Table 2 Themes and Descriptive Elements about how Providers Work Together

From: Working Together in the Neonatal Intensive Care Unit: Provider Perspectives

Themes

Descriptive elements

Provider Characteristics

Personal attributes: “depends on the people involved”

 

 Personal attributes

 

 Attitudes toward others, work

 

 Values

 

 Gender

 

Reputation: “Perception difficult to change”

 

 Previous experiences

 

 Respect and trust

 

 Knowing the other

 

Expertise: “builds with experience”

 

 Knowledge and skills

 

 Education and certification

 

 Experience

Work Place Factors

Staffing: “anyone who impacts the way work is done”

 

 Defined by discipline

 

 Continually changing

 

 Familiarity with one another

 

 Number of workers

 

Work organization: “goes according to roles and responsibilities, it is complex with many variables”

 

 Complexity and type of work

 

 Processes and protocols versus own way of doing things

 

 Accountability and responsibility offers checks and balances

 

 Title, seniority, unit protocol determine what one does

 

Work environment: “how they all come together to get the work done”

 

 Sense of community versus conflict

 

 Way problems are solved

 

 Trust

Group Influences

Communication among providers: “it is the skill and style of how you share information”

 

 Skill and style of questions, documentation and sharing information

 

 Integrity and accountability

 

 Communicating across hierarchy

 

Relationships: “get to know one another working together over time”

 

 Hierarchy: flat or structured

 

 Seniority and chain of command

 

 Alliances and trust

 

 Shared experiences

 

Teams: “work for the same goal, to give the best care for the patient”

 

 Definition varied by discipline or purpose

 

 Coordinate care

 

 Shared responsibility and accountability

 

 Need someone in charge

 

 Influenced by the people involved