Keywords
collaboration
ecuador
emergencies
interdisciplinary placement
patient care team
How to Cite
Abstract
Introduction: Teamwork is essential to ensure quality care in emergency services, although challenges in its implementation are recognized. Objective: To describe the attitude towards teamwork in the emergency department of a public general hospital in southern Ecuador. Methodology: A quantitative, descriptive, cross-sectional study was conducted. The Modified Scale of Attitudes towards Medical Care Teams was administered to all nursing and medical staff working in the emergency department. Jamovi statistical software was used to describe sociodemographic variables and identify trends in central tendency and dispersion. Results: Thirty professionals participated (50% doctors, 50% nurses). A significant contradiction was evident: 76.6% disagreed with the general attitudes toward teamwork, but 96.6% recognized that it improves the quality of care. Doctors showed a higher degree of acceptance (33.3%) than nursing staff (23.3%). Conclusions: Teamwork is viewed positively, but there is resistance to its practical implementation. Interprofessional training at undergraduate level must be strengthened, and organisational strategies developed that will optimise collaborative processes without increasing the workload.
1. Santos MT, Halberstadt BMK, Trindade CRP, Lima MADS, Aued GK. Continuity and coordination of care: conceptual interface and nurses' contributions. Rev Esc Enferm USP. 2022;56:e20220100. https://doi.org/10.1590/1980-220x-reeusp-2022-0100en
2. Ruiz Hernández YE, Sánchez Jaramillo AF. Caracterización de las actividades de trabajo en equipo en una empresa. Rev Perspect Empresarial. 2021;8(2):122-38. https://doi.org/10.16967/23898186.722
3. Valentim LV, Luz RA, Santos LSC, Silva Noca CR. Percepção dos profissionais de enfermagem quanto ao trabalho em equipe. Rev Baiana Enferm. 2020;34:1-8. https://doi.org/10.18471/rbe.v34.37510
4. Craig SL, Eaton AD, Belitzky M, Kates LE, Dimitropoulos G, Tobin J. Empowering the team: a social work model of interprofessional collaboration in hospitals. J Interprof Educ Pract. 2020;19:100327. https://doi.org/10.1016/j.xjep.2020.100327
5. Salas E, Reyes DL, McDaniel SH. The science of teamwork: progress, reflections, and the road ahead. Am Psychol. 2018;73(4):593-600. https://doi.org/10.1037/amp0000298
6. Yamuragiye A, Wylie L, Kinsella EA, Donelle L. A scoping review of interprofessional collaboration in hospital-based obstetric care with a particular focus on Africa. J Interprof Educ Pract. 2021;100456. https://doi.org/10.1016/j.xjep.2021.100456
7. Chong KM, Chou EHC, Chiang WC, Wang HC, Liu YP, Ko PCI, et al. Development and evaluation of a novel resuscitation teamwork model for out-of-hospital cardiac arrest in the emergency department. Ann Emerg Med. 2024. https://doi.org/10.1016/j.annemergmed.2024.09.008
8. Cunningham TR, Geller ES. Organizational behavior management in health care: applications for large-scale improvements in patient safety. Adv Patient Saf. 2008;2:1-18.
9. Senken B, Welch J, Sarmiento E, Weinstein E, Cushman E, Kelker H. Factors influencing emergency medicine worker shift satisfaction: a rapid assessment of wellness in the emergency department. JACEP Open. 2024;5(6). https://doi.org/10.1002/emp2.13315
10. Liu S, Hu Y, Pfaff H, Lei X, Qi Z, Feng X. Barriers and facilitators to seeking psychological support among healthcare professionals: a qualitative study using the theoretical domains framework. BMC Public Health. 2025;25(1):848. https://doi.org/10.1186/s12889-025-21912-3
11. García-Campayo J, Puebla-Guedea M, Herrera-Mercadal P, Daudén E. Burnout syndrome and demotivation among health care personnel: managing stressful situations and the importance of teamwork. Actas Dermosifiliogr. 2016;107(5):400-6. https://doi.org/10.1016/j.adengl.2016.03.003
12. Organización Panamericana de la Salud. Las Américas tienen un déficit de 600.000 profesionales de la salud, que afecta el acceso a la salud en zonas rurales y desatendidas [internet]. 2022. Disponible en: https://www.paho.org/es/noticias/27-5-2022-americas-tienen-deficit-600000-profesionales-salud-que-afecta-acceso-salud-zonas
13. Milton J, Gillespie BM, Åberg D, Erichsen Andersson A, Oxelmark L. Interprofessional teamwork before and after organizational change in a tertiary emergency department: an observational study. J Interprof Care. 2023;37(2):300-11. https://doi.org/10.1080/13561820.2022.2065250
14. Fernandez WG, Benzer JK, Charns MP, Burgess JF. Applying a model of teamwork processes to emergency medical services. West J Emerg Med. 2020;21(6):264-71. https://doi.org/10.5811/westjem.2020.7.47238
15. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement. Lancet. 2007;370(9596):1453-7. https://doi.org/10.1016/S0140-6736(07)61602-X
16. Heinemann GD, Schmitt MH, Farrell MP, Brallier SA. Development of an attitudes toward health care teams scale. Eval Health Prof. 1999;22(1):123-42. https://doi.org/10.1177/01632789922034202
17. Del Barrio M, Reverte M. Evaluación del trabajo en equipo en seis unidades de cuidados intensivos de dos hospitales universitarios. Enferm Intensiva. 2010;21(4):150-60. https://doi.org/10.1016/j.enfi.2010.03.003
18. Canals Cifuentes A, Villegas Ríos R. Jamovi, un software estadístico útil para la práctica docente. Bol Bioestadística [internet]. 2022;(4). Disponible en: https://saludpublica.uchile.cl/publicaciones/otras-publicaciones-esp/publicaciones-esp/boletin-de-bioestadistica/boletin-de-bioestadistica-2022/jamovi-un-software-estadistico-util-para-la-practica-docente
19. Morillo Alujas A, Nadal S, Blasco Navarro A, Zamora Cereza M. Jamovi: un nuevo programa de estadística fácil de usar. Suis. 2021;(179):30-31.
20. Huber C. Interprofessional collaboration in health care. Praxis. 2022;111(1):3-4. https://doi.org/10.1024/1661-8157/a003808
21. Verspuy M, Van Bogaert P. Interprofessional collaboration and communication. En: The organizational context of nursing practice. Cham: Springer; 2018. p. 259-78. https://doi.org/10.1007/978-3-319-71042-6_12
22. Kurteva S, Nassar N, Tamblyn R. Emerging lessons from experiences at transitions in care among hospitalised patients with cancer with postdischarge frequent emergency department use: a qualitative study using linked clinical and patient-reported interview data from Quebec, Canada. BMJ Open. 2024;14(10):e085219. https://doi.org/10.1136/bmjopen-2024-085219
23. Dinh JV, Schweissing EJ, Venkatesh A, Traylor AM, Kilcullen MP, Perez JA, et al. The study of teamwork processes within healthcare: a systematic review. Front Commun. 2021;6:617928. https://doi.org/10.3389/fcomm.2021.617928
24. Buljac-Samardzic M, Doekhie KD, Van Wijngaarden JDH. Interventions to improve team effectiveness within health care: a systematic review. Hum Resour Health. 2020;18(1):2. https://doi.org/10.1186/s12960-019-0411-3
25. Rosen MA, DiazGranados D, Dietz AS, Benishek LE, Thompson D, Pronovost PJ, et al. Teamwork in healthcare: key discoveries enabling safer care. Am Psychol. 2018;73(4):433-50. https://doi.org/10.1037/amp0000298
26. Habre MA, Dolansky M, Lotas M, Allam S, Fitzpatrick J. Interprofessional collaboration among nurses and physicians in Lebanon. J Interprof Educ Pract. 2023;32:100627. https://doi.org/10.1016/j.xjep.2023.100627
27. Rasmussen MB, Tolsgaard MG, Dieckmann P, Østergaard D, White J, Plenge P, et al. Social ties influence teamwork when managing clinical emergencies. BMC Med Educ. 2020;20(1). https://doi.org/10.1186/s12909-020-1953-8
28. Freire Filho JR, Fernandes MNF, Gilbert JHV. Development of interprofessional education and collaborative practice in Latin America and the Caribbean. J Interprof Care. 2023;37(1):168-72. https://doi.org/10.1080/13561820.2022.2041572
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Copyright (c) 2026 Eddison Josué Ramírez-Merchán, Mariza Lizbeth Arévalo-Carrera, Jack Peña Abad , Alexander Casallas-Vega , Luisa Fernanda Ochoa Villegas , Jeisson Andrés Hincapié-Carvajal