Decoding Healthcare Teamwork: a Typology of Hospital Teams

Overview

Journal J Interprof Care

Publisher Informa Healthcare

Specialty Health Services

Date 2024 Apr 26

PMID 38666463

Authors

Natalie Sanford

Mary Lavelle

Ola Markiewicz

Gabriel Reedy

Dame Anne Marie Rafferty

Lord Ara Darzi

Janet E Anderson

Affiliations

Soon will be listed here.

Abstract

The effectiveness of healthcare depends on successful teamwork. Current understanding of teamwork in healthcare is limited due to the complexity of the context, variety of team structures, and unique demands of healthcare work. This qualitative study aimed to identify different types of healthcare teams based on their structure, membership, and function. The study used an ethnographic approach to observe five teams in an English hospital. Data were analyzed using a combined inductive-deductive approach based on the Temporal Observational Analysis of Teamwork framework. A typology was developed, consisting of five team types: structural, hybrid, satellite, responsive, and coordinating. Teams were challenged to varying degrees with staffing, membership instability, equipment shortages, and other elements of the healthcare environment. Teams varied in their ability to respond to these challenges depending on their characteristics, such as their teamworking style, location, and membership. The typology developed in this study can help healthcare organizations to better understand and design effective teams for different healthcare contexts. It can also guide future research on healthcare teams and provide a framework for comparing teams across settings. To improve teamwork, healthcare organizations should consider the unique needs of different team types and design effective training programs accordingly.

References

Xyrichis A, Ream E . Teamwork: a concept analysis. J Adv Nurs. 2008; 61(2):232-41. DOI: 10.1111/j.1365-2648.2007.04496.x. View

Leggat S . Effective healthcare teams require effective team members: defining teamwork competencies. BMC Health Serv Res. 2007; 7:17. PMC: 1800844. DOI: 10.1186/1472-6963-7-17. View

Thomas E . Improving teamwork in healthcare: current approaches and the path forward. BMJ Qual Saf. 2011; 20(8):647-50. DOI: 10.1136/bmjqs-2011-000117. View

Klarare A, Hansson J, Fossum B, Furst C, Hagelin C . Team type, team maturity and team effectiveness in specialist palliative home care: an exploratory questionnaire study. J Interprof Care. 2018; 33(5):504-511. DOI: 10.1080/13561820.2018.1551861. View

Lavelle M, Reedy G, Cross S, Jaye P, Simpson T, Anderson J . An evidence based framework for the Temporal Observational Analysis of Teamwork in healthcare settings. Appl Ergon. 2019; 82:102915. DOI: 10.1016/j.apergo.2019.102915. View

Zaranko B, Sanford N, Kelly E, Rafferty A, Bird J, Mercuri L . Nurse staffing and inpatient mortality in the English National Health Service: a retrospective longitudinal study. BMJ Qual Saf. 2022; 32(5):254-263. PMC: 10176371. DOI: 10.1136/bmjqs-2022-015291. View

Rosen M, DiazGranados D, Dietz A, Benishek L, Thompson D, Pronovost P . Teamwork in healthcare: Key discoveries enabling safer, high-quality care. Am Psychol. 2018; 73(4):433-450. PMC: 6361117. DOI: 10.1037/amp0000298. View

Manser T . Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2008; 53(2):143-51. DOI: 10.1111/j.1399-6576.2008.01717.x. View

Sorensen R, Iedema R, Severinsson E . Beyond profession: nursing leadership in contemporary healthcare. J Nurs Manag. 2008; 16(5):535-44. DOI: 10.1111/j.1365-2834.2008.00896.x. View

10.

Rangachari P, L Woods J . Preserving Organizational Resilience, Patient Safety, and Staff Retention during COVID-19 Requires a Holistic Consideration of the Psychological Safety of Healthcare Workers. Int J Environ Res Public Health. 2020; 17(12). PMC: 7345925. DOI: 10.3390/ijerph17124267. View

11.

Kannampallil T, Schauer G, Cohen T, Patel V . Considering complexity in healthcare systems. J Biomed Inform. 2011; 44(6):943-7. DOI: 10.1016/j.jbi.2011.06.006. View

12.

Sanford N, Lavelle M, Markiewicz O, Reedy G, Rafferty A, Darzi A . Understanding complex work using an extension of the resilience CARE model: an ethnographic study. BMC Health Serv Res. 2022; 22(1):1126. PMC: 9450258. DOI: 10.1186/s12913-022-08482-5. View

13.

Weller J, Boyd M, Cumin D . Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J. 2014; 90(1061):149-54. DOI: 10.1136/postgradmedj-2012-131168. View

14.

Xyrichis A, Reeves S, Zwarenstein M . Examining the nature of interprofessional practice: An initial framework validation and creation of the InterProfessional Activity Classification Tool (InterPACT). J Interprof Care. 2017; 32(4):416-425. DOI: 10.1080/13561820.2017.1408576. View

15.

Sanford N, Lavelle M, Markiewicz O, Reedy G, Rafferty A, Darzi A . Capturing challenges and trade-offs in healthcare work using the pressures diagram: An ethnographic study. Appl Ergon. 2022; 101:103688. DOI: 10.1016/j.apergo.2022.103688. View

16.

Dutton R, Cooper C, Jones A, Leone S, Kramer M, Scalea T . Daily multidisciplinary rounds shorten length of stay for trauma patients. J Trauma. 2003; 55(5):913-9. DOI: 10.1097/01.TA.0000093395.34097.56. View

17.

Anderson J, Aase K, Bal R, Bourrier M, Braithwaite J, Nakajima K . Multilevel influences on resilient healthcare in six countries: an international comparative study protocol. BMJ Open. 2020; 10(12):e039158. PMC: 7722365. DOI: 10.1136/bmjopen-2020-039158. View

18.

Doekhie K, Buljac-Samardzic M, Strating M, Paauwe J . Who is on the primary care team? Professionals' perceptions of the conceptualization of teams and the underlying factors: a mixed-methods study. BMC Fam Pract. 2017; 18(1):111. PMC: 5745958. DOI: 10.1186/s12875-017-0685-2. View

19.

Reeves S, Xyrichis A, Zwarenstein M . Teamwork, collaboration, coordination, and networking: Why we need to distinguish between different types of interprofessional practice. J Interprof Care. 2017; 32(1):1-3. DOI: 10.1080/13561820.2017.1400150. View

20.

Andreatta P . A typology for health care teams. Health Care Manage Rev. 2010; 35(4):345-54. DOI: 10.1097/HMR.0b013e3181e9fceb. View