VOICES IN HEALTHCARE: UNDERSTANDING COMMUNICATION GAPS ACROSS PROFESSIONAL BOUNDARIES
Main Article Content
Keywords
Multidisciplinary teams, communication gaps, hierarchical barriers, interprofessional collaboration, patient safety, qualitative research, healthcare communication, psychological safety
Abstract
Modern inter-professional communication remains a barrier to positive patient outcomes. It is within these hierarchies that barriers emerge: varying schedules, inter and intra team relationships, and differences in perspectives to name a few. This qualitative study explores the patterns pertaining to communication in the tertiary hospital setting through focused interviews and group discussions, observations, and document analysis of 33 participants, including nurses, physicians, pharmacists, and public health experts. Five themes emerged from the data: (1) the impact of hierarchical structures, (2) inconsistent or non-standardized communication habits, (3) time constraints, (4) interpersonal challenges, and (5) practical strategies to bridge these gaps. The participants expressed frustations such as being silenced as a result of the existing power dynamics, and they suggested solutions such as SBAR, standardized handover tools, regular team briefing sessions, and developing a culture in which concerns can be openly expressed. Overcoming these challenges may lead to enhanced team integration, reduced errors, and improved patient care within an organization.
References
2. Lingard, L., Espin, S., Evans, C., & Hawryluck, L. (2004). The rules of the game: Interprofessional collaboration on the intensive care unit team. Critical Care, 6(4), 233–238.
3. Makary, M. A., et al. (2006). Operating room teamwork among physicians and nurses: Teamwork in the eye of the beholder. Journal of the American College of Surgeons, 202(5), 746–752.
4. van Rosse, F., Maat, B., Rademaker, C. M., van Vught, A. J., Egberts, A. C., & Bollen, C. W. (2009). The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review. Pediatrics, 123(4), 1184-1190.
5. Haig, K. M., Sutton, S., & Whittington, J. (2006). SBAR: A shared mental model for improving communication between clinicians. The Joint Commission Journal on Quality and Patient Safety, 32(3), 167–175.
6. Edmondson, A. C. (1999). Psychological safety and learning behavior in work teams. Administrative Science Quarterly, 44(2), 350–383.
7. Salas, E., Sims, D. E., & Burke, C. S. (2005). Is there a “Big Five” in teamwork? Small Group Research, 39(5), 555–599.