inproTeamED - clinical reasoning in the emergency department as an individual and interprofessional process: a qualitative analysis.
- 1Department of Health, Hochschule Bielefeld, University of Applied Sciences and Arts, Interaktion 1, 33619, Bielefeld, Germany. [email protected].
Abstract
Background and objective
Patients in the emergency department (ED) are assessed and treated by the ED-Team consisting of nurses and physicians. The clinical assessment (CA) of emergency patients and the clinical reasoning (CR) of both professions play a decisive role in determining the quality of emergency care. This pilot study explores CR in daily routine practice of the ED on a cognitive-individual level, relying on the Dual-process Theory and on a social-interprofessional level, arguing interprofessional collaboration (IPC) as a part of CR. At least, organizational-structural factors influencing CR are analyzed as a third level.Methods
This is a qualitative study of 13 semi-structured individual interviews with nurses and physicians from three EDs in Germany, analysed using content analysis and methodological fundation.Results
In the individual-cognitive CR, both physicians and nurses groups identified similar key factors for CA and used Systems 1 and 2 of the Dual-process Theory in their CR. On the social-interprofessional level, IPC was generally described positively, naming characteristics of good IPC and communication barriers were reported as rare. As possible organizational-structural factors influencing CR working experience as a prerequisite, size and region of the ED, age structure of the team and digitization were found.Conclusion
This pilot study provides insights into the CR of nurses and physicians in the ED and analyzes CR on an individual-cognitive, a social-interprofessional and an organizational-structural level, allowing to conclusions regarding the prerequisites for successful ED-teams.
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BibTeX
@article{amelung2026inproteamed,
title = {{inproTeamED - clinical reasoning in the emergency department as an individual and interprofessional process: a qualitative analysis.}},
author = {Rena Isabel Amelung},
journal = {BMC emergency medicine},
year = {2026},
month = oct,
doi = {10.1186/s12873-026-01827-x},
url = {https://europepmc.org/article/MED/42963560},
note = {CC BY},
}
RIS
TY - JOUR
TI - inproTeamED - clinical reasoning in the emergency department as an individual and interprofessional process: a qualitative analysis.
AU - Rena Isabel Amelung
PY - 2026
DA - 2026/10/30
JO - BMC emergency medicine
DO - 10.1186/s12873-026-01827-x
UR - https://europepmc.org/article/MED/42963560
AB - Background and objective Patients in the emergency department (ED) are assessed and treated by the ED-Team consisting of nurses and physicians. The clinical assessment (CA) of emergency patients and the clinical reasoning (CR) of both professions play a decisive role in determining the quality of emergency care. This pilot study explores CR in daily routine practice of the ED on a cognitive-individual level, relying on the Dual-process Theory and on a social-interprofessional level, arguing interprofessional collaboration (IPC) as a part of CR. At least, organizational-structural factors influencing CR are analyzed as a third level.Methods This is a qualitative study of 13 semi-structured individual interviews with nurses and physicians from three EDs in Germany, analysed using content analysis and methodological fundation.Results In the individual-cognitive CR, both physicians and nurses groups identified similar key factors for CA and used Systems 1 and 2 of the Dual-process Theory in their CR. On the social-interprofessional level, IPC was generally described positively, naming characteristics of good IPC and communication barriers were reported as rare. As possible organizational-structural factors influencing CR working experience as a prerequisite, size and region of the ED, age structure of the team and digitization were found.Conclusion This pilot study provides insights into the CR of nurses and physicians in the ED and analyzes CR on an individual-cognitive, a social-interprofessional and an organizational-structural level, allowing to conclusions regarding the prerequisites for successful ED-teams.
SN - 1471-227X
ER -