Team Working in Intensive Care: : Current Evidence and Future Endeavors

Richardson, Joanne and West, Michael and Cuthbertson, Brian H. (2010) Team Working in Intensive Care: : Current Evidence and Future Endeavors. Current Opinion in Critical Care, 16 (6). pp. 643-648. ISSN 1070-5295

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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.

Item Type:
Journal Article
Journal or Publication Title:
Current Opinion in Critical Care
Uncontrolled Keywords:
?? human resourcescritical care and intensive care medicinehb economic theorydiscipline-based research ??
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Deposited On:
15 Mar 2012 15:31
Last Modified:
28 Nov 2023 10:47