However, participants spoke frankly about the strengths and weaknesses of e-mail communication. E-mail communication allowed for transparent documentation, efficiency, and objectivity: “It has to do with documentation and making sure that it is in writing, and in some instances it is more time efficient and it keeps the emotional aspects out of it.” On the other hand several constraints with regard to e-mail use were voiced by front-line staff who felt that they, in comparison to the doctors and nurses on the team, did not have sufficient time available to use e-mail effectively.