Eleni Louizou, Nikolaos Panagiotou, Εmmanouil Smyrnakis, Savvas Anastasiadis, Konstantinos G Diamantis, Foivos Papamalis, Panagiotis D Bamidis
Greek medical professionals approaches and understanding of health literacy: a qualitative study
BMC health services research
healthcare teams psychological safety associated improved performance communication collaboration patient safety extracorporeal membrane oxygenation ecmo retrieval teams multidisciplinary teams initiate ecmo therapy patients severe acute respiratory failure referring hospitals transfer patients regional specialised centres ongoing care present study aimed explore ecmo teams experience psychological safety generate recommendations strengthen psychological safety study conducted royal brompton hospital rbh part guys st thomas nhs foundation trust london rbh one six centres commissioned provide ecmo therapy uk 10 participants recruited 2 consultants 5 nurses 3 perfusionists semistructured interviews used explore team members views teamwork perceived ability discuss concerns within team interaction speaking teamwork hierarchy reflexive thematic analysis approach used explore interview data analysis interview dataset identified structural team factors shaping psychological safety specific context ecmo team highrisk environment team operates clearly defined process functions structured opportunities provide legitimate moments reflect together influence psychological safety experienced furthermore speaking shaped familiarity among team members interdependent work requires boundary spanning across different roles leadership behaviour hierarchy expertise privileged traditional institutional ranking study surfaced structural team factors influence speaking specific context ecmo retrieval team information used suggest interventions improve strengthen psychological safety