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Cooperation and conflict in intra-hospital transfers: A qualitative analysis
Hayley D Germack1,2, Renee Fekieta3, Meredith Campbell Britton4
1National Clinician Scholars Program Yale University School of Medicine New Haven CT USA.
Aim:
The purpose of this study was to explore the latent conditions of cooperation and conflict in intra-hospital patient transfers (i.e. transfers of patients between units in a hospital).
Design:
Secondary qualitative analysis of 28 interviews conducted with 29 hospital staff, including physicians (N = 13), nurses (N = 10) and support staff (N = 6) from a single, large academic tertiary hospital in the Northeastern United States.
Methods:
A two-member multidisciplinary team applied a directed content analysis approach to data collected from semi-structured interviews.
Results:
Three recurrent themes were generated: (a) patient flow policies created imbalances of power; (b) relationships were helpful to facilitate safe transfers; and (c) method of admission order communication was a source of disagreement. Hospital quality improvement efforts could benefit from a teaming approach to minimize unintentional power imbalances and optimize communicative relationships between units.
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