Overcoming Challenges to Teamwork in Healthcare: A Team Effectiveness Framework and Evidence-Based Guidance

Simple item page
dc.citation.articleNumber606445en_US
dc.citation.journalTitleFrontiers in Communicationen_US
dc.citation.volumeNumber6en_US
dc.contributor.authorZajac, Stephanieen_US
dc.contributor.authorWoods, Amandaen_US
dc.contributor.authorTannenbaum, Scotten_US
dc.contributor.authorSalas, Eduardoen_US
dc.contributor.authorHolladay, Courtney L.en_US
dc.date.accessioned2021-11-11T19:30:23Zen_US
dc.date.available2021-11-11T19:30:23Zen_US
dc.date.issued2021en_US
dc.description.abstractBackground: Safe and effective patient care depends on the teamwork of multidisciplinary healthcare professionals. Unfortunately, the field currently lacks an evidence-based framework for effective teamwork that can be incorporated into medical education and practice across health professions. We introduce a comprehensive framework for team effectiveness. Common challenges to teamwork in healthcare are identified along with evidence-based strategies for overcoming them.Methods: The framework was developed in four steps: 1) grounding in the existing team science literature, 2) semi-structured interviews (N = 13), 3) thematic analysis and initial framework development, and 4) revision of the framework through input from healthcare professionals representative of different functions across the healthcare system (N = 13). A diagnostic tool consisting of one survey item per team competency was developed to complement the framework. The survey was then administered to healthcare teams across clinical and administrative functions (N = 10 teams, 96 individuals), and results were compiled and then used to conduct debriefs with individual team members and teams. A set of common teamwork challenges were identified using the survey and qualitative data. Qualitative data was analyzed to explore the unique ways these challenges manifest in both clinical and administrative teams.Results: The five most common challenges that face healthcare teams relate to accountability, conflict management, decision-making, reflecting on progress, and coaching. These challenges were similar across both clinical and administrative team types. Based on the authors' collective experience designing and implementing Team Development Interventions (TDIs), strategies for managing each challenge are provided.Conclusions: The proposed framework is unique in two ways. First, it's generally applicable across the many types of teams that contribute to the quality and safety of patient care. Second, the levels of the framework build upon each other to contribute to the development of the ideal team states. The framework and accompanying strategies can provide guidance for where and how to target developmental efforts.en_US
dc.identifier.citationZajac, Stephanie, Woods, Amanda, Tannenbaum, Scott, et al.. "Overcoming Challenges to Teamwork in Healthcare: A Team Effectiveness Framework and Evidence-Based Guidance." <i>Frontiers in Communication,</i> 6, (2021) Frontiers Media S.A.: https://doi.org/10.3389/fcomm.2021.606445.en_US
dc.identifier.digitalfcomm-06-606445en_US
dc.identifier.doihttps://doi.org/10.3389/fcomm.2021.606445en_US
dc.identifier.urihttps://hdl.handle.net/1911/111651en_US
dc.language.isoengen_US
dc.publisherFrontiers Media S.A.en_US
dc.rightsThis is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_US
dc.titleOvercoming Challenges to Teamwork in Healthcare: A Team Effectiveness Framework and Evidence-Based Guidanceen_US
dc.typeJournal articleen_US
dc.type.dcmiTexten_US
dc.type.publicationpublisher versionen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
fcomm-06-606445.pdf
Size:
965.81 KB
Format:
Adobe Portable Document Format
Download
Collections
Faculty Publications
Department of Psychological Sciences Papers and Publications