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Benefits and losses: a qualitative study exploring healthcare staff perceptions of teamworking

By S. Baxter and S.M. Brumfitt


ABSTRACT\ud Objectives: To examine staff perceptions of teamworking\ud practice in the field of stroke care.\ud Design: Qualitative interview study.\ud Setting: Three teams providing care to patients with\ud stroke across a typical care pathway of acute hospital\ud ward, specialist stroke unit, and community rehabilitation.\ud Participants: 37 staff members from a range of\ud professions.\ud Main outcome measures: Healthcare staff perceptions\ud of teamworking.\ud Results: Through detailed coding and analysis of the\ud transcripts, five perceptions regarding the impact of\ud teamworking on staff and patients were identified. These\ud were: (1) mutual staff support, (2) knowledge and skills\ud sharing, (3) timely intervention/discharge, (4) reduced\ud individual decision-making and responsibility and (5)\ud impact on patient contact time.\ud Conclusions: Teamworking practice may be associated\ud with a number of perceived benefits for staff and patient\ud care; however, the potential for losses resulting from\ud reduced patient contact time and ill-defined responsibility\ud needs further investigation

Publisher: BMJ Publishing Group
Year: 2008
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