The impact of power on health care team performance and patient safety: a review of the literature

Source avec lien : Ergonomics, (Prépublication), . 10.1080/00140139.2021.1906454

L’échec de la communication au sein des équipes de soins de santé est une cause majeure de préjudice pour les patients dans tous les établissements de soins de santé. Les facteurs qui contribuent à l’échec de la communication comprennent le « pouvoir » réel ou perçu. Alors qu’une grande partie de la recherche en ergonomie s’est concentrée sur le travail d’équipe dans les soins de santé, le rôle du pouvoir par rapport aux résultats mesurables de la sécurité et de la performance des patients reste relativement inconnu. Cet article présente les résultats d’une revue de la littérature sur le pouvoir au sein des équipes de soins multidisciplinaires.

Communication failure within health care teams is a major cause of patient harm across health care settings. Factors which contribute to communication failure include actual or perceived ‘power’. Whilst a great deal of ergonomics research has focussed on teamwork in health care, the role of power in relation to measurable patient safety and performance outcomes remains relatively unknown. This article presents the findings from a review of the literature on power within multidisciplinary health care team settings. Following a systematic literature search, nineteen studies were evaluated in terms of research design, methods and analyses across the included studies. The main impacts resulting from power imbalances include negative effects on team collaboration, decision-making, communication and overall performance. Wider patient safety research, and more specifically the ergonomics discipline, is encouraged to address the complex interplay between power and teamwork in the health care sector.Practitioner Statement: We conducted a review of studies focussed on the influence of power on teamwork in health care. The findings show that power can have negative impacts on collaboration, decision-making, communication, and team performance. We conclude that power represents an important area for ergonomics, both in health care and other settings.Abbreviations: CRM: crew resource management; TEM: threat and error management; SNA: social network analysis; EAST: event analysis of systemic teamwork

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