Better Interprofessional Teamwork, Higher Level of Organized Care, and Lower Risk of Burnout in Acute Health Care Teams Using Care Pathways

• DOI: 10.1097/mlr.0b013e3182763312
• Publication Date: 2012-11-09T07:11:23Z
• Authors: Svin Deneckere; Martin Euwema; Cathy Lodewijckx; Massimiliano Panella; Timothy Mutsvari; Walter Sermeus; Kris Vanhaecht
• Keywords: Acute care

Effective interprofessional teamwork is an essential component for the delivery of high-quality patient care in increasingly complex medical environment. The objective to evaluate whether implementation pathways (CPs) improves acute hospital setting.A posttest-only cluster randomized controlled trial was performed Belgian hospitals. Teams caring patients hospitalized with a proximal femur fracture and those exacerbation chronic obstructive pulmonary disease, were into intervention control groups. group implemented CP. provided usual care. A set team input, process, output indicators used as effect measures. To analyze results, we multilevel statistical analysis.Thirty teams total 581 individual members participated. scored significantly better conflict management [β=0.30 (0.11); 95% confidence interval (CI), 0.08 0.53]; climate innovation [β=0.29 (0.10); CI, 0.09 0.49]; level organized [β=5.56 (2.05); 1.35 9.76]. They also showed lower risk burnout they emotional exhaustion [β=-0.57 (0.21); -1.00 -0.14] higher competence (β=0.39; 0.15 0.64). No significant found on relational coordination.CPs are effective interventions improving teamwork, increasing organizational processes, decreasing health setting. Through this, high-performance can be built.