Bäckström Marice, Leijon-Sundqvist Katarina, Lundvall Lise-Lott, Jonsson Karin, Engström Åsa
Division of Nursing and Medical Technology, Department of Health, Education and Technology, Luleå University of Technology, Luleå, Sweden.
Department of Nursing, Umeå University, Umeå, Sweden.
Scand J Caring Sci. 2025 Mar;39(1):e13308. doi: 10.1111/scs.13308. Epub 2024 Nov 6.
Challenges in mutual awareness in interprofessional collaboration (IPC) along with relational and cultural barriers among professionals disrupt flow and delay decision-making in trauma care. Thus, this study explores team behaviours within IPC in trauma teams during trauma alerts from the perspective of radiographers.
A qualitative approach was used with a critical incident technique (CIT) design applying interviews with radiographers within three hospitals in Sweden from May 2022 to May 2023. CIT analysis was conducted with an abductive approach, applying an IPC core competency framework.
The results present collaborative requirements in trauma care from radiographers' perspective narrating a distribution of team behaviours within trauma team collaboration and fundamental skills in IPC. Behaviours within interprofessional values and ethics were the most reported incidents related to valuing radiographers' contributions to IPC in acute trauma care.
Exploring behaviour through critical incidents associated with core competencies of IPC highlights the importance of interprofessional values as a foundation for successful IPC in the trauma team. The results show deficiencies in inclusive behaviour, influenced by the hierarchical environment of IPC. Power imbalances in this setting are traced to differences in perceived value and shared understanding among team members, possibly rooted in professional identity and culture. A dedicated leader is argued, as the recognition of radiographers' scope of practice in trauma imaging, emphasising the significance of shared decision-making.
The findings highlight organisational and relational coordination challenges for optimising competencies in IPC. IPC's success requires reinforcing values and ethics by empowering members' contributions and shared decision-making. This involves clarifying and recognising responsibilities, particularly for radiographers, ensuring their role in trauma imaging is respected and integrated into decision-making.
跨专业协作（IPC）中的相互认知挑战，以及专业人员之间的关系和文化障碍，会扰乱流程并延迟创伤护理中的决策。因此，本研究从放射技师的角度探讨创伤警报期间创伤团队中IPC的团队行为。
采用定性方法，运用关键事件技术（CIT）设计，于2022年5月至2023年5月对瑞典三家医院的放射技师进行访谈。采用溯因法进行CIT分析，应用IPC核心能力框架。
结果呈现了从放射技师角度看创伤护理中的协作要求，叙述了创伤团队协作中的团队行为分布以及IPC的基本技能。跨专业价值观和伦理方面的行为是报告最多的与重视放射技师在急性创伤护理中对IPC的贡献相关的事件。
通过与IPC核心能力相关的关键事件探索行为，凸显了跨专业价值观作为创伤团队中成功IPC基础的重要性。结果显示受IPC等级环境影响，包容行为存在不足。这种情况下的权力不平衡可追溯到团队成员之间感知价值和共同理解的差异，可能源于专业身份和文化。有人认为需要一位专门的领导者，以认可放射技师在创伤成像中的执业范围，强调共同决策的重要性。
研究结果凸显了优化IPC能力在组织和关系协调方面的挑战。IPC的成功需要通过增强成员贡献和共同决策来强化价值观和伦理。这涉及明确和认可责任，特别是对放射技师而言，确保他们在创伤成像中的作用得到尊重并融入决策过程。
