|
| Categories (n) | Subcategories (n) | Quotes |
|
| Benefits of huddles (80) | Growth in overall situational awareness (76) | (i) I was able to respond to patients without delay, as we shared important information for patient care, such as patients at high risk for falls, patients with severe delirium, and patients with multiple drainages that we would not have been aware of if they were not my patients. Huddle really helped me to understand what is going on in the unit (P 44) |
| (ii) It was good and helpful to share patient safety events and potential safety risks in the unit, which I would not have known normally without huddles (P 42) |
| (iii) It was helpful for newly graduate nurses to be able to get an overview of the situation in the unit (P 37) |
| (iv) Through the huddle board, I was able to understand what has been going on in the unit and how the unit has been doing as a whole (P 17) |
| Risk management (23) | (i) Huddles helped to prevent patient safety incidents by identifying high-risk patients (P 54) |
| (ii) We can identify and pay more attention to patient safety issues that frequently occur particularly in our unit (P 39) |
| (iii) Huddles helped reduce the number of patients’ falls in the unit (P 22) |
| Improved teamwork and collegiality (17) | (i) It was nice to help other team members when they had high workload and to be able to get help when I needed their helps (P 68) |
| (ii) Huddles helped improve teamwork by identifying and supporting team members who had high workloads due to their responsibilities to take care of patients with high acuity (P 24) |
| Strengthened safety culture (7) | (i) Because of huddles, an atmosphere that supports speaking up has been created; so, it seems that reporting to colleagues or to those who has more authority has become a habit, and it has been a lot earlier to speak up (P 28) |
| (ii) Huddles were the beginning of creating a venue for even less-experienced nurses to express their opinions (P 63) |
| Facilitated team communication (5) | (i) Efficient communication was possible because patient safety-related information was shared with all team members in the ward (P 25) |
| (ii) It was a great help in knowing and communicating with the up-to-date protocols in a situation where the protocols related to COVID-19 were constantly changing (P 22) |
| (iii) Huddles provided us an opportunity to gather together and communicate in a positive way (P 56) |
|
| Challenges for huddle participation (58) | Heavy workload (53) | (i) When I was too busy due to high workloads, it was difficult to participate huddles (P 11) |
| (ii) Under the time pressure, it was a difficult for everyone to get together on time (P 52) |
| Change in patients’ condition (11) | (i) I was not able to participate in huddles when my patient’s condition deteriorated and thus i had to urgently notify the doctor (P 4) |
| Lack of awareness about huddles (7) | (i) It was difficult for everyone to participate due to persistent demands from patients or their families during huddles (P 55) |
| (ii) Patients, physicians, and other professionals did not understand much about huddles, so huddles were often interrupted (P 69) |
|
| Recommendations for future huddles (7) | Recommendations for future huddles (7) | (i) Digital huddle board would be nicer than the white board (P 62) |
| (ii) It seems that a plan should be prepared so that huddles can be operated effectively even when the unit manager is not present (P 68) |
| (iii) Setting an alarm for a huddle would be helpful (P 75) |
|
