TY - JOUR
T1 - Interprofessional collaboration and family member involvement in intensive care units
T2 - Emerging themes from a multi-sited ethnography
AU - Reeves, Scott
AU - McMillan, Sarah E.
AU - Kachan, Natasha
AU - Paradis, Elise
AU - Leslie, Myles
AU - Kitto, Simon
N1 - Funding Information:
This study was funded by a grant from the Gordon and Betty Moore Foundation.
Publisher Copyright:
© 2015 Informa UK Ltd. All rights reserved: reproduction in whole or part not permitted.
PY - 2015/5/1
Y1 - 2015/5/1
N2 - This article presents emerging findings from the first year of a two-year study, which employed ethnographic methods to explore the culture of interprofessional collaboration (IPC) and family member involvement in eight North American intensive care units (ICUs). The study utilized a comparative ethnographic approach-gathering observation, interview and documentary data relating to the behaviors and attitudes of healthcare providers and family members across several sites. In total, 504 hours of ICU-based observational data were gathered over a 12-month period in four ICUs based in two US cities. In addition, 56 semi-structured interviews were undertaken with a range of ICU staff (e.g. nurses, doctors and pharmacists) and family members. Documentary data (e.g. clinical guidelines and unit policies) were also collected to help develop an insight into how the different sites engaged organizationally with IPC and family member involvement. Directed content analysis enabled the identification and categorization of major themes within the data. An interprofessional conceptual framework was utilized to help frame the coding for the analysis. The preliminary findings presented in this paper illuminate a number of issues related to the nature of IPC and family member involvement within an ICU context. These findings are discussed in relation to the wider interprofessional and health services literature.
AB - This article presents emerging findings from the first year of a two-year study, which employed ethnographic methods to explore the culture of interprofessional collaboration (IPC) and family member involvement in eight North American intensive care units (ICUs). The study utilized a comparative ethnographic approach-gathering observation, interview and documentary data relating to the behaviors and attitudes of healthcare providers and family members across several sites. In total, 504 hours of ICU-based observational data were gathered over a 12-month period in four ICUs based in two US cities. In addition, 56 semi-structured interviews were undertaken with a range of ICU staff (e.g. nurses, doctors and pharmacists) and family members. Documentary data (e.g. clinical guidelines and unit policies) were also collected to help develop an insight into how the different sites engaged organizationally with IPC and family member involvement. Directed content analysis enabled the identification and categorization of major themes within the data. An interprofessional conceptual framework was utilized to help frame the coding for the analysis. The preliminary findings presented in this paper illuminate a number of issues related to the nature of IPC and family member involvement within an ICU context. These findings are discussed in relation to the wider interprofessional and health services literature.
KW - Critical care
KW - Ethnography
KW - Family member involvement
KW - Interprofessional collaboration
KW - Qualitative research
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U2 - 10.3109/13561820.2014.955914
DO - 10.3109/13561820.2014.955914
M3 - Article
C2 - 25238573
AN - SCOPUS:84928631267
SN - 1356-1820
VL - 29
SP - 230
EP - 237
JO - Journal of Interprofessional Care
JF - Journal of Interprofessional Care
IS - 3
ER -