Table 3.
Design categories | Clinics | Utilized design strategy | Related teamwork outcomes |
---|---|---|---|
Clinic layout and team area attributes | |||
Team area locations in the clinic | Clinic A | Team area in the middle of the clinic, but visibility of overall clinic blocked by a huddle room in team area | • Staff members not knowing activities/instances occurring on the other side of the clinic from their workstations unless notified electronically or via alarm system |
Clinic S | Team area in the middle of the clinic, but clinic area not visible from workstations | • Staff members not knowing activities/instances occurring in clinic area from their workstations unless notified by other staff members | |
Team area and exam room relations | Clinic A | Close proximity with visual connections | • Staff at workstations easily aware of patients in exam rooms |
Clinic S | Separated, electronic system used | • Staff at workstations mostly used computers (room monitoring system) to be aware of patients in exam rooms | |
Team area visual exposure to patients | Clinic A | Exposed | • Moderate degree of communication privacy concerns (4-item staff survey, M = 3.20) |
Clinic S | Enclosed | • Staff less concerned about having patient-related communications (4-item staff survey, M = 2.29) | |
Internal layout of team areas | |||
Visibility between staff workstations | Clinic A | Partially blocked by a huddle room in the middle (on average, 28.6% of workstations visible) |
• Overall good awareness of team members (4-item staff survey, M = 4.15), but lack of awareness between staff members on the other side of the team area • Overall frequent staff face-to-face communication |
Clinic S | Workstations visually connected (on average, 53.0% of workstations visible), but LPN stations segregated |
• Overall good awareness of team members (4-item staff survey, M = 4.34), but segregated LPNs less aware of other staff members • Overall frequent staff face-to-face communication |
|
Distance between workstations | Clinic A | Pod (different role*) adjacency | • Higher ratio of observed different role* communication instances (e.g., LPN-Other roles = 77% vs. LPN-LPN = 23%) |
Clinic S | Role (same role*) adjacency | • Higher ratio of observed same role*communication instances (e.g., LPN-Other roles = 13% vs. LPN-LPN = 87%) | |
Functional paths | Clinic A | No same role* overlap | • No specific same role* communication observed in relation to functional paths |
Clinic S | Different role* overlap | • Provider-LPN communication observed near LPN stations (providers talking to LPNs on their way out to exam rooms or into their workstations) |
* Same role: individuals with same roles (intra-role); different role: individuals with different roles (inter-role)