Abstract
Objective
To study the implementation of multidisciplinary structured work shift evaluations at a pediatric intensive care unit (PICU) to enhance team communication.
Design and setting
Prospective, repeated measurements design, comparison of pre/post measurements and process measures in a Dutch tertiary care, university-affiliated PICU.
Participants
All 61 PICU staff members.
Interventions
Implementing multidisciplinary structured work shift evaluations. Before the implementation phase the PICU team received feedback training and eight participants (four physicians, four nurses) were trained as “work shift evaluation leader.”
Measurements and results
Outcome measures covered: (a) quality and process of the implementation through prestructured checklists during the 3 months of implementation, (b) a subjective evaluation of a feedback training on team communication as anticipated action and on the level of communication (about patients and with colleagues), and (c) emotional exhaustion complaints and work-related fatigue. The interdisciplinary structured work shift evaluations were implemented successfully as planned during the work shift; all staff were trained ahead, and the process was followed almost completely. Almost two-thirds (62%) of the staff felt a positive influence on team communication. Almost all staff members (92%) were satisfied regarding communication with their colleagues after the intervention, compared to 76% before. Emotional exhaustion in the PICU team decreased significantly after the implementation, but no differences in work-related fatigue levels were found.
Conclusions
As organizational change the implementation of a multidisciplinary structured work shift evaluation at a PICU was successful and team communication improved. Emotional exhaustion decreased during the study period.
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Acknowledgements
The authors thank all the PICU staff for their cooperation. We are also very grateful to Carola van Rijn, Nita Pees, and Marjorie Neef for their invaluable help during the preparation and data acquisition phases of this project.
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This study was made possible by support from the Social Fund for the Knowledge Sector (SoFoKles), Utrecht, The Netherlands
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Sluiter, J.K., Bos, A.P., Tol, D. et al. Is staff well-being and communication enhanced by multidisciplinary work shift evaluations?. Intensive Care Med 31, 1409–1414 (2005). https://doi.org/10.1007/s00134-005-2769-z
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DOI: https://doi.org/10.1007/s00134-005-2769-z