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Wound management: Investigating the interprofessional decision-making process.

Corey Heerschap1, Andrew Nicholas1, Meredith Whitehead1

  • 1Interprofessional Practice Department, Royal Victoria Regional Health Centre, Barrie, Ontario, Canada.

International Wound Journal
|November 6, 2018
PubMed
Summary

This study outlines the social process interprofessional health care teams use for wound care decisions, identifying key factors like patient needs and team collaboration for better outcomes.

Keywords:
clinical judgementdecision-makinginterprofessional teamwound carewound management

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Area of Science:

  • Healthcare Management
  • Social Science in Medicine
  • Qualitative Research Methods

Background:

  • Effective wound care management relies on interprofessional collaboration.
  • Understanding the decision-making process is crucial for optimizing patient outcomes and resource allocation.

Purpose of the Study:

  • To develop a transferable theory of the social process in interprofessional wound care decision-making.
  • To identify factors influencing clinicians' wound care management choices.

Main Methods:

  • Qualitative multigrounded theory approach.
  • Three focus groups conducted with 13 interprofessional clinicians involved in wound care.
  • Critical Realist lens applied for data analysis.

Main Results:

  • Ten categories identified: patient factors, scope of practice, equipment, clinician factors, knowledge, team dynamics, assessment, specialist consultation, care planning, and communication.
  • A basic social process for interprofessional wound care decision-making was developed.

Conclusions:

  • Understanding this process aids leaders in resource allocation and evidence-based practice implementation.
  • Improved decision-making can enhance patient/clinician satisfaction, wound healing, and cost-effectiveness.