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Exploring Collaboration and Social Dynamics in the Paediatric Morbidity and Mortality Meeting, A Qualitative Case
Emma Louise Jeffs1,2, Fiona Newall1,2, Clare Delany1,2
1The Royal Children's Hospital, Parkville, Victoria, Australia.
Journal of Advanced Nursing
|October 25, 2024
Summary
Collaboration in paediatric Morbidity and Mortality meetings is valued but hindered by hierarchy and differing role perceptions. Active management is key to improving social dynamics and patient care.
Area of Science:
- Healthcare Management
- Medical Education
- Patient Safety
Background:
- Paediatric Morbidity and Mortality (M&M) meetings are crucial for clinical learning and quality improvement.
- Understanding the social dynamics within these meetings is essential for optimizing their effectiveness.
- Existing literature has a paucity of research on collaboration and social dynamics in M&M meetings.
Purpose of the Study:
- To explore collaboration and social dynamics within paediatric Morbidity and Mortality meetings.
- To identify barriers and facilitators to effective collaboration in these settings.
- To understand how social dynamics impact workplace culture and patient safety.
Main Methods:
- Qualitative Exploratory Case Study methodology.
- Conducted in a large quaternary paediatric hospital.
- Utilized semi-structured interviews (n=44) and qualitative observations (n=32) followed by reflexive thematic analysis.
Main Results:
- Participants valued collaboration but faced barriers including differing role perceptions and hierarchical structures.
- Senior doctors' dominance in discussions sometimes created intimidation, hindering junior staff participation.
- Effective social dynamics require active promotion and management to overcome hierarchical obstructions.
Conclusions:
- Morbidity and Mortality meetings reflect clinical complexity and have potential to shape positive workplace culture.
- Addressing hierarchical barriers can improve safe clinical care and patient safety culture.
- Fostering constructive social dynamics enhances participation and engagement, positively impacting patient care.
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