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  • Print publication year: 2012
  • Online publication date: October 2012

3 - Communication within teams and between professionals


This chapter explores the nature and importance of communication between health professionals, both those within teams and those working in wider collaborations. We consider how complex communication may be when patient and client care is shared between many professionals. Trust, feedback and the skill to delegate appropriately are essential to optimise communication and collaboration and enhance patient safety. Team meetings and good record keeping are other elements of communication to consider.

The importance of communication between all professionals working with the same patients was highlighted by the now well-known circumstances that occurred in Bristol in the UK, and this case is often referred to as a turning point in patient care. The inquiry into the performance of paediatric heart surgeons in Bristol found that poor communication between different professionals was a factor in the adverse clinical outcomes for the babies involved (Bristol Royal Infirmary Inquiry, 2001). In this hospital setting the professionals may well have identified that they were working in a team, but other recent high profile cases, such as that of Baby P (again in the UK), also show a lack of coordinated care across organisations and failure to discuss concerns by the disparate groups of health and social care professionals and agencies involved.

Bhabra, GMackeith, SPMPothier, DD 2007 An experimental comparison of handover methodsAnnals of The Royal College of Surgeons of England 89 298
Bristol Royal Infirmary Inquiry 2001 Learning from Bristol: the report of the public inquiry into children's heart surgery at the Bristol Royal Infirmary 1984–1995LondonStationery
Brown, AStarkey, K 1994 The effect of organisational culture on communication and informationJournal of Management Studies 31 807
Coiera, ETombs, V 1998 Communication behaviours in a hospital setting: an observational studyBMJ 316 673
Day, J. 2006 Interprofessional workingCheltenhamNelson Thornes
De Dreu, CKWWeingart, LR 2003 Tack versus relationship conflict, team performance and team member satisfaction: a meta-analysisJournal of Applied Psychology 8 858
Jehn, KA. 1995 A multimethod examination of the benefits and detriments of intragroup conflictAdministrative Science Quarterly 40 256
National Patient Safety Agency 2009
Pendleton, DSchofield, TTate, PHavelock, P 1984 The consultation: an approach to learning and teachingOxfordOxford University Press
Rakos, F. 1997 Asserting and confrontingThe handbook of communication skills. (2nd edition)LondonRoutledgep289
Runciman, WHibbert, PThomson, RVan Der Schaaf, TSherman, HLewalle, P 2009 Towards an international classification for patient safety: key concepts and termsInternational Journal for Quality in Health Care 21 18
Schoen, COsborn, RHow, SKHDoty, MMPeugh, J 2009 In chronic condition: experiences of patients with complex health care needs, in eight countries, 2008Health Affairs (Millwood) 28 1
Thistlethwaite, JESpencer, JA 2009 Professionalism in medicineAbingdonRadcliffe Medical Press
Wong, MCYee, KCTurner, P 2008
World Health 2011