Applying a Model of Teamwork Processes to Emergency Medical Services.
Introduction: Effective teamwork has been shown to optimize patient safety. However, research centered on the critical inputs, processes, and outcomes of team effectiveness in emergency medical services (EMS) has only recently begun to emerge. We conducted a theory-driven qualitative study of teamwo...
| Published in: | Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health Vol. 21; no. 6; pp. 264 - 272 |
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| Main Authors: | , , , |
| Format: | pictorial research tables/charts Journal Article |
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Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Nov2020
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146981454&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 146981454 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1936900X 8B61 jtl: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health issn: 1936900X maglogo: N pubinfo: dt: Nov2020 vid: 21 iid: 6 pid: 29816 pub: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health place: Orange, California artinfo: ui: 146981454 146981454 146981454 10.5811/westjem.2020.7.47238 146981454 ppf: 264 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Applying a Model of Teamwork Processes to Emergency Medical Services. aug: au: Fernandez, William G. Benzer, Justin K. Charns, Martin P. Burgess, James F. affil: UT Health–San Antonio, Department of Emergency Medicine, San Antonio, Texas. sug: subj: Teamwork Models, Theoretical Emergency Medical Services Human Texas Qualitative Studies Purposive Sample Emergency Medical Technicians Semi-Structured Interview Audiorecording Female Male Thematic Analysis Conceptual Framework Interpersonal Relations Trust Knowledge Leadership Female Male ab: Introduction: Effective teamwork has been shown to optimize patient safety. However, research centered on the critical inputs, processes, and outcomes of team effectiveness in emergency medical services (EMS) has only recently begun to emerge. We conducted a theory-driven qualitative study of teamwork processes—the interdependent actions that convert inputs to outputs—by frontline EMS personnel in order to provide a model for use in EMS education and research. Methods: We purposively sampled participants from an EMS agency in Houston, TX. Full-time employees with a valid emergency medical technician license were eligible. Using semi-structured format, we queried respondents on task/team functions and enablers/obstacles of teamwork in EMS. Phone interviews were recorded and transcribed. Using a thematic analytic approach, we combined codes into candidate themes through an iterative process. Analytic memos during coding and analysis identified potential themes, which were reviewed/refined and then compared against a model of teamwork processes in emergency medicine. Results: We reached saturation once 32 respondents completed interviews. Among participants, 30 (94%) were male; the median experience was 15 years. The data demonstrated general support for the framework. Teamwork processes were clustered into four domains: planning; action; reflection; and interpersonal processes. Additionally, we identified six emergent concepts during open coding: leadership; crew familiarity; team cohesion; interpersonal trust; shared mental models; and procedural knowledge. Conclusion: In this thematic analysis, we outlined a new framework of EMS teamwork processes to describe the procedures that EMS operators employ to convert individual inputs into team performance outputs. The revised framework may be useful in both EMS education and research to empirically evaluate the key planning, action, reflection, and interpersonal processes that are critical to teamwork effectiveness in EMS. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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