Leadership in acute care teams based on knowledge and communication - an interdisciplinary analysis of a serie of in-situ trauma team trainings Efficient communication is one of the key features of good teamwork. Call-outs (CO) and Closed-loop communication (CLC), as a component of secure and efficient communication, has been extensively taught in the team training context. This paper reports results from a thesis exploring how trauma teams communicate while working. Eighteen in-situ trauma team training sessions were documented with surveys, audio and video for later analysis. Discourse analysis, quantitative content analysis and quantitative methods were used. The use of CO and CLC in the teams was low. CLC initiated by the team leader was associated with a higher likelihood of decision to go to surgery within the training session. CLC initiated by others than the team leaders was associated with longer time taken until the decision to go to definitive care. Using discourse analysis the leaders' way to position themselves using verbal communication could be described as dynamically switched between coercive, educational, discussing and negotiating strategies to take control of the team. Leaders that took control of the teams also positioned themselves physically in the inner circle, i.e. close to the patient's head. When trauma teams work together, only a limited amount of communication occurs structured as CO and CLC. The importance of physically positioning yourself at the right place in the room as well as to choose communication strategy to get things done might need to be discussed during leadership trainings. Deliberate practice in the use of communication tools as CO and CLC and in switching between different communication strategies might benefit the team function and the care of patients when time is sparse.
Umeå universitet - Inst för kirurgisk och perioperativ vetenskap Umeå, Sweden Umeå universitet - Inst för kirurgisk och perioperativ vetenskap Umeå, Sweden.
Magnus
M
Hultin
Umeå universitet - Inst för socialt arbete Umeå, Sweden Umeå universitet - Inst för socialt arbete Umeå, Sweden.
Maritha
M
Jacobsson
Umeå universitet - Inst för omvårdnad Umeå, Sweden Umeå universitet - Inst för omvårdnad Umeå, Sweden.
Christine
C
Brulin
Umeå universitet - Inst för omvårdnad Umeå, Sweden Umeå universitet - Inst för omvårdnad Umeå, Sweden.
Maria
M
Härgestam