technology experts stated data-related issues as the major challenge. The CEOs quoted the lack of interdisciplinary experts as one of the main challenges in building deployable AI-enabled telepsychiatry in India.
Conclusions
There are challenges to deploy an AI-enabled telepsychiatry platform in India. There is a need to constitute an interdisciplinary team to systematically address these challenges. Deployment of AI-enabled telepsychiatry is not possible without clinical validation and addressing current challenges.
... Also, it can improve the diagnostic and prognostic abilities of health professionals, rather than the individual health professionals who work alone. 8 Shared decision making (SDM) is defined as the process by which the physician together with the patient share the best available evidence when dealing with a decision-making task. 9 In SDM, patients are allowed to engage in decision making and to agree with their physicians on health care options. ...
