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Understanding adaptive teamwork in health care: Progress and future directions
Health care teamwork is a vital part of clinical work and patient care but is poorly understood. Despite poor teamwork being cited as a major contributory factor to adverse events, we lack vital knowledge about how teamwork can be improved. Teams in health care are diverse in structure and purpose,...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8182291/ https://www.ncbi.nlm.nih.gov/pubmed/33327787 http://dx.doi.org/10.1177/1355819620978436 |
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author | Anderson, Janet E Lavelle, Mary Reedy, Gabriel |
author_facet | Anderson, Janet E Lavelle, Mary Reedy, Gabriel |
author_sort | Anderson, Janet E |
collection | PubMed |
description | Health care teamwork is a vital part of clinical work and patient care but is poorly understood. Despite poor teamwork being cited as a major contributory factor to adverse events, we lack vital knowledge about how teamwork can be improved. Teams in health care are diverse in structure and purpose, and most patient care depends on the ability of different professionals to coordinate their actions. Research in this area has narrowly defined health care teams, focused mainly on a small range of settings and activities and addressed a limited range of research questions. We argue that a new approach to teamwork research is needed and make three recommendations. First, the temporal and dynamic features of teamwork should be studied to understand how teamwork unfolds sequentially. Second, contextual influences should be integrated into study designs, including the organization of work, tasks, patients, organisational structures, and health care system factors. Finally, exploratory, rather than confirmatory, research designs are needed to analyse the complex patterns of social interaction inherent in health care work, to build our theoretical understanding of health care teams and their work, and ultimately to develop effective interventions to support better teamwork for the benefit of patients. |
format | Online Article Text |
id | pubmed-8182291 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-81822912021-06-21 Understanding adaptive teamwork in health care: Progress and future directions Anderson, Janet E Lavelle, Mary Reedy, Gabriel J Health Serv Res Policy Concepts/Methods Article Health care teamwork is a vital part of clinical work and patient care but is poorly understood. Despite poor teamwork being cited as a major contributory factor to adverse events, we lack vital knowledge about how teamwork can be improved. Teams in health care are diverse in structure and purpose, and most patient care depends on the ability of different professionals to coordinate their actions. Research in this area has narrowly defined health care teams, focused mainly on a small range of settings and activities and addressed a limited range of research questions. We argue that a new approach to teamwork research is needed and make three recommendations. First, the temporal and dynamic features of teamwork should be studied to understand how teamwork unfolds sequentially. Second, contextual influences should be integrated into study designs, including the organization of work, tasks, patients, organisational structures, and health care system factors. Finally, exploratory, rather than confirmatory, research designs are needed to analyse the complex patterns of social interaction inherent in health care work, to build our theoretical understanding of health care teams and their work, and ultimately to develop effective interventions to support better teamwork for the benefit of patients. SAGE Publications 2020-12-16 2021-07 /pmc/articles/PMC8182291/ /pubmed/33327787 http://dx.doi.org/10.1177/1355819620978436 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Concepts/Methods Article Anderson, Janet E Lavelle, Mary Reedy, Gabriel Understanding adaptive teamwork in health care: Progress and future directions |
title | Understanding adaptive teamwork in health care: Progress and future
directions |
title_full | Understanding adaptive teamwork in health care: Progress and future
directions |
title_fullStr | Understanding adaptive teamwork in health care: Progress and future
directions |
title_full_unstemmed | Understanding adaptive teamwork in health care: Progress and future
directions |
title_short | Understanding adaptive teamwork in health care: Progress and future
directions |
title_sort | understanding adaptive teamwork in health care: progress and future
directions |
topic | Concepts/Methods Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8182291/ https://www.ncbi.nlm.nih.gov/pubmed/33327787 http://dx.doi.org/10.1177/1355819620978436 |
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