Conference of the International Association for Conflict Management location:Stellenbosch, South Africa date:11-14 July 2012
A post-test-only cluster Randomised Controlled Trial (cRCT), combined with process evaluations, was performed in Belgian acute hospitals to evaluate impact of care pathways on interprofessional teamwork. The intervention teams implemented a care pathway. The control teams provided usual care.
Thirty teams participated. Amongst other positive results, most importantly the intervention teams scored significantly better on: conflict management ( = 0.295 (0.113); p = 0.015) and team climate for innovation ( = 0.281 (0.099); p = 0.009). Next to this they showed lower risk of burnout as they scored significantly lower on emotional exhaustion ( = -0.605 (0.216); p = 0.01) and mental detachment ( = -0.331 (0.161); p = 0.049), and significantly higher on level of competence ( = 0.381 (0.123); p = 0.0047). Most important conditions and active components that facilitated the normalization of care pathways were described.
Results from our study enhances understanding on the active components of care pathways. Through this, preferred implementation strategies can be defined.
Keywords: Care pathways, conflict management, interprofessional teamwork, cluster randomised controlled trial, process evaluations.