Examination of the perception of communication and collaboration in a neonatal intensive care unit: a decade on, has...

The aim of this study was to ascertain the perception of communication and collaboration within and between the groups of medicine and nursing in a neonatal unit. METHODS The study used an analytical cross-sectional design involving both doctors and nursing staff in the neonatal clinical care unit (NCCU). A quantitative questionnaire using a Likert scale format, accompanied by an open-ended question, provided a snapshot of the perception of communication and collaboration within the NCCU. RESULTS Significant differences were noted between the two disciplines. Medical staff were satisfied overall with the communication. They perceived communication was more open, timely and that a mutual understanding existed. They thought teamwork was good. As time of employment in NCCU lengthened, the understanding between the groups lessened. Problems with the handover information emerged for both medical and nursing staff. Both groups felt problems were due to the hierarchical system. CONCLUSION Within the NCCU the perception of communication and collaboration is rated more highly by doctors. This has implications for the overall care of babies and for safety issues. Education is needed in the neonatal unit to identify and bridge gaps in communication and enhance teamwork.