Review article: Biomedical intelligence
Vol. 147 No. 4546 (2017)
Does interprofessionality work in Swiss ICUs and should it be encouraged?
- Thierry Fumeaux
- Michael Wehrli
- for the Swiss Intensive Care Medicine Society (SGI-SSMI)
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Cite this as:
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Swiss Med Wkly. 2017;147:w14549
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Published
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08.11.2017
Summary
A charter for the collaboration of healthcare specialists has recently been proposed by the Swiss Academy of Medical Sciences, to promote interprofessionality in daily clinical practice. This article reviews several aspects of this concept, from definition and basic principles to the potential benefit for the patients and caregivers, and it discusses the difficulties in implementing interprofessional teamwork in the daily practice of an intensive care unit (ICU). Although collaborative and interprofessional teamwork seems a logical approach in the care of critically ill patients, little published evidence shows that it really improves the level of care, meaning that this may be harder to implement than to promote. Eventually, some clues to achieve a successful realisation of interprofessional collaboration in the ICU are proposed.
References
- Reeves S, Lewin S, Espin S, Zwarestein M. Interprofessional teamwork for health and social care. Wiley Blackwell: Oxford, UK; 2000.
- Health Professions Education. A Bridge to Quality. Institute of Medicine (US) Committee on the Health Professions Education Summit; Greiner AC, Knebel E, editors. Washington (DC): National Academies Press (US); 2003.
- Lockhart-Wood K. Collaboration between nurses and doctors in clinical practice. Br J Nurs. 2000;9(5):276–80. doi:.https://doi.org/10.12968/bjon.2000.9.5.6363
- WHO. Framework for Action on Interprofessional Education and Collaborative Practice. 2010. http://whqlibdoc.who.int/hq/2010/WHO_HRH_HPN_10.3_eng.pdf?ua=1.
- Charta «Zusammenarbeit der Fachleute im Gesundheitswesen» - SAMS 2014. http://www.samw.ch/dam/jcr:c5fd1ba0-03f4-4e7a-adaa-2ab50a56253b/charta_samw_zusammenarbeit.pdf.
- Stein LI, Watts DT, Howell T. The doctor-nurse game revisited. N Engl J Med. 1990;322(8):546–9. doi:.https://doi.org/10.1056/NEJM199002223220810
- Porter S. A participant observation study of power relations between nurses and doctors in a general hospital. J Adv Nurs. 1991;16(6):728–35. doi:.https://doi.org/10.1111/j.1365-2648.1991.tb01731.x
- Gilmour J, Huntington A, Bogossian F, Leadbitter B, Turner C. Medical education and informal teaching by nurses and midwives. Int J Med Educ. 2014;5:173–7. doi:.https://doi.org/10.5116/ijme.53f5.ee77
- Greenfield LJ. Doctors and nurses: a troubled partnership. Ann Surg. 1999;230(3):279–88. doi:.https://doi.org/10.1097/00000658-199909000-00001
- Watters C, Reedy G, Ross A, Morgan NJ, Handslip R, Jaye P. Does interprofessional simulation increase self-efficacy: a comparative study. BMJ Open. 2015;5(1):e005472. doi:.https://doi.org/10.1136/bmjopen-2014-005472
- Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: A review. Surg Neurol Int. 2014;5(8, Suppl 7):295–303. doi:.https://doi.org/10.4103/2152-7806.139612
- Morey JC, Simon R, Jay GD, Wears RL, Salisbury M, Dukes KA, et al. Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project. Health Serv Res. 2002;37(6):1553–81. doi:.https://doi.org/10.1111/1475-6773.01104
- Martin JS, Ummenhofer W, Manser T, Spirig R. Interprofessional collaboration among nurses and physicians: making a difference in patient outcome. Swiss Med Wkly. 2010;140:w13062.
- Reeves S, Pelone F, Harrison R, Goldman J, Zwarenstein M. Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2017;6(6):CD000072. doi:.https://doi.org/10.1002/14651858.CD000072.pub3
- Yeager S. Interdisciplinary collaboration: the heart and soul of health care. Crit Care Nurs Clin North Am. 2005;17(2):143–8, x. doi:.https://doi.org/10.1016/j.ccell.2005.01.003
- Chang WY, Ma JC, Chiu HT, Lin KC, Lee PH. Job satisfaction and perceptions of quality of patient care, collaboration and teamwork in acute care hospitals. J Adv Nurs. 2009;65(9):1946–55. doi:.https://doi.org/10.1111/j.1365-2648.2009.05085.x
- Zhang L, Huang L, Liu M, Yan H, Li X. Nurse-physician collaboration impacts job satisfaction and turnover among nurses: A hospital-based cross-sectional study in Beijing. Int J Nurs Pract. 2016;22(3):284–90. doi:.https://doi.org/10.1111/ijn.12424
- Donchin Y, Gopher D, Olin M, Badihi Y, Biesky M, Sprung CL, et al. A look into the nature and causes of human errors in the intensive care unit. Crit Care Med. 1995;23(2):294–300. doi:.https://doi.org/10.1097/00003246-199502000-00015
- Manthous C, Nembhard IM, Hollingshead AB. Building effective critical care teams. Crit Care. 2011;15(4):307. doi:.https://doi.org/10.1186/cc10255
- Hawryluck LA, Espin SL, Garwood KC, Evans CA, Lingard LA. Pulling together and pushing apart: tides of tension in the ICU team. Acad Med. 2002;77(10, Suppl):S73–6. doi:.https://doi.org/10.1097/00001888-200210001-00024
- Lingard L, Espin S, Evans C, Hawryluck L. The rules of the game: interprofessional collaboration on the intensive care unit team. Crit Care. 2004;8(6):R403–8. doi:.https://doi.org/10.1186/cc2958
- Nancarrow SA, Booth A, Ariss S, Smith T, Enderby P, Roots A. Ten principles of good interdisciplinary team work. Hum Resour Health. 2013;11(1):19. doi:.https://doi.org/10.1186/1478-4491-11-19
- Despins LA. Patient safety and collaboration of the intensive care unit team. Crit Care Nurse. 2009;29(2):85–91. doi:.https://doi.org/10.4037/ccn2009281
- Reader TW, Flin R, Mearns K, Cuthbertson BH. Developing a team performance framework for the intensive care unit. Crit Care Med. 2009;37(5):1787–93. doi:.https://doi.org/10.1097/CCM.0b013e31819f0451
- Dietz AS, Pronovost PJ, Mendez-Tellez PA, Wyskiel R, Marsteller JA, Thompson DA, et al. A systematic review of teamwork in the intensive care unit: what do we know about teamwork, team tasks, and improvement strategies? J Crit Care. 2014;29(6):908–14. doi:.https://doi.org/10.1016/j.jcrc.2014.05.025
- Pronovost P, Berenholtz S, Dorman T, Lipsett PA, Simmonds T, Haraden C. Improving communication in the ICU using daily goals. J Crit Care. 2003;18(2):71–5. doi:.https://doi.org/10.1053/jcrc.2003.50008
- Rothen HU, Stricker K, Einfalt J, Bauer P, Metnitz PG, Moreno RP, et al. Variability in outcome and resource use in intensive care units. Intensive Care Med. 2007;33(8):1329–36. doi:.https://doi.org/10.1007/s00134-007-0690-3
- Kim MM, Barnato AE, Angus DC, Fleisher LA, Kahn JM. The effect of multidisciplinary care teams on intensive care unit mortality. Arch Intern Med. 2010;170(4):369–76. doi:.https://doi.org/10.1001/archinternmed.2009.521
- Hunziker S, Johansson AC, Tschan F, Semmer NK, Rock L, Howell MD, et al. Teamwork and leadership in cardiopulmonary resuscitation. J Am Coll Cardiol. 2011;57(24):2381–8. doi:.https://doi.org/10.1016/j.jacc.2011.03.017
- Piquette D, Reeves S, Leblanc VR. Interprofessional intensive care unit team interactions and medical crises: a qualitative study. J Interprof Care. 2009;23(3):273–85. doi:.https://doi.org/10.1080/13561820802697818
- Blackwood B, Alderdice F, Burns KE, Cardwell CR, Lavery G, O’Halloran P. Protocolized versus non-protocolized weaning for reducing the duration of mechanical ventilation in critically ill adult patients. Cochrane Database Syst Rev. 2010;(5):CD006904. doi:.https://doi.org/10.1002/14651858.CD006904
- Bloos F, Müller S, Harz A, Gugel M, Geil D, Egerland K, et al. Effects of staff training on the care of mechanically ventilated patients: a prospective cohort study. Br J Anaesth. 2009;103(2):232–7. doi:.https://doi.org/10.1093/bja/aep114
- Hickmann CE, Castanares-Zapatero D, Bialais E, Dugernier J, Tordeur A, Colmant L, et al. Teamwork enables high level of early mobilization in critically ill patients. Ann Intensive Care. 2016;6(1):80. Published online August 24, 2016. doi:.https://doi.org/10.1186/s13613-016-0184-y
- Curtis JR, Ciechanowski PS, Downey L, Gold J, Nielsen EL, Shannon SE, et al. Development and evaluation of an interprofessional communication intervention to improve family outcomes in the ICU. Contemp Clin Trials. 2012;33(6):1245–54. doi:.https://doi.org/10.1016/j.cct.2012.06.010
- Frengley RW, Weller JM, Torrie J, Dzendrowskyj P, Yee B, Paul AM, et al. The effect of a simulation-based training intervention on the performance of established critical care unit teams. Crit Care Med. 2011;39(12):2605–11. doi:.https://doi.org/10.1097/CCM.0b013e3182282a98
- Steadman RH, Coates WC, Huang YM, Matevosian R, Larmon BR, McCullough L, et al. Simulation-based training is superior to problem-based learning for the acquisition of critical assessment and management skills. Crit Care Med. 2006;34(1):151–7. doi:.https://doi.org/10.1097/01.CCM.0000190619.42013.94
- https://www.swiss-icu-cert.ch/de/Zertifikation.html
- http://www.sgi-ssmi.ch/index.php/kongresskommission.html
- http://www.samw.ch/de/Projekte/Interprofessionalitaet/Award.html.
- Schärli M, Müller R, Martin JS, Spichiger E, Spirig R. Interprofessionelle Zusammenarbeit Pflegefachpersonen und Ärzteschaft - Eine Triangulation quantitativer und qualitativer Daten. Pflege. 2017;30:53–6. doi:https://doi.org/10.1024/1012-5302/a000531