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Navigating Communication Challenges in Clinical Practice: A New Approach to Team Education
Christine M Rachwal1, Thorsten Langer2, Bethany P Trainor2
1Christine M. Rachwal is a CICU nurse practice specialist in the cardiovascular and critical care programs, Boston Children's Hospital, Boston, Massachusetts. She is also faculty associate and leadership circle member for the Institute for Professionalism and Ethical Practice, Boston Children's Hospital. Thorsten Langer is an attending physician in the Department of Neuropediatrics and Muscle Disorders, Faculty of Medicine, University of Freiburg, Freiburg, Germany, and an international faculty associate for the Institute for Professionalism and Ethical Practice. Bethany P. Trainor is the manager of the clinical research navigation program at the Institutional Centers for Clinical and Translational Research, Boston Children's Hospital. Mary Anne Bell is a clinical staff nurse I in the cardiovascular and critical care programs, Boston Children's Hospital. David M. Browning is senior scholar emeritus for the Institute for Professionalism and Ethical Practice. Elaine C. Meyer is the founding director of the Institute for Professionalism and Ethical Practice and associate professor in psychology, Department of Psychiatry, Harvard Medical School, Boston, Massachusetts. christine.rachwal@childrens.harvard.edu.
Monthly interdisciplinary educational rounds are a feasible and valuable approach for healthcare clinicians to address workplace communication challenges and enhance teamwork. This program supports clinicians in navigating difficult topics and promoting self-care in healthcare settings.
Area of Science:
- Healthcare Education
- Interprofessional Communication
- Workplace Well-being
Background:
- Workplace communication challenges significantly impact healthcare staff well-being and patient outcomes.
- Previous interventions have primarily focused on organizational factors and work-life balance.
Purpose of the Study:
- To assess the feasibility of monthly interdisciplinary educational rounds.
- To support clinicians in navigating workplace clinical and communication challenges.
- To promote interprofessional teamwork and self-care among healthcare professionals.
Main Methods:
- The Program to Enhance Relational and Communication Skills involved voluntary, monthly hour-long sessions for inter-professional clinicians.
- Participants were from critical care, cardiac catheterization, and intermediate care units in a pediatric tertiary care hospital.
- Feasibility was measured by attendance, and program value was assessed via post-intervention questionnaires.
Main Results:
- 1156 clinicians participated between April 2010 and December 2016, with nurses forming the largest group (56%).
- 92% of participants found the program "quite valuable" or "very valuable."
- Topics of high interest included child assent, bereavement, social media, and workplace bullying.
Conclusions:
- The educational rounds approach is relevant, user-friendly, and feasible for addressing communication and workplace challenges.
- Clinicians learn interprofessionally in real-time to tackle difficult topics.
- Further efforts are needed to translate program learning into actual clinical practice changes.
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