Advanced Practice Nursing, Health Care Teams, and Perceptions of Team Effectiveness

Abstract

This article summarizes the results of an extensive review of the organizational and health care literature of advanced practice nursing (APN) roles, health care teams, and perceptions of team effectiveness. Teams have a long history in health care. Managers play an important role in mobilizing resources, guiding expectations of APN roles in teams and within organizations, and facilitating team process. Researchers have identified a number of advantages to the addition of APN roles in health care teams. The process within health care teams are dynamic and responsive to their surrounding environment. It appears that teams and perceptions of team effectiveness need to be understood in the broader context in which the teams are situated. Key team process are identified for team members to perceive their team as effective. The concepts of teamwork, perceptions of team effectiveness, and the introduction of APN roles in teams have been studied disparately. An exploration of the links between these concepts may further our understanding the health care team's perceptions of team effectiveness when APN roles are introduced. Such knowledge could contribute to the effective deployment of APN roles in health care teams and improve the delivery of health care services to patients and families.

Relations between mental health team characteristics and work role performance

“…According to the literature [15–17], more effective teams generate better treatment outcomes and greater satisfaction among users. Effective teamwork also reduces health costs [18] and medical errors [19] and contributes to job satisfaction among staff [15, 16]. …”

How do nurse practitioners in acute care affect perceptions of team effectiveness?

“…The study findings support the processes identified by Kilpatrick et al . (). Other researchers have identified the important role of communication and care coordination in well‐functioning teams, and this may reflect their central role in team effectiveness (Salas et al .…”

“…ACNP roles include clinical, research, education and administrative components (Kilpatrick et al . ). NPs in most jurisdictions in Canada are authorised to (1) diagnose a disease or condition, (2) suggest and interpret tests and (3) prescribe medications (DiCenso et al .…”

“…Kilpatrick et al . () conducted a review of the organisational and healthcare literature and summarised the findings of 113 articles to identify key team processes that affected PTE. PTE appears to be influenced by processes such as coordination, development of interrelated roles, communication, opportunities to solve problems, participation in decisions (Lemieux‐Charles & McGuire ) and focus on patients and families (Donaghy & Devlin ).…”

Understanding acute care nurse practitioner communication and decision‐making in healthcare teams

“…Processes like communication and decision‐making have been identified as key factors in perceptions of team effectiveness (Kilpatrick et al. 2011).…”