Cooperation and conflict in intra-hospital transfers: A qualitative analysis.

Aim: The purpose of this study was to explore the latent conditions of cooperation and conflict in intra-hospital patient transfers (i.e. transfers of patients between units in a hospital).
Design: Secondary qualitative analysis of 28 interviews conducted with 29 hospital staff, including physicians ( N  = 13), nurses ( N  = 10) and support staff ( N  = 6) from a single, large academic tertiary hospital in the Northeastern United States.
Methods: A two-member multidisciplinary team applied a directed content analysis approach to data collected from semi-structured interviews.
Results: Three recurrent themes were generated: (a) patient flow policies created imbalances of power; (b) relationships were helpful to facilitate safe transfers; and (c) method of admission order communication was a source of disagreement. Hospital quality improvement efforts could benefit from a teaming approach to minimize unintentional power imbalances and optimize communicative relationships between units.
Competing Interests: The authors declare no conflicts of interest to disclose.
(© 2019 The Authors. Nursing Open published by John Wiley & Sons Ltd.)