Helping fluid teams work: A research agenda for effective team adaptation in healthcare

Bedwell, Wendy L.; Ramsay, P. Scott; Salas, Eduardo

doi:10.1007/s13142-012-0177-9

Cited by 56 publications

(58 citation statements)

References 42 publications

(43 reference statements)

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“…Within the aforementioned triad, all respondents were members of an ad hoc team that changed composition for every new palliative patient. These team changes are referred to as team membership fluidity (Bedwell, Ramsay, & Salas, 2012;Tannenbaum, Mathieu, Salas, & Cohen, 2012). As such, participants provided care according to the needs of the patient and within a temporary team.…”

Section: Discussionmentioning

confidence: 99%

Interprofessional collaboration within fluid teams: Community nurses' experiences with palliative home care

Mertens

Gendt

Deveugele

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To explore how community nurses experience the collaboration with general practitioners and specialist palliative home care team nurses in palliative home care and the perceived factors influencing this collaboration. Background The complexity of, and the demand for, palliative home care is increasing. Primary palliative care is provided by community nurses and general practitioners, often in collaboration with palliative home care team nurses. Although these professionals may each individually be part of a fixed team, a new temporary team is often composed for every new palliative patient. These membership changes, referred to as team membership fluidity, challenge professionals to work effectively. Design and methods A qualitative research design, using semi‐structured interviews with community nurses. Participant selection happened through regional palliative care networks in Belgium. The network's palliative home care team nurses selected community nurses with whom they recently collaborated. Twenty interviews were conducted. A constant comparative analysis approach was used. Consolidated criteria for reporting qualitative research guidelines were followed. Results Formal interprofessional team meetings were not common practice. The other's approachability and knowing each other positively influenced the collaboration. Time constraints, the general practitioners' lack of expertise, communication style, hierarchy perception and income dependency negatively influenced the collaboration with general practitioners and determined palliative home care team nurses' involvement. The coping strategies of community nurses balanced between a behaviour focused to the patient and to the professional relationship. Specialist palliative home care team nurses were relied upon for their expertise but also to mediate when community nurses disagreed with general practitioners. Conclusion Community nurses showed to be highly adaptable within the fluid team. Strikingly, dynamics described in the doctor–nurse game 50 years ago are still present today and affect the interprofessional communication. Interprofessional education interventions can contribute to improved interprofessional collaboration. Relevance to clinical practice The study findings uncovered critical knowledge gaps in interprofessional collaboration in palliative home care. Insights are relevant for and related to professional well‐being and workplace learning.

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Section: Discussionmentioning

confidence: 99%

Interprofessional collaboration within fluid teams: Community nurses' experiences with palliative home care

Mertens

Gendt

Deveugele

et al. 2019

Journal of Clinical Nursing

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“…Some teams work together regularly, and sometimes people who have never before met come together for a particular patient or family. Common in today's complex health care system are fluid teams with continually shifting memberships that ebb and flow adaptively to provide care …”

Section: The Ethical Imperative To Be a Team Playermentioning

confidence: 99%

What Medical Students Teach: The Healing Skill of Being a Team Player

Chen¹,

Shepherd²,

Muse³

et al. 2019

Hastings Center Report

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The question, what makes a clinician a healer? may evoke the image of a devoted physician paying a critically important home visit at the end of a long day or the image of an astute nurse—steadfast, empathic, anticipating the patient's needs before they become apparent to others. But health care is no longer provided by lone doctors or nurses. In the modern health care system, multiple professionals must work together to provide safe and effective care. The moral nature of healing has not changed. But what is required of clinicians to facilitate healing has. To be a healer today, a clinician must be a good team player. Medical students have opened our eyes to this new reality. Building on their observations, we articulate a view that, over and above the role of teamwork in providing technically appropriate care and preventing errors, health care requires teamwork to promote healing. Being a good team player is now a moral imperative because it makes an essential contribution to healing.

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“…To enhance patient safety, physicians must be able to work in ‘fluid’ teams with flattened hierarchies, where membership adjustments occur frequently . Pre‐clerkship learning teams offer opportunities to develop shared leadership and followership knowledge, skills, and attitudes (KSAs) required to work effectively in fluid teams with flat hierarchies.…”

Section: What Problems Were Addressed?mentioning

confidence: 99%

Shared team leadership training through pre-clerkship team-based learning

Chen¹,

McCollum²,

Bradley³

et al. 2016

Med Educ

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Helping fluid teams work: A research agenda for effective team adaptation in healthcare

Abstract: Although membership changes within teams are a common practice, research into this phenomenon is relatively nascent (Summers et al.;

Cited by 56 publications

References 42 publications

Interprofessional collaboration within fluid teams: Community nurses' experiences with palliative home care

Interprofessional collaboration within fluid teams: Community nurses' experiences with palliative home care

What Medical Students Teach: The Healing Skill of Being a Team Player

Shared team leadership training through pre-clerkship team-based learning

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