Better Interprofessional Teamwork, Higher Level of Organized Care, and Lower Risk of Burnout in Acute Health Care Teams Using Care Pathways

A Cluster Randomized Controlled Trial

Dados Bibliográficos

ID9101103
AutoresSvin Deneckere (Department of Public Health, autor correspondente), Martin Euwema (0000-0003-0981-4855, KU Leuven), Cathy Lodewijckx (KU Leuven, autor correspondente), Massimiliano Panella (0000-0003-1880-7198, European Pathway Association), Timothy Mutsvari (KU Leuven), Walter Sermeus (0000-0002-5915-1845, European Pathway Association, autor correspondente), Kris Vanhaecht (0000-0001-5636-4792, European Pathway Association, autor correspondente)
Ano2013
Volume51
Fascículo1
Páginas99-107
Data de publicação2013-01-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoMedical Care (JOURNAL)
Identificadores do periódicoISSN: 0025-7079 • E-ISSN: 1537-1948
EditoraOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e3182763312
PMID23132203
OpenAlexW2333070563
IdiomaEN
Citações recebidas5
Referências citadas38

BACKGROUND: Effective interprofessional teamwork is an essential component for the delivery of high-quality patient care in an increasingly complex medical environment. The objective is to evaluate whether the implementation of care pathways (CPs) improves teamwork in an acute hospital setting. DESIGN AND MEASURES: A posttest-only cluster randomized controlled trial was performed in Belgian acute hospitals. Teams caring for patients hospitalized with a proximal femur fracture and those hospitalized with an exacerbation of chronic obstructive pulmonary disease, were randomized into intervention and control groups. The intervention group implemented a CP. The control group provided usual care. A set of team input, process, and output indicators were used as effect measures. To analyze the results, we performed multilevel statistical analysis. RESULTS: Thirty teams and a total of 581 individual team members participated. The intervention teams scored significantly better in conflict management [β=0.30 (0.11); 95% confidence interval (CI), 0.08 to 0.53]; team climate for innovation [β=0.29 (0.10); 95% CI, 0.09 to 0.49]; and level of organized care [β=5.56 (2.05); 95% CI, 1.35 to 9.76]. They also showed lower risk of burnout as they scored significantly lower in emotional exhaustion [β=-0.57 (0.21); 95% CI, -1.00 to -0.14] and higher in the level of competence (β=0.39; 95% CI, 0.15 to 0.64). No significant effect was found on relational coordination. CONCLUSIONS: CPs are effective interventions for improving teamwork, increasing the organizational level of care processes, and decreasing risk of burnout for health care teams in an acute hospital setting. Through this, high-performance teams can be built

Acute care · Burnout · Health care · Political science · Teamwork · Clinical Psychology · Healthcare Systems and Technology · Interprofessional Education and Collaboration · Medicine · Nursing · Patient-Provider Communication in Healthcare · Psychology