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The teamwork structure, process, and context of a paediatric cardiac surgery team in Mongolia: A mixed‐methods approach

INTRODUCTION: Effective teamwork in paediatric cardiac surgery is known to improve team performance and surgical outcomes. However, teamwork in low‐ and middle‐income countries (LMICs), including Mongolia, is understudied. We examined multiple dimensions of teamwork to inform a team‐based training p...

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Autores principales: Han, Seungheon, Choi, Sugy, Park, Jayoung, Kweon, Seoah, Oh, Se Jin, Shakya, Holly B., Heo, Jongho, Kim, Woong‐Han
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9545841/
https://www.ncbi.nlm.nih.gov/pubmed/35340045
http://dx.doi.org/10.1002/hpm.3463
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author Han, Seungheon
Choi, Sugy
Park, Jayoung
Kweon, Seoah
Oh, Se Jin
Shakya, Holly B.
Heo, Jongho
Kim, Woong‐Han
author_facet Han, Seungheon
Choi, Sugy
Park, Jayoung
Kweon, Seoah
Oh, Se Jin
Shakya, Holly B.
Heo, Jongho
Kim, Woong‐Han
author_sort Han, Seungheon
collection PubMed
description INTRODUCTION: Effective teamwork in paediatric cardiac surgery is known to improve team performance and surgical outcomes. However, teamwork in low‐ and middle‐income countries (LMICs), including Mongolia, is understudied. We examined multiple dimensions of teamwork to inform a team‐based training programme to strengthen paediatric cardiac surgical care in Mongolia. METHODS: We used a mixed‐methods approach, combining social network analysis and in‐depth interviews with medical staff, to explore the structure, process, quality, and context of teamwork at a single medical centre. We conceptualised the team's structure based on communication frequency among the members (n = 24) and explored the process, quality, and context of teamwork via in‐depth interviews with select medical staff (n = 9). RESULTS: The team structure was highly dense and decentralised, but the intensive care unit nurses showed high betweenness‐centrality. In the quality and process domain of teamwork, we did not find a regular joint decision‐making process, leading to the absence of common goals among the team members. Although role assignment among the medical staff was explicit, those strictly defined roles hindered active communication about patient information and responsibility‐sharing. Most interviewees did not agree with the organisational policies that limited discussions among team members; therefore, medical staff continued to share training and work experiences with each other, leading to strong and trustworthy relationships. CONCLUSION: The findings of this study underscore the importance of well‐structured and goal‐oriented communication between medical staff, as well as the management of the quality of collaboration within a team to increase teamwork effectiveness in paediatric cardiac surgery teams in LMICs.
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spelling pubmed-95458412022-10-14 The teamwork structure, process, and context of a paediatric cardiac surgery team in Mongolia: A mixed‐methods approach Han, Seungheon Choi, Sugy Park, Jayoung Kweon, Seoah Oh, Se Jin Shakya, Holly B. Heo, Jongho Kim, Woong‐Han Int J Health Plann Manage Research Articles INTRODUCTION: Effective teamwork in paediatric cardiac surgery is known to improve team performance and surgical outcomes. However, teamwork in low‐ and middle‐income countries (LMICs), including Mongolia, is understudied. We examined multiple dimensions of teamwork to inform a team‐based training programme to strengthen paediatric cardiac surgical care in Mongolia. METHODS: We used a mixed‐methods approach, combining social network analysis and in‐depth interviews with medical staff, to explore the structure, process, quality, and context of teamwork at a single medical centre. We conceptualised the team's structure based on communication frequency among the members (n = 24) and explored the process, quality, and context of teamwork via in‐depth interviews with select medical staff (n = 9). RESULTS: The team structure was highly dense and decentralised, but the intensive care unit nurses showed high betweenness‐centrality. In the quality and process domain of teamwork, we did not find a regular joint decision‐making process, leading to the absence of common goals among the team members. Although role assignment among the medical staff was explicit, those strictly defined roles hindered active communication about patient information and responsibility‐sharing. Most interviewees did not agree with the organisational policies that limited discussions among team members; therefore, medical staff continued to share training and work experiences with each other, leading to strong and trustworthy relationships. CONCLUSION: The findings of this study underscore the importance of well‐structured and goal‐oriented communication between medical staff, as well as the management of the quality of collaboration within a team to increase teamwork effectiveness in paediatric cardiac surgery teams in LMICs. John Wiley and Sons Inc. 2022-03-26 2022-07 /pmc/articles/PMC9545841/ /pubmed/35340045 http://dx.doi.org/10.1002/hpm.3463 Text en © 2022 The Authors. The International Journal of Health Planning and Management published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Research Articles
Han, Seungheon
Choi, Sugy
Park, Jayoung
Kweon, Seoah
Oh, Se Jin
Shakya, Holly B.
Heo, Jongho
Kim, Woong‐Han
The teamwork structure, process, and context of a paediatric cardiac surgery team in Mongolia: A mixed‐methods approach
title The teamwork structure, process, and context of a paediatric cardiac surgery team in Mongolia: A mixed‐methods approach
title_full The teamwork structure, process, and context of a paediatric cardiac surgery team in Mongolia: A mixed‐methods approach
title_fullStr The teamwork structure, process, and context of a paediatric cardiac surgery team in Mongolia: A mixed‐methods approach
title_full_unstemmed The teamwork structure, process, and context of a paediatric cardiac surgery team in Mongolia: A mixed‐methods approach
title_short The teamwork structure, process, and context of a paediatric cardiac surgery team in Mongolia: A mixed‐methods approach
title_sort teamwork structure, process, and context of a paediatric cardiac surgery team in mongolia: a mixed‐methods approach
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9545841/
https://www.ncbi.nlm.nih.gov/pubmed/35340045
http://dx.doi.org/10.1002/hpm.3463
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