{"title":"Qualitative Study of Dynamics, Camaraderie, and Belonging Among Emergency Physicians and Nurses","authors":"Jeffrey Phillips MD, BSN , David Jones MD, MCR","doi":"10.1016/j.jemermed.2024.08.011","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Emergency departments (ED) must perform patient care at a safe and efficient pace, which requires an effective care team. Communication and workplace practices that foster identification as part of an emergency healthcare team have not been previously demonstrated.</div></div><div><h3>Objectives</h3><div>To explore the critical role of communication within ED healthcare teams and its impact on team belonging. This study investigates how communication practices between physicians and nurses in the ED influence team dynamics and the sense of belonging to the healthcare team.</div></div><div><h3>Methods</h3><div>A qualitative approach involving focus groups with 38 participants from nine EDs in Oregon.</div></div><div><h3>Results</h3><div>This study identifies positive influences on team belonging, such as proactivity, openness, less formal name conventions, and relationships outside of work. Conversely, negative influences include resistance to communication, obstacles to communication, and interactions leading to alienation.</div></div><div><h3>Conclusion</h3><div>The findings emphasize the importance of fostering positive communication practices to enhance team dynamics, cohesiveness, and overall well-being within ED healthcare teams. Future research may delve into specific aspects like naming conventions and the role of friendships in healthcare communication.</div></div>","PeriodicalId":16085,"journal":{"name":"Journal of Emergency Medicine","volume":"69 ","pages":"Pages 43-50"},"PeriodicalIF":1.2000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Emergency Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0736467924002695","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Emergency departments (ED) must perform patient care at a safe and efficient pace, which requires an effective care team. Communication and workplace practices that foster identification as part of an emergency healthcare team have not been previously demonstrated.
Objectives
To explore the critical role of communication within ED healthcare teams and its impact on team belonging. This study investigates how communication practices between physicians and nurses in the ED influence team dynamics and the sense of belonging to the healthcare team.
Methods
A qualitative approach involving focus groups with 38 participants from nine EDs in Oregon.
Results
This study identifies positive influences on team belonging, such as proactivity, openness, less formal name conventions, and relationships outside of work. Conversely, negative influences include resistance to communication, obstacles to communication, and interactions leading to alienation.
Conclusion
The findings emphasize the importance of fostering positive communication practices to enhance team dynamics, cohesiveness, and overall well-being within ED healthcare teams. Future research may delve into specific aspects like naming conventions and the role of friendships in healthcare communication.
期刊介绍:
The Journal of Emergency Medicine is an international, peer-reviewed publication featuring original contributions of interest to both the academic and practicing emergency physician. JEM, published monthly, contains research papers and clinical studies as well as articles focusing on the training of emergency physicians and on the practice of emergency medicine. The Journal features the following sections:
• Original Contributions
• Clinical Communications: Pediatric, Adult, OB/GYN
• Selected Topics: Toxicology, Prehospital Care, The Difficult Airway, Aeromedical Emergencies, Disaster Medicine, Cardiology Commentary, Emergency Radiology, Critical Care, Sports Medicine, Wound Care
• Techniques and Procedures
• Technical Tips
• Clinical Laboratory in Emergency Medicine
• Pharmacology in Emergency Medicine
• Case Presentations of the Harvard Emergency Medicine Residency
• Visual Diagnosis in Emergency Medicine
• Medical Classics
• Emergency Forum
• Editorial(s)
• Letters to the Editor
• Education
• Administration of Emergency Medicine
• International Emergency Medicine
• Computers in Emergency Medicine
• Violence: Recognition, Management, and Prevention
• Ethics
• Humanities and Medicine
• American Academy of Emergency Medicine
• AAEM Medical Student Forum
• Book and Other Media Reviews
• Calendar of Events
• Abstracts
• Trauma Reports
• Ultrasound in Emergency Medicine