Barriers to and Facilitators of Interprofessional-Interdepartmental Interventions: Unearthing Departmental Culture. (March 2015)

• Record Type: Journal Article
• Authors: Michalec, Barret; Reinhold, Natalie; Dressler, Robert; Laskowski-Jones, Linda; Adarve, Laura; Elliott, Daniel
• Is Part Of: American journal of medical quality. Volume 30:Number 2(2015:Mar./Apr.)
• Page Start: 126
• Page End: 134
• Publication Date: 2015-03
• Subjects: interdepartmental care -- departmental culture -- quality improvement interventions -- emergency department -- medical intensive care unit; Medical care -- Quality control -- Periodicals; Medical care -- Evaluation -- Periodicals; Medical care -- Utilization review -- Periodicals; Medical care -- United States -- Periodicals; 362.1
• DOI: 10.1177/1062860613518963
• Languages: English
• ISSNs: 1062-8606

Abstract

This study evaluates how emergency department (ED) and medical intensive care unit (MICU) providers interact in the setting of a quality improvement project designed to enhance transport/care for patients from the ED to the MICU. Focus groups were conducted with nurses, residents, physician assistants, and physicians from the ED and MICU at baseline and 6 months regarding their thoughts on and perspectives of the intervention and working with colleagues from another department. Data were then analyzed utilizing a multistep coding scheme that identified key barriers to and facilitators of the interprofessional-interdepartmental intervention. Analysis also showed, however, that variances in departmental culture play a significant role in the willingness and ability of providers to practice interdepartmental team-based care. It is argued that anticipating and acknowledging these differences and designing systems to address them prior to launch will be essential to the development and implementation of effective interdepartmental quality improvement interventions.