Table 2.
Interprofessional dynamics quotes
Theme | Quote |
---|---|
Interprofessional dynamics | I think teamwork is … interprofessionalism is talked about a lot. I think a lot of times we pay more lip service to it than we actually manage to improve care delivery. Just because three of you are walking around together doesn’t mean you’re actually engaging in a functional team. And so I think it takes some work and it takes more work and attention than merely putting the team together. 01_MD |
I also think it’s important that we know each other’s roles well and the barriers on each other’s roles so that way we can work together better. Like I know that [female name]has todo this, this, and this to be able to get the patient ready for their spontaneous breathing trial before I can even put them on there.Sothe more understanding we have of each other’s roles, the better we can work together to understand how we can manage everything. Like the whole unit does better … 02_Focus Group | |
And we had like some breakdown on a couple patients. And you know, I thought we did a pretty good job working with respiratory therapy. They kind of looked at it. We looked at it. They looked at the different things that they could do. 02_RN | |
It’s more of a physician decision. We don’t have protocols for any of that stuff. 02_RT | |
I think it’s pretty good when I’m there and when one or two of the other … we have I think seven attending physicians. I think with three of us it’s quite good because I think the three of us sincerely believe that this isa really importantpart of the care team; our respiratory therapists are really important parts of the care team. I know there are a few of our other attendings however who if they believe that, don’t seem to demonstrate it. Andsonurses are not as comfortable going to them with issues or problems. 01_MD | |
We discuss it during rounds and then like if somebody’s not weaning, ready forextubationduring rounds, we kind of touch base throughout the day. They’ll come let me know, “hey she’s a lot more awake” and “maybe drop some pressure support here,” and “do you think she’s ready to extubate?” 03_RT So working in a team can influence it by like a physician saying, “Hey, I’ve read this study. This is evidence based. We need to look into this and we need to figure out how we can adjust to this.” 02_RT |
Definition of abbreviations: MD = physician; RN = nurse; RT = respiratory therapist.