Tranformering af kommnikation og relationer i tværfaglige kirurgiske teams

The study is a mixed methods study with a multiphase design. PHASE I, included an ethnographic field study where data are collected through observations (39 teams), semi-structured interviews (15), and focus group interviews (2) over a 10-month period in 2014 in two orthopedic surgical wards in a university hospital. A directed content analysis based on the theory of RC was used to transform the data to show different communication and relationship patterns in interdisciplinary surgical teams. PHASE II, focused on initiating, planning, implementing, and evaluating organizational interventions, inspired by the Relational Model of Organizational Change. In PHASE III relational coordination and patient safety culture were measured before, during and after implementation of interventions using the Relational Coordination Survey and the Safety Attitudes Questionnaire. Finally, in PHASE IV the findings were integrated.