title: Facilitators of an interprofessional approach to care in medical and mixed medical/surgical ICUs: a multicenter qualitative study.
abstract: The purpose of this study was to describe clinicians' perceptions of interprofessional collaboration in the intensive care unit and identify factors associated with interprofessional collaboration. We performed 64 semi-structured interviews in seven hospitals with ICU nurses, physicians, respiratory therapists, nurse managers, clinical pharmacists, and dieticians. ICU clinicians perceived two distinct types of facilitators to interprofessional collaboration in critical care: cultural and structural. In the critical care setting, cultural and structural facilitators worked independently as well as in concert to create effective interprofessional collaboration. Initiatives aimed at creating and facilitating interprofessional collaboration should focus attention on cultural and structural facilitators to improve patient care and team effectiveness.
authors.affiliation: Postdoctoral Fellow, Department of Critical Care Medicine, University of Pittsburgh, Scaife Hall Room 607, 3550 Terrace Sreet, Pittsburgh, PA, 15221.
authors.forename: Deena Kelly
authors.initials: DK
authors.lastname: Costa
authors.forename: Frances K
authors.initials: FK
authors.lastname: Barg
authors.forename: David A
authors.initials: DA
authors.lastname: Asch
authors.forename: Jeremy M
authors.initials: JM
authors.lastname: Kahn
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000379:methods*; D005260:Female; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D007400:Interprofessional Relations; D008297:Male; D008505:Medical Staff, Hospital / Q000458:organization & administration* / Q000523:psychology; D036301:Qualitative Research
keywords: collaboration; communication; critical care; health care delivery; hospital/institutional environment; interprofessional care