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A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care
University West, Department of Health Sciences, Section for nursing - undergraduate level. University of South-Eastern Norway, Centre for Women's, Family and Child Health, Faculty of Health and Social Sciences, P.O. Box 235, N-3603, Kongsberg, Norway.
University of South-Eastern Norway, Centre for Women's, Family and Child Health, Faculty of Health and Social Sciences, P.O. Box 235, N-3603, Kongsberg, Norway.
The University of Tokyo, Department of Midwifery and Women's Health, Division of Health Sciences& Nursing Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033, Japan.
University West, Department of Health Sciences, Section for nursing - graduate level.ORCID iD: 0000-0003-0305-8649
2019 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 75, no 3, p. 585-593Article in journal (Refereed) Published
Abstract [en]

AIM: The aim of this study was to explore healthcare professionals' perceptions of adverse events during childbirth with focus on communication and teamwork.

BACKGROUND: Inadequate communication, a poor teamwork climate and insufficient team training are harmful to women. Reviews of reported adverse events can be used to develop a safety culture based on preparedness for preventing adverse events and strengthening patient safety.

DESIGN: Action research principles were used to facilitate the implementation and evaluation of this study.

METHODS: An interprofessional team of healthcare professionals comprising obstetricians, registered midwives and assistant nurses employed at a labour ward agreed to take part. Data were collected from multistage focus group interviews (March 2016 - June 2016) and analysed by means of interpretative thematic analysis.

FINDINGS: Two analytical themes based on five sub-themes emerged; Promoting interprofessional teamwork and Building capabilities by involving healthcare professionals and elucidating relevant strategies. The findings reveal the importance of facilitating relationships based on trust and respectful communication to ensure a safe environment and provide safe maternity care.

CONCLUSION: There is a need for formal and informal support for quality interprofessional teamwork. Research on patient safety may reduce adverse events related to miscommunication and poor teamwork. We recommend different forms of communication and teamwork training in interprofessional teams to increase the ability to provide feedback. Accumulated research is required for the evaluation of evidence-based models in the patient safety context. This article is protected by copyright. All rights reserved.

Place, publisher, year, edition, pages
2019. Vol. 75, no 3, p. 585-593
Keywords [en]
action research principles, adverse events, communication, focus group interviews, maternity care, midwives, patient safety, teamwork, thematic analysis
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-12975DOI: 10.1111/jan.13864ISI: 000459169600011PubMedID: 30264487Scopus ID: 2-s2.0-85056277414OAI: oai:DiVA.org:hv-12975DiVA, id: diva2:1259037
Note

First published online: 27 September 2018

Available from: 2018-10-26 Created: 2018-10-26 Last updated: 2020-01-15Bibliographically approved

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Rönnerhag, MariaBerggren, Ingela

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