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Interprofessional team interactions about complex care in the ICU: pilot development of an observational rating tool

Overview of attention for article published in BMC Research Notes, August 2016
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Title
Interprofessional team interactions about complex care in the ICU: pilot development of an observational rating tool
Published in
BMC Research Notes, August 2016
DOI 10.1186/s13104-016-2213-1
Pubmed ID
Authors

Deena Kelly Costa, Jennifer Dammeyer, Matthew White, Jose Galinato, Robert Hyzy, Milisa Manojlovich, Anne Sales

Abstract

The awakening and breathing coordination, delirium, and early mobility (ABCDE) bundle is a multicomponent complex intervention that improves outcomes for critically ill adults yet is inconsistently implemented. Effective interprofessional team function (how the team interacts) is key to ABCDE delivery but little is known about how to measure team interactions. The purpose of our study was to examine the reliability of an observational rating tool to assess team interactions about ABCDE in one ICU. We pilot tested and evaluated reliability of an observational rating tool to assess team interactions about ABCDE. Two independent raters used this tool in one medical ICU over 4 weeks during morning rounds. We examined which ABCDE components were addressed, which team members initiated interactions, and which participated in interactions about ABCDE. We evaluated inter-rater reliability using Cohen's kappa statistic and data from interprofessional team interactions for 23 patients. We demonstrated moderate to substantial reliability for whether breathing, coordination, delirium or early mobility were addressed (k = 0.48-0.78) and slight to fair reliability for which team members initiated interactions about ABCDE (0.18-0.40). Reliability was low for whether Awakening was addressed (k = -0.07) and for which team members initiated interactions about awakening (k = 0.05). Our study provides pilot evidence of reliability of an observational rating tool to assess interprofessional team interactions about ABCDE. Future work should further test and modify this tool to gain an understanding of how to use team interactions to improve ABCDE delivery.

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The data shown below were collected from the profiles of 6 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 50 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 50 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 10 20%
Student > Doctoral Student 6 12%
Student > Bachelor 5 10%
Researcher 4 8%
Student > Ph. D. Student 3 6%
Other 6 12%
Unknown 16 32%
Readers by discipline Count As %
Nursing and Health Professions 19 38%
Medicine and Dentistry 12 24%
Computer Science 1 2%
Unspecified 1 2%
Unknown 17 34%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 September 2016.
All research outputs
#13,225,615
of 23,306,612 outputs
Outputs from BMC Research Notes
#1,580
of 4,304 outputs
Outputs of similar age
#175,516
of 344,631 outputs
Outputs of similar age from BMC Research Notes
#34
of 79 outputs
Altmetric has tracked 23,306,612 research outputs across all sources so far. This one is in the 42nd percentile – i.e., 42% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,304 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.7. This one has gotten more attention than average, scoring higher than 62% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 344,631 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 79 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 56% of its contemporaries.