Development of trauma team cognition can be explained by "split vision": A grounded theory study.

The aim of this study was to explore interaction of interprofessional hospital trauma teams. A theory about how team cognition is developed through a dynamical process was established using grounded theory methodology. Video recordings of in-real-life resuscitations performed in the emergency ward o...

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Bibliographic Details
Published in:Journal of Interprofessional Care Vol. 37; no. 5; pp. 706 - 715
Main Authors: Fornander, Liselott, Berterö, Carina, Molin, Ida, Laukkanen, Kati, Nilsson, Lena, Björnström, Karin
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Sep/Oct2023
Online Access:View this record in EBSCOhost
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      dt: Sep/Oct2023
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/13561820.2023.2171970
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        atl: Development of trauma team cognition can be explained by "split vision": A grounded theory study.
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          Fornander, Liselott
          Berterö, Carina
          Molin, Ida
          Laukkanen, Kati
          Nilsson, Lena
          Björnström, Karin
        affil: Department of Anaesthesiology and Intensive Care, Vrinnevi Hospital, Norrköping, and Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
      sug:
        subj:
          Trauma Therapy
          Interprofessional Relations
          Hospitals
          Multidisciplinary Care Team
          Human
          Grounded Theory
          Videorecording
          Resuscitation
          Hospitals, Urban
          Theoretical Sample
          Emergency Service
          Patient Assessment
          Goals and Objectives
          Teamwork
          Cognition
          Precision
          Culture
          Empathy
          Professional Knowledge
          Health Services Needs and Demand
          Theory
          Funding Source
      ab: The aim of this study was to explore interaction of interprofessional hospital trauma teams. A theory about how team cognition is developed through a dynamical process was established using grounded theory methodology. Video recordings of in-real-life resuscitations performed in the emergency ward of a Scandinavian mid-size urban hospital were collected and eligible for inclusion using theoretical sampling. By analyzing interactions during seven trauma resuscitations, the theory that trauma teams perform patient assessment and resuscitation by alternating between two process modes, the two main categories "team positioning" and "sensitivity to the patient," was generated. The core category "working with split vision" explicates how the teams interplay between the two modes to coordinate team focus with an emergent mental model of the specific situation. Split vision ensures that deeper aspects of the team, such as culture, knowledge, empathy, and patient needs are absorbed to continuously adapt team positioning and create precision in care for the specific patient.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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