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Area of Science:

  • Healthcare Management
  • Interprofessional Education
  • Qualitative Research Methods

Background:

  • Teamwork is crucial for effective Intensive Care Unit (ICU) functioning.
  • Understanding health professionals' perceptions of teamwork as an interprofessional competency is vital.
  • Barriers to interprofessional teamwork in Brazilian public teaching hospitals require investigation.

Purpose of the Study:

  • To analyze health professionals' perceptions and experiences of teamwork as an interprofessional competency in Brazilian ICUs.
  • To identify facilitators and barriers to interprofessional teamwork in the ICU setting.
  • To explore strategies for developing interprofessional teamwork within a public teaching hospital.

Main Methods:

  • Qualitative, exploratory study using a constructivist-interpretative perspective.
  • Semi-structured, face-to-face interviews with 29 healthcare professionals in ICUs.
  • Thematic analysis of transcribed interviews, employing inductive reasoning and peer validation.

Main Results:

  • Professionals verbally endorse interprofessional teamwork but face practical implementation challenges.
  • Organizational and hierarchical barriers significantly hinder teamwork in ICUs.
  • Communication acts as both a facilitator and a barrier to effective interprofessional collaboration.

Conclusions:

  • Sustaining interprofessionality in Brazilian ICUs necessitates institutional strategies beyond individual actions.
  • Formal collaboration protocols, interprofessional education, and cultural shifts are essential.
  • Addressing barriers requires implementing in-service learning strategies to enhance collaborative practice.