Knotworking in an emergency response team: understanding team communication and process

Over the last 30 years, many studies have focused on responses to crisis in organizations. Crises can occur at any time of the day or night on a regular but unforeseen basis and are characterized by high consequences and short decision time. In healthcare, multidisciplinary crisis management or rapi...

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Main Author: Janet W. Colvin
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2017-12-01
Series:Qualitative Research in Medicine & Healthcare
Subjects:
Online Access:https://www.pagepressjournals.org/index.php/qrmh/article/view/7115
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author Janet W. Colvin
author_facet Janet W. Colvin
author_sort Janet W. Colvin
collection DOAJ
description Over the last 30 years, many studies have focused on responses to crisis in organizations. Crises can occur at any time of the day or night on a regular but unforeseen basis and are characterized by high consequences and short decision time. In healthcare, multidisciplinary crisis management or rapid response teams (RRT) have become more common. RRTs allow for a cross-sectional focus on patients’ needs and, thereby, prevent avoidable deaths or significant harm. This study uses Activity Theory and knotworking theory to examine how communication, multiple roles and power structures are negotiated in RRT’s in a large intermountain teaching hospital. Results from focus groups indicate a single-minded focus on training for system errors may miss important aspects. Knotworking theory is promising because it helps providers move beyond an understanding of teamwork to an understanding of how objectives can be shared and merged.
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spelling doaj-art-f32ce124d5e147da8d64bba714571f7a2025-08-20T02:51:00ZengKeAi Communications Co., Ltd.Qualitative Research in Medicine & Healthcare2532-20442017-12-011310.4081/qrmh.2017.7115Knotworking in an emergency response team: understanding team communication and processJanet W. Colvin0Communication Department, Utah Valley University, Orem, UTOver the last 30 years, many studies have focused on responses to crisis in organizations. Crises can occur at any time of the day or night on a regular but unforeseen basis and are characterized by high consequences and short decision time. In healthcare, multidisciplinary crisis management or rapid response teams (RRT) have become more common. RRTs allow for a cross-sectional focus on patients’ needs and, thereby, prevent avoidable deaths or significant harm. This study uses Activity Theory and knotworking theory to examine how communication, multiple roles and power structures are negotiated in RRT’s in a large intermountain teaching hospital. Results from focus groups indicate a single-minded focus on training for system errors may miss important aspects. Knotworking theory is promising because it helps providers move beyond an understanding of teamwork to an understanding of how objectives can be shared and merged.https://www.pagepressjournals.org/index.php/qrmh/article/view/7115crisisteamsknotworkingactivity theory
spellingShingle Janet W. Colvin
Knotworking in an emergency response team: understanding team communication and process
Qualitative Research in Medicine & Healthcare
crisis
teams
knotworking
activity theory
title Knotworking in an emergency response team: understanding team communication and process
title_full Knotworking in an emergency response team: understanding team communication and process
title_fullStr Knotworking in an emergency response team: understanding team communication and process
title_full_unstemmed Knotworking in an emergency response team: understanding team communication and process
title_short Knotworking in an emergency response team: understanding team communication and process
title_sort knotworking in an emergency response team understanding team communication and process
topic crisis
teams
knotworking
activity theory
url https://www.pagepressjournals.org/index.php/qrmh/article/view/7115
work_keys_str_mv AT janetwcolvin knotworkinginanemergencyresponseteamunderstandingteamcommunicationandprocess