Document Type : Original Article
Authors
1 School of Nursing and Midwifery, Bam University of Medical Sciences, Bam, Iran
2 Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
Abstract
Background: The Complexity of care for heart failure patients has increased the need for professionals to collaborate in the form of teams. Finding the right strategies to eliminate these problems will increase the effectiveness of care. This study was done to explore team members’ experiences and provide strategies for building effective teams for the care of heart failure patients.
Methods: In this content analysis study, data were collected through unstructured in‐depth interviews with 58 team members involved in the care of heart failure patients. The selection of participants began with purposive sampling and was extended using theoretical sampling. The interviews were transcribed verbatim and analyzed using an inductive conventional method.
Results: Fourteen subcategories and six categories were formed: equal professional rights in the team, embodying knowledge and experience, team integrity, self-awareness of teamwork, teamwork continuity, and skillfulness of the team. The final theme was “Striving for team evolution and consensus.”
Conclusion: The results showed that the teamwork strategies are being used in Iranian health care centers, but different strategies should be used to provide more effective care for heart failure (HF) patients. These strategies are found at individual, organizational, and sociocultural levels. Training and application of these strategies by health care providers will facilitate the achievement of teamwork goals in the care of HF patients.
Highlights
Hadi Khoshab (PubMed) (Google Scholar)
Keywords
- Khan MS, Shahid I, Bennis A, Rakisheva A, Metra M, Butler J. Global epidemiology of heart failure. Nat Rev Cardiol. 2024;21(10):717-34. doi: 10.1038/s41569-024-01046-6.
- Petrie MC, Verma S, Docherty KF, Inzucchi SE, Anand I, Belohlávek J, et al. Effect of dapagliflozin on worsening heart failure and cardiovascular death in patients with heart failure with and without diabetes. JAMA. 2020;323(14):1353-68. doi: 10.1001/jama.2020.1906.
- Pashaeypoor S, Cheraghi MA, Bahramnezhad F, Asgari P. Back on the road to life: Iranian patients’ experience of heart transplantation. J Qual Res Health Sci. 2021;10(1):328-37. doi: 10.22062/jqr.2021.91597.
- Lin X, Ji R, Wang X, Xin R, Chen Q. A systematic review and meta-analysis of the effect of transitional care interventions on the prognosis of patients with heart failure. J Thorac Dis. 2022;14(4):1164-71. doi: 10.21037/jtd-22-102.
- Zakerimoghadam M, Shali M, Ebadi A, Sanaie N. Health workers’ perceptions of the risk of heart disease: a content analysis study. J Qual Res Health Sci. 2020;9(3):177-87. doi: 10.22062/jqr.2020.91511.
- Sonoda Y, Onozuka D, Hagihara A. Factors related to teamwork performance and stress of operating room nurses. J Nurs Manag. 2018;26(1):66-73. doi: 10.1111/jonm.12522.
- Lee H, Ryu K, Sohn Y, Kim J, Suh GY, Kim E. Impact on patient outcomes of pharmacist participation in multidisciplinary critical care teams: a systematic review and meta-analysis. Crit Care Med. 2019;47(9):1243-50. doi: 10.1097/ ccm.0000000000003830.
- Shaw M, Pelecanos AM, Mudge AM. Evaluation of internal medicine physician or multidisciplinary team comanagement of surgical patients and clinical outcomes: a systematic review and meta-analysis. JAMA Netw Open. 2020;3(5):e204088. doi: 10.1001/jamanetworkopen.2020.4088.
- Korylchuk N, Pelykh V, Nemyrovych Y, Didyk N, Martsyniak S. Challenges and benefits of a multidisciplinary approach to treatment in clinical medicine. J Pioneer Med Sci. 2024;13(3):1-9. doi: 10.61091/jpms202413301.
- Etherington C, Burns JK, Kitto S, Brehaut JC, Britton M, Singh S, et al. Barriers and enablers to effective interprofessional teamwork in the operating room: a qualitative study using the Theoretical Domains Framework. PLoS One. 2021;16(4):e0249576. doi: 10.1371/journal.pone.0249576.
- Khoshab H, Nouhi E, Tirgari B, Ahmadi F. Invisible cobwebs in teamwork-impediments to the care of patients with heart failure: a qualitative study. Int J Health Plann Manage. 2018;33(2):e663-73. doi: 10.1002/hpm.2518.
- Zajac S, Woods A, Tannenbaum S, Salas E, Holladay CL. Overcoming challenges to teamwork in healthcare: a team effectiveness framework and evidence-based guidance. Front Commun. 2021;6:606445. doi: 10.3389/ fcomm.2021.606445.
- Khoshab H, Nouhi E, Tirgari B, Ahmadi F. A survey on teamwork status in caring for patients with heart failure: a cross-sectional study. J Interprof Care. 2019;33(1):8-14. doi: 10.1080/13561820.2018.1512959.
- Lindgren BM, Lundman B, Graneheim UH. Abstraction and interpretation during the qualitative content analysis process. Int J Nurs Stud. 2020;108:103632. doi: 10.1016/j. ijnurstu.2020.103632.
- Frost S. How to Divide Employee Responsibilities. Chron; 2018. Available from: http://smallbusiness.chron.com/divide-employee-responsibilities-23346.html.
- Rosen MA, DiazGranados D, Dietz AS, Benishek LE, Thompson D, Pronovost PJ, et al. Teamwork in healthcare: key discoveries enabling safer, high-quality care. Am Psychol. 2018;73(4):433-50. doi: 10.1037/amp0000298.
- Fernández-Feito A, del Rosario Palmeiro-Longo M, Hoyuelos SB, García-Díaz V. How work setting and job experience affect professional nurses’ values. Nurs Ethics. 2019;26(1):134-47. doi: 10.1177/0969733017700238.
- Costa AC, Fulmer CA, Anderson NR. Trust in work teams: an integrative review, multilevel model, and future directions. J Organ Behav. 2018;39(2):169-84. doi: 10.1002/job.2213.
- Asif M, Jameel A, Hussain A, Hwang J, Sahito N. Linking transformational leadership with nurse-assessed adverse patient outcomes and the quality of care: assessing the role of job satisfaction and structural empowerment. Int J Environ Res Public Health. 2019;16(13):2381. doi: 10.3390/ ijerph16132381.
- Dillon SJ, Kleinmann W, Seasely A, Ames R, Dyess-Nugent P, McIntire DD, et al. How personality affects teamwork: a study in multidisciplinary obstetrical simulation. Am J Obstet Gynecol MFM. 2021;3(2):100303. doi: 10.1016/j. ajogmf.2020.100303.
- Peralta A, Shupp R. Trust, trust attitudes and group membership. J Int Dev. 2017;29(6):681-99. doi: 10.1002/jid.3294.
- Goleman D. Leadership That Gets Results (Harvard Business Review Classics). Harvard Business Press; 2017.
- Bourgault AM, Goforth C. Embrace teamwork to create and maintain a positive workplace culture. Crit Care Nurse. 2021;41(3):8-10. doi: 10.4037/ccn2021662.
- Guchait P, Lei P, Tews MJ. Making teamwork work: team knowledge for team effectiveness. J Psychol. 2016;150(3):300- 17. doi: 10.1080/00223980.2015.1024596.
- Morales-Huamán HI, Medina-Valderrama CJ, Valencia-Arias A, Vasquez-Coronado MH, Valencia J, Delgado-Caramutti J. Organizational culture and teamwork: a bibliometric perspective on public and private organizations. Sustainability. 2023;15(18):13966. doi: 10.3390/su151813966.
- Neuhaus C, Lutnæs DE, Bergström J. Medical teamwork and the evolution of safety science: a critical review. Cogn Technol Work. 2020;22(1):13-27. doi: 10.1007/s10111-019-00545-8.
)