scholarly journals Harmonious Healthcare Teams: What Healthcare Professionals Can and Cannot Learn from Chamber Musicians

Author(s):  
Clare M.C. Whitehead ◽  
Cynthia Whitehead ◽  
Gabrielle F.D. McLaughlin ◽  
Zubin Austin

Background: As healthcare becomes increasingly team based, we need new ways of educating trainees to be collaborative team members. One approach is to look to other professions that have developed highly effective ways of collaborating. Doctors have already turned to musicians for specific lessons; however, as of yet, there has been little empirical study of the ways that musicians interact in ensembles, or analysis of how this might provide insights for healthcare. Our hypothesis is that healthcare teams might learn from understanding collaborative practices of chamber musicians.Methods and Findings: We undertook an exploratory study of professional musicians playing in non-conducted ensembles. We used semi-structured interviews to explore factors the musicians considered important for effective group function. The interviews were transcribed and coded thematically. We identified three prominent themes that have relevance for healthcare teams.Conclusions: The highly individual nature of each musical group’s identity suggests that a focus on generic interprofessional education skills development may be insufficient. Furthermore, musicians’ understanding of the fundamental role of non-melodic parts provides the possibility of more nuanced leadership models. Finally, essential differences between musicians’ interactions in rehearsals and performances highlight the importance of varied forms of group interactions.

2021 ◽  
Vol 186 (Supplement_3) ◽  
pp. 29-34 ◽  
Author(s):  
Holly S Meyer ◽  
Steven J Durning ◽  
Karlen S Bader-Larsen ◽  
Meghan Hamwey ◽  
Lara Varpio

ABSTRACT Introduction Perseverance—doing something despite difficulty—is an asset to healthcare professionals, yet not all providers display this trait. The literature offers no conceptualization of perseverance as it relates to military caregivers. This research sought to explore the perseverance displayed by members of military interprofessional healthcare teams (MIHTs) and to construct a framework for explaining the role of perseverance in MIHTs’ collaborative work. Methods Using Grounded Theory, this interview-based study collected insights from 30 individuals who had participated in MIHTs and/or led MIHTs. Participants represented 11 different health professions, both officers and enlisted military members, and three branches of the U.S. military (i.e., Army, Navy, and Air Force). Data were collected and analyzed in iterative cycles until theme saturation was achieved. Results We identified practices through which perseverance was exhibited by members of MIHTs: (1) humility, (2) mission focus, (3) team effort, (4) failure is not an option, (5) comfort with discomfort, and (6) continuous improvement. We then clustered these practices into three subcategories, reflecting how certain practices may connect to support MIHT perseverance. Conclusions These six practices appear connected in significant ways to support the MIHTs’ efforts. Humility, mission focus, and team effort can help team members collaborate as a unified and mutually supportive team. From this base, MIHTs seemed able to become comfortable with discomfort and to refuse failure as an option. These orientations then allowed the team to engage in continuous improvement. Together, these practices may enhance team perseverance and ultimately team performance.


Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1543
Author(s):  
Lina Heier ◽  
Donia Riouchi ◽  
Judith Hammerschmidt ◽  
Nikoloz Gambashidze ◽  
Andreas Kocks ◽  
...  

Healthcare professionals need specific safety performance skills in order to maintain and improve patient safety. The purpose of this study is to get a deeper understanding of healthcare professionals’ perspective in acute care on the topic of safety performance. This study was conducted using a qualitative approach. Healthcare professionals working in nursing were interviewed using semi-structured interviews. Using content analyzing, categories were identified which present aspects of safety performance; subcategories were developed deductively. A total of 23 healthcare professionals were interviewed, of which 15 were registered nurses, five were nursing students and three were pedagogical personnel. Nine (39.1%) were <30 years old, 17 (73.9%) were female, and 9 (39.1%) had a leadership function. Results highlight the importance of safety performance as a construct of occupational health rather than of patient safety, and the role of the organization, as well as the self-responsibility of healthcare professionals. Healthcare professionals should be more conscious of their role, have a deeper understanding of the interaction of individual, team, patient, organization and work environment factors.


2018 ◽  
Vol 31 (1) ◽  
pp. 110-128 ◽  
Author(s):  
Hugo Paquin ◽  
Ilana Bank ◽  
Meredith Young ◽  
Lily H.P. Nguyen ◽  
Rachel Fisher ◽  
...  

Purpose Complex clinical situations, involving multiple medical specialists, create potential for tension or lack of clarity over leadership roles and may result in miscommunication, errors and poor patient outcomes. Even though copresence has been shown to overcome some differences among team members, the coordination literature provides little guidance on the relationship between coordination and leadership in highly specialized health settings. The purpose of this paper is to determine how different specialties involved in critical medical situations perceive the role of a leader and its contribution to effective crisis management, to better define leadership and improve interdisciplinary leadership and education. Design/methodology/approach A qualitative study was conducted featuring purposively sampled, semi-structured interviews with 27 physicians, from three different specialties involved in crisis resource management in pediatric centers across Canada: Pediatric Emergency Medicine, Otolaryngology and Anesthesia. A total of three researchers independently organized participant responses into categories. The categories were further refined into conceptual themes through iterative negotiation among the researchers. Findings Relatively “structured” (predictable) cases were amenable to concrete distributed leadership – the performance by micro-teams of specialized tasks with relative independence from each other. In contrast, relatively “unstructured” (unpredictable) cases required higher-level coordinative leadership – the overall management of the context and allocations of priorities by a designated individual. Originality/value Crisis medicine relies on designated leadership over highly differentiated personnel and unpredictable events. This challenges the notion of organic coordination and upholds the validity of a concept of leadership for crisis medicine that is not reducible to simple coordination. The intersection of predictability of cases with types of leadership can be incorporated into medical simulation training to develop non-technical skills crisis management and adaptive leaderships skills.


2021 ◽  
Author(s):  
Erick Guerrero ◽  
Jemima A. Frimpong ◽  
Angelique Hearn ◽  
Veronica Serret ◽  
Welmoed K. van Deen ◽  
...  

This study responds to the gap in knowledge in translating team members’ interdisciplinary knowledge to address wicked problems. We use qualitative methodology to understand the team-building process and response to the opioid epidemic in emergency care. We collected data through direct observation of nine health system science researchers and thought leaders as they performed in team-building activities and semi-structured interviews. The cultural exchange framework informed our selection and assessment of team-building activities, and the science of team science (SciTS) framework informed our understanding of promoting interdisciplinary collaborations. We identified six themes representing three areas: (1) Knowledge Building and Strategy Development (need for interdisciplinary understanding of substance abuse and mental health in the emergency department (ED); interdisciplinary approaches to fight the opioid epidemic in the ED); (2) Team Demographics and Collaboration (prescribing and collaboration; the role of interdisciplinary team composition and effectiveness in the ED); and (3) Identity and Relationship Building (role of professional identity in contributing to interdisciplinary research; building effective organizational relationships in the ED). Members’ personal and professional connections are fundamental for developing nuanced interdisciplinary strategies to respond to the opioid epidemic in the ED. We discuss implications for strategies that promote team building and improve treatment practices.


2020 ◽  
pp. 026921632096759
Author(s):  
Erin Tutty ◽  
Philomena Horsley ◽  
Rowan Forbes Shepherd ◽  
Laura E. Forrest

Background: CASCADE is a successful, Australia-first cancer rapid autopsy programme. Patients are recruited to the programme by their clinician once they understand that further treatment has only palliative intent. Despite its value, rapid autopsy is a rare research method owing partly to recruitment challenges. Aim: This research aimed to explore (1) how, in practice, clinicians select and recruit patients to the programme and (2) patient experiences of this process. Design: This was a qualitative study grounded in phenomenology. CASCADE team members (clinicians and researchers) and patients participated in semi-structured interviews. Data were analysed using an inductive, team-based approach to thematic analysis. Participants: Interviews were conducted with 31 participants (11 patients and 20 CASCADE team members). Results: Patient selection and recruitment to a rapid autopsy programme is both an art and science. In practice, patient selection is a subjective process that involves assessing a patient’s psychosocial suitability for the programme. Trust and rapport are necessary for informing this assessment and to create an environment conducive to discussing rapid autopsy. Clinicians have also crafted their own ways of delivering information about CASCADE, with both clinicians and patients acknowledging that, if not handled sensitively, recruitment could cause distress. Overall, patients were satisfied with the way in which they were recruited. Conclusion: Findings provide insight into how clinicians successfully select and recruit patients to a rapid autopsy programme and suggests that discussing such topics are acceptable to end-of-life patients. This research also raises thought-provoking questions about the ‘gatekeeping’ role of clinicians in recruitment.


2014 ◽  
Vol 29 (3) ◽  
pp. 125-135 ◽  
Author(s):  
Dale LL Rickert ◽  
Margaret S Barrett ◽  
Bronwen J Ackermann

Workplace rehabilitation in the orchestral setting poses a number of challenges that arise in part due to a poor fit between generic injury insurance and medical care and the elite performance requirements of professional musicians. Currently, the orchestral profession lacks information and strategies to best deal with the unique challenges of this complex rehabilitation environment. In order to inform future directions for research and suggest possible changes of practice, the researchers conducted a qualitative case-study aimed at understanding the injury and rehabilitation experiences of professional musicians. In-depth semi-structured interviews were undertaken with three chronically injured professional cellists from a single Australian orchestra. After initial data analysis, further interviews were undertaken with a set of five orchestral management staff as a means of data triangulation. All data were analysed using a themes-based analysis-of-narrative approach. The findings indicate that injury concealment played a considerable role in the development of chronic injuries for these musicians, and management staff felt that this concealment may be the norm amongst orchestral musicians. The musicians in this study suffered emotional and psychological trauma as the result of their injuries, and two participants felt socially marginalised. During rehabilitation, the musicians in this study encountered difficulties with medical staff not understanding the elite performance requirements of orchestral work. The article proposes recommendations that may assist in dealing with the complex challenges of injury rehabilitation in the orchestral environment.


2019 ◽  
Vol 34 (2) ◽  
pp. 412-425 ◽  
Author(s):  
Hussain Albin Shaikh ◽  
Sharon Purchase ◽  
Gregory Brush

PurposeThe purpose of this study is to understand the development of social capital in an Arab business environment, and provide an in-depth description of the nature and role of three key Arabic business relationship characteristics (ehsan,et-mooneandwasta), their impact on each other and key influencing factors.Design/methodology/approachA qualitative research design was used, in which face-to-face semi-structured interviews were conducted with innovation teams (22 team members) at six industrial small and medium-sized enterprises in Saudi Arabia. The interviews were recorded and transcribed, then analyzed (thematic coding) through NVivo.FindingsThe findings suggest thatwasta,ehsanandet-moonealign closely with the three social capital dimensions (structural, cognitive and relational); thus, developing these three relationship characteristics most likely results in developing social capital. The findings also expand the description of the three business relationship characteristics. Moreover,ehsan,et-mooneandwastaappear to influence each other, and are affected by other factors such as an individual’s age and position, and the duration of the relationship.Ehsanhas a positive influence on the development ofet-moone, while the existence ofet-mooneappears to be necessary for the establishment ofwasta-capital. A high level ofehsanmight influence the relationship betweenet-mooneandwasta-use and limit the negative usage ofwasta.Practical implicationsInternational managers can improve the level ofehsanin their organizational and business relationships through assigning incentives and playing the role of moral champion to encourageehsanbehavior. Managers aiming to increaseet-moonemay choose team members with a high level ofehsan, emphasizing the development of personal relationships, and providing opportunities for socialization both inside and outside the workplace. A high level ofehsanandet-moonewill assist managers to develop and usewasta.Originality/valueThis study makes a threefold contribution to the literature. First, it provides an expanded description of the three Arabic business relationship characteristics and how they align closely with the dimensions of social capital.Wastaaligns with the structural dimension andehsanaligns with the cognitive dimension, whileet-moonealigns closely with the relational dimension. Second, it suggests and shows how the three relationship characteristics might interact with each other.Ehsanappears to influenceet-moone, and also the relationship betweenet-mooneandwasta.Et-mooneappears to have a positive influence onwastause. Third, the findings also indicate that there might be other factors (e.g. age and position) that influence the interactions between the three business relationship characteristics.


2016 ◽  
Vol 15 (4) ◽  
pp. 28-42
Author(s):  
Daniella Macedo Venâncio ◽  
Rosalia Barbosa Lavarda ◽  
Gabriela Gonçalves Silveira Fiates

The literature on strategy formation is democratic, since various shapes are recognized and accepted (Mintzberg, Ahlstrand Lampel, 2009). Qualitative studies help to understand what motivates either strategy formation mode. Thus, this study aimed to analyze the process of strategy formation and the role of the management level in the process. qualitative methodology, the case study method followed. The data collection techniques were semi-structured interviews, direct observation and document analysis. The case in point it is a beauty salon Midsize city of Florianópolis / SC. Among the main results, points out that the strategies are formed in integrated manner (deliberate and emergent), which characterizes the middle-up-down style (Nonaka, 1988), it identified yet, according to the integrative framework Hart (1992), three modes that show the formation of the integrated approach: the command, in which the strategy directed by the leader or by a small team from the top; transactional, that sometimes the manager and team members work together in shaping the strategy, driven by internal processes and in agreement; and the generic, and in this case, the strategy is driven by the action of the members of the team and the manager only supports the decision. On the roles of managers, it was found that the administrative manager acts to synthesize for top managers the information collected with the operational level employees, and financial manager acts as implementer of deliberate strategy.


2021 ◽  
Vol 18 (3) ◽  
Author(s):  
Priya Martin ◽  
Michael Sy

It is acknowledged that the adverse effects of the COVID-19 pandemic will be long-lasting on healthcare organisations. Consequently, healthcare teams will need to work more collaboratively, supporting each other better in the post-pandemic period. Pre-registration clinical placements in healthcare settings provide an ideal opportunity to instil Interprofessional Education and Collaborative Practice (IPECP) skills, values, and competencies in students early-on. It is a common belief that teams need to have students from two or more professions to facilitate IPECP. Whilst this may be the ideal scenario, healthcare settings were struggling even prior to the pandemic to orchestrate such placement opportunities given the complicated logistics and their resource-intensive nature. This 12 tips paper provides clinical educators with practical tips to facilitate IPECP across the whole continuum from a single student on placement, to several students from two or more professions on placement at the same time. These tips, by promoting IPECP in all student placements, have the potential to re-energise IPECP in healthcare settings, thereby contributing to better outcomes for healthcare professionals, organisations, and service users.


2013 ◽  
Vol 19 (2) ◽  
pp. 3 ◽  
Author(s):  
T Bulbulia ◽  
S Laher

<div class="column"><p><span><strong>Background</strong>. </span><span>Western definitions of, and approaches to, mental illness have been critiqued for their lack of incorporation of cultural and spiritual elements.</span></p><p><span><br /> </span><strong>Objective. </strong><span>To explore perceptions of mental illness, particularly in terms of the role of Islam in the understanding of mental illness among South African Muslim psychiatrists practising in Johannesburg. </span></p><p><span><strong>Methods</strong>. </span><span>Using a qualitative design, semi-structured interviews were conducted with a convenience sample of 7 Muslim psychiatrists in the Johannesburg area. Thematic content analysis was used to analyse the transcribed data.<br /> </span></p><p><strong>Results. </strong><span>Psychiatrists subscribe to a more biomedical model of illness. The findings of this study also suggest that psychiatrists attempt to remain objective and to refrain from imposing their religious and cultural beliefs on their patients. However, their conceptualisation of mental illness is influenced by their religion and culture. Furthermore, all participating psychiatrists indicated that they always draw on Islamic values when treating their patients. Issues of cultural competence were also highlighted. Psychiatrists indicated that they were open to collaboration with traditional healers and psychologists but that this was quite challenging. </span></p><p><span><strong>Conclusion</strong>. </span><span>The necessity for formal bodies to develop routes for collaboration between healthcare professionals and traditional healers was brought to the fore. So, too, was the need to incorporate indigenous theory and knowledge into mainstream definitions and approaches to mental illness. </span></p></div>


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