Project 12: Patient and family involvement in acute care teamwork

Recruiting organisation: Centre for Resilience in Healthcare (SHARE), Faculty of Health Sciences, University of Stavanger, Stavanger

Supervisors: Prof. Sissel Eikeland Husebø, Prof. Karina Aase

Doctoral Candidate: Asma Sabri

Secondments: Amsterdam Public Health research institute, Department of Public and Occupational Health, VUmc, Amsterdam, Netherlands (3 months) and Copenhagen Academy for Medical Education and Simulation, REGIONH, Copenhagen, Denmark (3 months)

Summary: Patient and family involvement in acute care teamwork is less developed than in non-acute healthcare settings. In an acute situation the involvement of patients and their family members is often neglected. In emergency medical services such as the prehospital setting, further research is needed on the scope, extent and nature of patient and family involvement, the broader contextual processes that shape patient and family involvement, and the bidirectional implications between patient and family involvement and interprofessional teamwork. In this project, the Doctoral Candidate will therefore develop guidance on tools to support the role of patients and their family members in an acute prehospital teamwork setting. The project will identify distinct characteristics of the role of patient and family, map contextual challenges and needs, and co-develop and test a tool-bundle in a simulated setting. 

Background 

Patient and family involvement in acute care teamwork is less developed than in non-acute healthcare settings. In an acute situation the involvement of patients and their family members is often neglected. Despite international bodies calling for increased patient and family involvement, these concepts remain poorly defined within emergency medical services. Within in-hospital critical and intensive care settings, the knowledge on patient and family involvement involves components such as presence, needs, communication, decision making, and contribution to care. In emergency medical services such as the prehospital setting, further research is needed on the scope, extent and nature of patient and family involvement, the broader contextual processes that shape patient and family involvement, and the bidirectional implications between patient and family involvement and interprofessional teamwork. Furthermore, it is crucial to establish the distinct differences between patient involvement and family involvement.

Approach  

This PhD project will focus on patient and family involvement in acute care teamwork. The objectives are to provide guidance on tools to support the role of patients and their family members in an acute prehospital teamwork setting by (1) identifying the distinct characteristics of the role of patient-family in acute care teamwork, (2) mapping contextual challenges and patient-family needs in a prehospital setting, (3) co-developing a set of design principles for a tool-bundle to support different aspects of the patient-family role, and (4) pilot testing the design principles in a simulated setting. The PhD project will be carried out in Norway with data collection in the healthcare practice field.

Our research team

Centre for Resilience in Healthcare (SHARE) constitutes Norway’s largest research group studying quality and safety in healthcare and is affiliated with the Department of Quality and Health Technology at the Faculty of Health Sciences, University of Stavanger. SHARE’s strategic vision is to become an internationally recognized research centre by reforming the understanding of quality and safety in current healthcare systems. SHARE’s main pillar is a solid base of PhD scholars conducting research in areas such as interdisciplinary teamwork and competence, co-production and involvement, telecare, regulation, evaluation of improvement measures, and analysis of healthcare processes.

The doctoral candidate will be a part of the multidisciplinary research group in SHARE consisting of 70 researchers, including nurses, medical doctors, psychologists, physiotherapists, occupational therapist, lawyers, sociologist, engineers, and safety scientists. The doctoral candidate will work in a Tools4Teams project group at SHARE involving another doctoral candidate, a project manager, and supervisors.

Planned secondments will take place at Amsterdam University Medical Center (location VUmc), Amsterdam, Netherlands and Copenhagen Academy for Medical Education and Simulation (location Herlev hospital, Herlev), REGIONH, Copenhagen, Denmark.

University of Stavanger 

The University of Stavanger (UiS) has about 12,000 students and 2.200 employees. The university has high ambitions. We strive to have an innovative and international profile, and be a driving force in knowledge development and in the process of societal change. Our common direction is driven by consideration for sustainable change and equitable social development, through new ways of managing natural resources and facilitating better cities and local communities. Energy, health and welfare, learning for life are our focus areas.

In constant collaboration and dialogue with our surroundings, regionally, nationally and internationally, we enjoy an open and creative climate for education, research, innovation, dissemination and museum activities.

Academic life at the University of Stavanger is organised into six faculties comprising various departments/schools and National Research Centres, as well as the Museum of Archaeology. We are a member of the European Consortium of Innovative Universities. The university is located in the most attractive region in the country with more than 300,000 inhabitants. The Stavanger region has a dynamic labour market and exciting cultural and leisure activities.

Together with our staff and students we will challenge the well-known and explore the unknown.

The Faculty of Health Sciences offers bachelor’s programmes in Nursing and Paramedic, master’s programmes in Health Sciences with specializations in Public Health Nursing, in Midwifery, in Drug Abuse and Mental Health, in Prehospital Services and in Nursing with specializations in Anesthesia, Intensive Care or Surgical Nursing, and a continuing education programme in Cancer Nursing.

The faculty further offers research education (PhD) in Health and Medicine and the research school PROFRES – National Research School for Professions-Oriented and Practice-Relevant Research in the fields of Health, Welfare and Education. The Faculty of Health Sciences has the following main research areas: Professional Relations in Welfare Professions, Health Promotion in Chronic Ailments, E-learning, Health Technology and Simulation, Life Phenomena and Caring, and Participation in School and Work. The research centre SHARE – Centre for Resilience in Health Care are also part of the faculty. There are currently 250 employees including students and postdocs, and 1400 students at The Faculty of Health Sciences.

The department´s main objective is to facilitate high-quality care for patients and user in healthcare services. The department’s scientific profile is focused on patient safety, health technology, patients’ rights, and the involvement of service users, patients, and next of kin. Overall, the department emphasise an interdisciplinary approach, featuring engagement from students, patients, users, and healthcare professionals in all core activities. There are currently 105 employees, including research fellows and postdocs, at the departement. Competence among department staff spans all levels of healthcare services.