Interprofessional teams contribute to patient safety during clinical care. However, little is known about how interprofessional teams manage and cope with critical incidents in the emergency department (ED). Therefore, the study aimed to describe healthcare professionals (HCPs) perceptions of critical incidents linked to the enablers of and barriers to interprofessional teamwork in a high-risk setting, the ED. Individual interviews with HCPs regarding events at the ED were held during the period of May 2019–January 2020. The Critical Incident Technique approach was used to guide the interviews and the qualitative analysis. Data were analyzed inductively using qualitative content analysis. Interview participants (n = 28) included 7 physicians (25%), 12 registered nurses (43%), 7 nurse assistants (25%) and 2 administrators (7%). Overall, 108 critical incidents were described. Eight categories that described functional and dysfunctional experiences within interprofessional teamwork were identified: salience of reflection; professional experience makes a difference; demanding physical and psychosocial work environment; balancing communication demands; lacking management support, structure, and planning; tensions between professional role and responsibility; different views on interprofessional teamwork; and confidence in interprofessional team members. Findings of this study indicate that poor ED-specific communication and limited professional experience are essential factors in handling critical incidents related to interprofessional teamwork. An important aspect of critical incident management is the ergonomics of the physical work environment and how it enables interprofessional teamwork. This study emphasizes the factors enabling interprofessional teamwork to manage critical incidents in the complex working environment of the ED.

中文翻译：

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医疗保健专业人员对急诊科跨专业团队合作的看法：一项关键事件研究

跨专业团队在临床护理期间为患者安全做出贡献。然而，对于跨专业团队如何管理和应对急诊科 (ED) 中的重大事件知之甚少。因此，该研究旨在描述医疗保健专业人员 (HCP) 对与高风险环境中跨专业团队合作的促成因素和障碍相关的重大事件的看法，即 ED。在 2019 年 5 月至 2020 年 1 月期间，与 HCP 就 ED 的事件进行了单独面谈。关键事件技术方法用于指导面谈和定性分析。使用定性内容分析对数据进行归纳分析。访谈参与者 (n = 28) 包括 7 名医生 (25%)、12 名注册护士 (43%)、7 名护士助理 (25%) 和 2 名管理人员 (7%)。全面的，描述了 108 起严重事件。确定了描述跨专业团队合作中功能性和功能失调性经历的八个类别：反思的显着性；专业经验会有所作为；苛刻的身体和心理社会工作环境；平衡沟通需求；缺乏管理支持、结构和规划；专业角色和责任之间的紧张关系；对跨专业团队合作的不同看法；以及对跨专业团队成员的信心。这项研究的结果表明，ED 特定的沟通不畅和专业经验有限是处理与跨专业团队合作相关的重大事件的重要因素。关键事件管理的一个重要方面是物理工作环境的人体工程学以及它如何实现跨专业团队合作。本研究强调了使跨专业团队合作能够在 ED 的复杂工作环境中管理关键事件的因素。