Examining Interprofessional Team Decision Making through a Distributed Cognition Lens

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dc.contributor.advisorLock, Jennifer V.
dc.contributor.advisorParchoma, Gale
dc.contributor.authorGreen, Gordon
dc.contributor.committeememberFriesen, Sharon
dc.contributor.committeememberLockyer, Jocelyn M.
dc.contributor.committeememberGoldsworthy, Sandra
dc.contributor.committeememberCurran, Vernon R.
dc.date2020-02
dc.date.accessioned2020-01-03T18:35:36Z
dc.date.available2020-01-03T18:35:36Z
dc.date.issued2020-01
dc.description.abstractThis study explores interprofessional healthcare team interactions and decision making from a distributed cognition perspective. The practice of patient care continues to increase in complexity requiring healthcare teams to assume roles that were traditionally the realm of the individual practitioner. While interprofessional teams are increasingly necessary, communication and decision making within healthcare teams have been identified as common sources of medical errors and these have been difficult to address despite considerable efforts. Research regarding interprofessional team performance has focused on individual team member abilities, as well as human interactions in achieving patient care outcomes. These approaches do not fully address the inherent complexities involved in team-based patient care. This qualitative research used a case study methodology to explore the socio-material aspects of interprofessional healthcare team communication and decision making through direct observation and video review of team-based acute care simulation, along with post-simulation participant interviews. A distributed cognition theoretical framework was used to study the interactions between team members, as well as those involving mediating artifacts, and relate these to expected performance measures to better understand how team communication, decision making and collaborative activities affect patient outcomes. This research identified the impact that the physical environment and mediating artifacts can have on the identification, communication, and interpretation of patient related information and ultimately on patient care decisions within interprofessional healthcare teams. This study reported contributions to team cognition, awareness, and decision making that have not previously been described in acute care interprofessional team assessment, and that effectively contributed to patient care outcomes.en_US
dc.identifier.citationGreen, G. (2020). Examining interprofessional team decision making through a distributed cognition lens (Doctoral thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/37400
dc.identifier.urihttp://hdl.handle.net/1880/111423
dc.language.isoengen_US
dc.publisher.facultyWerklund School of Educationen_US
dc.publisher.institutionUniversity of Calgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.en_US
dc.subjectDistributed cognitionen_US
dc.subjectSimulationen_US
dc.subjectDistributed situation awarenessen_US
dc.subjectInterprofessional teamen_US
dc.subjectinterprofessional educationen_US
dc.subjectSociomaterialty theoryen_US
dc.subjectDecision makingen_US
dc.subjectMediating artifactsen_US
dc.subjectPatient safetyen_US
dc.subjectInterprofessional team communicationen_US
dc.subjectMedical errorsen_US
dc.subject.classificationEducation--Curriculum and Instructionen_US
dc.subject.classificationEducation--Healthen_US
dc.subject.classificationEducation--Technologyen_US
dc.subject.classificationEducation--Tests and Measurementsen_US
dc.subject.classificationHealth Care Managementen_US
dc.subject.classificationMedicine and Surgeryen_US
dc.subject.classificationNursingen_US
dc.subject.classificationPharmacyen_US
dc.subject.classificationChemistryen_US
dc.subject.classificationPsychology--Cognitiveen_US
dc.titleExamining Interprofessional Team Decision Making through a Distributed Cognition Lensen_US
dc.typedoctoral thesisen_US
thesis.degree.disciplineEducation Graduate Program – Educational Researchen_US
thesis.degree.grantorUniversity of Calgaryen_US
thesis.degree.nameDoctor of Education (EdD)en_US
ucalgary.item.requestcopytrueen_US
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