טכניון מכון טכנולוגי לישראל
הטכניון מכון טכנולוגי לישראל - בית הספר ללימודי מוסמכים  
Ph.D Thesis
Ph.D StudentYael Auerbach-Shpak
SubjectDoctors and Nurses Information Maps on Patient Medical
Status and its Correspondence to their Mental
Model of the Task - A Case Study
of Neonatal Units
DepartmentDepartment of Industrial Engineering and Management
Supervisor Professor Emeritus Gopher Daniel
Full Thesis text - in Hebrew Full thesis text - Hebrew Version


Abstract

The present research examined the difference between the way in which physicians and nurses perceive their own and the other task and its relationship to information transfer when carrying out their work and the formation of joint information on the medical status of their patient. The knowledge on differences and gaps may help to improve information transfer among medical staff members and the overall quality the quality of care.

The research was conducted in 3 Neonatal Intensive Care Units (NICU). Previous research found that 14% of all adverse event in neonatal unit where caused by failures in communication process and information transfer. Preliminary observations were carried out in each followed by simulation study of information transfer between staff members, using the medical records of two past neonates, Furthermore, they were given questionnaires to describe their and the other member tasks and responsibilities. 

Results show that both doctors and nurses have a clear mental model of their and each other tasks. Nurses' information map is mostly related to treatment routines reflecting her constant and close interaction with the neonate. She is clearly aware of every irregularity in the neonate's status. Physicians' tasks focus on complex procedures and protocol planning. Thus, the information that they are gathering is more general and much more colored by hypotheses and conclusions anchored in their education and experience. Moreover, it has a strong focus on prospective and future plans. Nurses also show a higher intra-team agreement and function better as a collective. These differences underline the importance of information sharing and better information exchange between nurses and physicians, to obtain a more complete and comprehensive information map of each neonate, which may enhance their individual and team performance.