Impact of leadership development workshops in facilitating team-based practice transformation

Willgerodt, Mayumi; Blakeney, Erin Abu-Rish; Summerside, Nicole; Vogel, Mia; Liner, Debra; Zierler, Brenda K.

doi:10.1080/13561820.2019.1604496

Cited by 16 publications

(18 citation statements)

References 32 publications

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“…We tailored existing content from other team trainings that we have carried out for research, education, and clinical teams to this project. 18,22,[42][43][44] While there has been a growing acknowledgement of the need for team science training for interdisciplinary translational research teams, we are not aware of any previous studies involving student-professional teams. 45 In the engineering literature, multiple programs have incorporated a collaborative student-professional design approach to address unmet health needs.…”

Section: Discussion and Summarymentioning

confidence: 99%

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Implementation and evaluation of team science training for interdisciplinary teams in an engineering design program

Blakeney

Kang

Henrikson

et al. 2021

J. Clin. Trans. Sci.

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Section: Discussion and Summarymentioning

confidence: 99%

“…This work suggests that this approach is likely sustainable at the UW and replicable and adaptable to other clinical and translational research settings and audiences. We tailored existing content from other team trainings that we have carried out for research, education, and clinical teams to this project [18,22,[42][43][44].…”

Section: Discussion and Summarymentioning

confidence: 99%

Implementation and evaluation of team science training for interdisciplinary teams in an engineering design program

Blakeney

Kang

Henrikson

et al. 2021

J. Clin. Trans. Sci.

Self Cite

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show abstract

“…Case study 2 (US context) Intervention descriptor and primary goal. This team intervention was designed to strengthen inter-professional collaborative practice and facilitate practice transformation through development and implementation of structured interprofessional bedside rounds (SIBR) at a large medical centre in the Pacific Northwest, USA [42][43][44] . The primary goal of the intervention was to improve healthcare team, healthcare system, and patient outcomes for hospitalised patients with heart failure with particular emphasis on relational co-ordination (team communication and relationships) because of high staff turnover, low patient satisfaction and high re-admission rates for patients.…”

Section: Methodsmentioning

confidence: 99%

Team interventions in acute hospital contexts: protocol for the evaluation of an initial programme theory using realist methods

et al. 2021

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Introduction: Literature on multi-disciplinary healthcare team interventions to improve quality and safety of care in acute hospital contexts tends to focus on evaluating the success of the intervention by assessing patient outcomes. In contrast, there is little focus on the team who delivered the intervention, how the team worked to deliver the intervention or the context in which it was delivered. In practice, there is therefore a poor understanding of why some interventions work and are sustained and why others fail. There is little emphasis in the literature on how the team delivering the intervention might impact success or failure. Given that team is the vehicle through which these interventions are introduced, it is important to understand interventions from their perspectives. This research seeks to deepen understanding of enablers and barriers for effective team interventions. Using two case studies, we will evaluate previously developed initial programme theories to understand, what worked for whom, in what conditions, why, to what extent and how? Methods and analysis: A realist evaluation approach will be employed to test the previously formed set of initial programme theories. Two multi-disciplinary acute hospital team interventions in two different geographical and organisational contexts will be identified. In case study 1, a theory based approach to interviewing will be used. In case study 2, interview transcripts obtained using a semi- structured approach for primary research purposes will undergo secondary analysis. This will enable a more sensitive look at patterns and variations in patterns of multi-disciplinary team interventions. Researchers will first iteratively interrogate each respective dataset to identify the characteristics or resources present within the specific context that influenced how the team intervention worked to produce particular outcomes. Data will then be synthesised across contexts in order to produce middle range theories and thereby more generalisable insights.

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“…Outcome: Improved patient and staff satisfaction scores, reduced staff turnover and improved interprofessional collaborative practice were observed as key outcomes of the intervention [31][32][33]. SIBR has been successfully embedded and sustained over time is now considered the standard of care in these areas.…”

Section: Selection Of Case Studiesmentioning

confidence: 99%

“…This team had expertise in IPCP, team science and quality improvement [31]. The focus of the intervention was to strengthen interprofessional collaborative practice (IPCP) by improving relational co-ordination, team communication and relationships [31][32][33]. Structured interprofessional bedside rounds (SIBRs) [34], which bring together health professionals using a structured format to collaboratively arrive at a daily plan of care, were developed and implemented and used as a vehicle to introduce IPCP.…”

Section: Selection Of Case Studiesmentioning

confidence: 99%

A Realist Evaluation of Team Interventions in Acute Hospital Contexts—Use of Two Case Studies to Test Initial Programme Theories

Cunningham

Brún

Willgerodt

et al. 2021

IJERPH

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Background: Designing and implementing team interventions to improve quality and safety of care in acute hospital contexts is challenging. There is little emphasis in the literature on how contextual conditions impact interventions or how specific active ingredients of interventions impact on team members’ reasoning and enact change. This realist evaluation helps to deepen the understanding of the enablers and barriers for effective team interventions in these contexts. Methods: Five previously developed initial programme theories were tested using case studies from two diverse hospital contexts. Data were collected from theory driven interviews (n = 19) in an Irish context and from previously conducted evaluative interviews (n = 16) in a US context. Data were explored to unpack the underlying social and psychological drivers that drove both intended and unintended outcomes. Patterns of regularity were identified and synthesised to develop middle-range theories (MRTs). Results: Eleven MRTs demonstrate how and why intervention resources introduced in specific contextual conditions enact reasoning mechanisms and generate intended and unintended outcomes for patients, team members, the team and organisational leaders. The triggered mechanisms relate to shared mental models; openness, inclusivity and connectedness; leadership and engagement; social identity and intrinsic motivational factors. Conclusions: The findings provide valuable information for architects and facilitators of team interventions in acute hospital contexts, as well as help identify avenues for future research. Dataset: The data presented in this study are available on request from the corresponding author. The data are not publicly available due to their sensitive nature and potential identification of participants.

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Impact of leadership development workshops in facilitating team-based practice transformation

Cited by 16 publications

References 32 publications

Implementation and evaluation of team science training for interdisciplinary teams in an engineering design program

Implementation and evaluation of team science training for interdisciplinary teams in an engineering design program

Team interventions in acute hospital contexts: protocol for the evaluation of an initial programme theory using realist methods

A Realist Evaluation of Team Interventions in Acute Hospital Contexts—Use of Two Case Studies to Test Initial Programme Theories

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