Pedersen Anna Helene Meldgaard, Rasmussen Kurt, Grytnes Regine, Nielsen Kent Jacob
Department of Occupational Medicine, Regional Hospital West Jutland University Research Clinic , Herning, Denmark.
J Health Organ Manag. 2018 Mar 19;32(1):25-38. doi: 10.1108/JHOM-09-2016-0174. Epub 2018 Jan 22.
Purpose The purpose of this paper is to examine how conflicts about collaboration between staff at different departments arose during the establishment of a new emergency department and how these conflicts affected the daily work and ultimately patient safety at the emergency department. Design/methodology/approach This qualitative single case study draws on qualitative semi-structured interviews and participant observation. The theoretical concepts "availability" and "receptiveness" as antecedents for collaboration will be applied in the analysis. Findings Close collaboration between departments was an essential precondition for the functioning of the new emergency department. The study shows how a lack of antecedents for collaboration affected the working relation and communication between employees and departments, which spurred negative feelings and reproduced conflicts. This situation was seen as a potential threat for the safety of the emergency patients. Research limitations/implications This study presents a single case study, at a specific point in time, and should be used as an illustrative example of how contextual and situational factors affect the working environment and through that patient safety. Originality/value Few studies provide an in-depth investigation of what actually takes place when collaboration between professional groups goes wrong and escalates, and how problems in collaboration may affect patient safety.
目的 本文旨在探讨在新急诊科设立过程中，不同部门工作人员之间关于协作的冲突是如何产生的，以及这些冲突如何影响急诊科的日常工作并最终影响患者安全。 设计/方法/途径 本定性单案例研究采用定性半结构化访谈和参与观察法。分析中将应用“可及性”和“接受度”这两个作为协作前提的理论概念。 研究结果 部门间的紧密协作是新急诊科正常运转的必要前提。研究表明协作前提的缺失如何影响员工之间以及部门之间的工作关系和沟通，进而引发负面情绪并再次引发冲突。这种情况被视为对急诊患者安全的潜在威胁。 研究局限性/启示 本研究是在特定时间点的单案例研究，应作为情境和环境因素如何影响工作环境进而影响患者安全的一个示例。 原创性/价值 很少有研究深入调查专业团队之间协作出现问题并升级时实际发生了什么，以及协作中的问题如何影响患者安全。
