# Generative listening leading to generative action to enhance interdisciplinary connections in a specialized referral hospital setting

## TL;DR

The paper explores how regular listening forums help bridge interdisciplinary gaps in a specialized hospital setting.

## Contribution

It introduces harmonization working forums as a novel strategy to enhance interdisciplinary collaboration through active listening.

## Key findings

- Harmonization forums fostered interdisciplinary connections by addressing organizational demands.
- 200 nonmandatory and 106 mandatory forums were conducted in 2024, leading to practical initiatives.
- Interdisciplinary connectivity improved understanding of organizational processes and requirements.

## Abstract

•Surpassing organizational frontiers through listening in regular harmonization forums.•Fostering interdisciplinary connections through listening in harmonization forums.•Harmonization working forums as a strategy for regular listening.•Harmonization working forums to enhance interdisciplinary connections.•Interdisciplinary connectivity to understanding organizational processes.

Surpassing organizational frontiers through listening in regular harmonization forums.

Fostering interdisciplinary connections through listening in harmonization forums.

Harmonization working forums as a strategy for regular listening.

Harmonization working forums to enhance interdisciplinary connections.

Interdisciplinary connectivity to understanding organizational processes.

To contribute to the organizational culture and interdisciplinary connections to surpass frontiers created by evolving specialization that put professionals as well as processes apart. In addition, we preserved and stimulated local established professional skills.

The authors worked by listening to organizational demands as well as demands of colleagues at work in a network organizational non-mandatory working weekly forums through videoconferences. Forums were devoted to specific scenarios, such as surgical center facilities, outpatient clinics, hybrid rooms, clinical directors, multidisciplinary leadership, intensive care units’ leadership, and institutional life. Mandatory (by local regulation) subcommittee forums occurred every two weeks. Participants of the meetings were in their working place. Every leadership would be present at most in two forums each week; participation might rotate between local leaderships.

200 interdisciplinary nonmandatory working forums were carried out in 2024; number of invites ranged between 52 (hybrid room) and 131 (clinical units’ leadership), participations ranged between 718 (hybrid room) and 791 (clinical units leadership) and mean participation ranged between 17.4 (range 11‒25; standard deviation 3.21) and 20.1 (range 11‒27; standard deviation 3.40). Hundred six mandatory forums were carried out in 2024; the number of invites ranged between 10 (subcommittee of pharmacology) and 19 (review of mortality); mean participation ranged between 9 (range 5‒12; standard deviation 2.16) and 11.7 (range 6‒15; standard deviation 2.24). Specific practical initiatives were born from these forums.

The authors consider that interdisciplinary connectivity was participative to a shared understanding of processes and associated requirements.