Annals of Emergency Medicine
Volume 56, Issue 6 , Pages 614-622 , December 2010

Examining Emergency Department Communication Through a Staff-Based Participatory Research Method: Identifying Barriers and Solutions to Meaningful Change

  • Kenzie A. Cameron, PhD, MPH

      Affiliations

    • Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • Corresponding Author InformationAddress for correspondence: Kenzie A. Cameron, PhD, MPH, Division of General Internal Medicine, 750 N Lake Shore Dr, 10th Floor, Northwestern University Feinberg School of Medicine, Chicago, IL 60611; 312-503-3910, fax 312-503-2755
    • ,
  • Kirsten G. Engel, MD

      Affiliations

    • Department of Emergency Medicine, Center for Cardiovascular Quality and Outcomes, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • ,
  • Danielle M. McCarthy, MD

      Affiliations

    • Department of Emergency Medicine, Center for Cardiovascular Quality and Outcomes, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • ,
  • Barbara A. Buckley, RN

      Affiliations

    • Department of Emergency Medicine, Northwestern Memorial Hospital, Chicago, IL
    • ,
  • Laura Min Mercer Kollar, MA

      Affiliations

    • Rollins School of Public Health, Emory University, Atlanta, GA
    • ,
  • Sarah M. Donlan, MD

      Affiliations

    • NorthShore Medical Group, NorthShore University Health System, Evanston, IL
    • ,
  • Peter S. Pang, MD

      Affiliations

    • Department of Emergency Medicine, Center for Cardiovascular Quality and Outcomes, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • ,
  • Gregory Makoul, PhD

      Affiliations

    • Department of Innovation and Quality Integration, Saint Francis Hospital and Medical Center, Hartford, CT
    • ,
  • Paula Tanabe, PhD, MPH, RN

      Affiliations

    • Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • Department of Emergency Medicine, Center for Cardiovascular Quality and Outcomes, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • ,
  • Michael A. Gisondi, MD

      Affiliations

    • Department of Emergency Medicine, Center for Cardiovascular Quality and Outcomes, Feinberg School of Medicine, Northwestern University, Chicago, IL
    • ,
  • James G. Adams, MD

      Affiliations

    • Department of Emergency Medicine, Center for Cardiovascular Quality and Outcomes, Feinberg School of Medicine, Northwestern University, Chicago, IL

Received 23 August 2009 ,Revised 26 February 2010 ,Accepted 9 March 2010.

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 Provide feedback on this article at the journal's Web site, www.annemergmed.com.

 Supervising editor: Robert L. Wears, MD, MS

 Author contributions: KAC, KGE, BAB, SMD, PSP, GM, PT, MAG, and JGA conceived and designed the study. PSP, GM, and JGA obtained research funding. KAC, KGE, LMMK, and PSP supervised the conduct of the staff-based participatory research sessions. BAB and LMMK had primary responsibility for recruitment of participants. KAC, KGE, and GM served as overall facilitators for the SBPR group sessions. KAC, KGE, BAB, LMMK, SMD, PSP, and PT served as facilitators for the small group discussions. BAB and LMMK managed the data, including quality control. KAC, KGE, DMM, and LMMK analyzed the study data, and KAC provided qualitative research advice. KAC, KGE, and DMM drafted the article, and all authors contributed substantially to its revision. KAC takes responsibility for the paper as a whole.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. Funded by the Davee Foundation.

 Please see page 615 for the Editor's Capsule Summary of this article.

 Reprints not available from the authors.

 Publication date: Available online April 10, 2010.

PII: S0196-0644(10)00238-6

doi: 10.1016/j.annemergmed.2010.03.017

Annals of Emergency Medicine
Volume 56, Issue 6 , Pages 614-622 , December 2010

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