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Kalyuzhnov M, Khlystova O, Laker B. Improvisation versus protocol: navigating the benefits and pitfalls of leadership jazz in healthcare settings. BMJ LEADER 2024:leader-2024-001016. [PMID: 38981669 DOI: 10.1136/leader-2024-001016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2024] [Accepted: 06/25/2024] [Indexed: 07/11/2024]
Affiliation(s)
| | | | - Benjamin Laker
- Henley Business School, University of Reading, Reading, UK
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Peduzzi M, Fernandes Agreli HL, da Silva JAM, Hara Koyama MA, Fracolli LA, Xyrichis A. Team climate and patients' perception of primary healthcare attributes in Brazil: a cross-sectional study. J Interprof Care 2024; 38:705-712. [PMID: 38755950 DOI: 10.1080/13561820.2024.2351006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Accepted: 04/28/2024] [Indexed: 05/18/2024]
Abstract
Team climate and attributes of primary healthcare (PHC) are key elements for collaborative practice. Few researchers have explored the relationship between team climate and patients' perceptions of PHC. This study aimed to assess the association between team climate and patients' perceptions of primary healthcare attributes. A quantitative approach was adopted. In Stage 1, Team climate was assessed using Team Climate Inventory in 118 Family Health Strategy (FHS) teams at a PHC setting. In Stage 2, Patients' perceptions of PHC attributes were assessed using the Primary Care Assessment Tool (PCATool) in a sample of 844 patients enrolled in teams studied in Stage 1. Cluster analysis was used to identify team climate groups. The analysis used multilevel linear regression models. Patients assigned to teams with the highest team climate scores had the highest PHC attributes scores. Patients who reported affiliation at the team level had the highest PCATool scores overall. They also scored higher on the attributes of comprehensiveness and coordinated care compared to patients with affiliation to the health unit. In conclusion, patients under the care of FHS teams exhibiting a more favorable team climate had more positive patient perceptions of PHC attributes.
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Affiliation(s)
- Marina Peduzzi
- School of Nursing, University of São Paulo, São Paulo, Brazil
| | | | | | | | | | - Andreas Xyrichis
- Florence Nightingale Faculty of Nursing & Midwifery, King's College London, London, UK
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Ruttmann K, Albaladejo-Fuertes S, Lindenberg N, Kunst C, Mehrl A, Kindl V, Gülow K, Schlosser-Hupf S, Schmid S, Müller M. Relationship between interprofessional collaboration and psychological distress experienced by healthcare professionals during COVID-19: a monocentric cross-sectional study. Front Med (Lausanne) 2024; 11:1292608. [PMID: 38660424 PMCID: PMC11039835 DOI: 10.3389/fmed.2024.1292608] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2023] [Accepted: 03/18/2024] [Indexed: 04/26/2024] Open
Abstract
Background Since the onset of the COVID-19 pandemic, global healthcare systems have faced unprecedented challenges, leading to significant psychological distress among healthcare professionals. Recognizing the importance of enhanced interprofessional collaboration in alleviating this burden, as emphasized by the World Health Organization in 2020, we investigated whether such collaboration could mitigate staff psychological distress during crises. To our knowledge, no study has yet explored the role of interprofessional collaboration as a resilience factor in crises. Methods For this monocentric cross-sectional study at a German university hospital, we examined the relationship between the quality of interprofessional collaboration and the psychological distress of healthcare professionals during the initial pandemic wave. We employed validated mental health instruments, such as the GAD-7 and PHQ-2, to assess anxiety and depressive symptoms. Additionally, custom-designed questionnaires evaluated "Pandemic-Associated Burden and Anxiety (PAB; PAA)" and interprofessional crisis management experiences. A novel "Interprofessional collaboration and communication (IPC)" assessment tool was developed based on international competency frameworks, demonstrating strong reliability. Results The study involved 299 healthcare professionals (78.6% in direct contact with COVID-19 patients). Moderate levels of PAB/PAA were reported. However, a significant proportion experienced clinically relevant anxiety, as indicated by GAD-7. Negative IPC perceptions correlated with higher levels of psychological distress. Linear regression analysis showed associations between interprofessional collaboration and anxious and depressive symptoms, and pandemic-related burden. Conclusion Our findings highlight the vital role of enhanced interprofessional collaboration in strengthening the psychological well-being of healthcare professionals during crises. The study underscores the need to foster a collaborative environment and integrate interprofessional education for resilience.
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Affiliation(s)
- Kirstin Ruttmann
- Department of Internal Medicine I, Gastroenterology, Hepatology, Endocrinology, Rheumatology, and Infectious Diseases, University Hospital Regensburg, Regensburg, Germany
- Nursing Development Department of the Care Management Head Office, University Hospital Regensburg, Regensburg, Germany
| | - Sheila Albaladejo-Fuertes
- Department of Internal Medicine I, Gastroenterology, Hepatology, Endocrinology, Rheumatology, and Infectious Diseases, University Hospital Regensburg, Regensburg, Germany
| | - Nicole Lindenberg
- Department of Anaesthesiology, University Hospital of Regensburg, Regensburg, Germany
| | - Claudia Kunst
- Department of Internal Medicine I, Gastroenterology, Hepatology, Endocrinology, Rheumatology, and Infectious Diseases, University Hospital Regensburg, Regensburg, Germany
| | - Alexander Mehrl
- Department of Internal Medicine I, Gastroenterology, Hepatology, Endocrinology, Rheumatology, and Infectious Diseases, University Hospital Regensburg, Regensburg, Germany
| | - Vera Kindl
- Department of Internal Medicine I, Gastroenterology, Hepatology, Endocrinology, Rheumatology, and Infectious Diseases, University Hospital Regensburg, Regensburg, Germany
| | - Karsten Gülow
- Department of Internal Medicine I, Gastroenterology, Hepatology, Endocrinology, Rheumatology, and Infectious Diseases, University Hospital Regensburg, Regensburg, Germany
| | - Sophie Schlosser-Hupf
- Department of Internal Medicine I, Gastroenterology, Hepatology, Endocrinology, Rheumatology, and Infectious Diseases, University Hospital Regensburg, Regensburg, Germany
| | - Stephan Schmid
- Department of Internal Medicine I, Gastroenterology, Hepatology, Endocrinology, Rheumatology, and Infectious Diseases, University Hospital Regensburg, Regensburg, Germany
| | - Martina Müller
- Department of Internal Medicine I, Gastroenterology, Hepatology, Endocrinology, Rheumatology, and Infectious Diseases, University Hospital Regensburg, Regensburg, Germany
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Carmo HDO, Peduzzi M, Tronchin DMR. Team climate and job satisfaction in a mobile emergency service: a multilevel study. Rev Lat Am Enfermagem 2024; 32:e4110. [PMID: 38511733 PMCID: PMC10949847 DOI: 10.1590/1518-8345.6872.4110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Accepted: 11/12/2023] [Indexed: 03/22/2024] Open
Abstract
OBJECTIVE to investigate the relationship between team climate and job satisfaction among professionals working in mobile pre-hospital care. METHOD this is a quantitative, correlational study carried out in a mobile pre-hospital care service in the São Paulo Metropolitan Region. The participants were 95 professionals, allocated to 40 teams, who answered three questionnaires: sociodemographic/labor data, Team Climate Scale and S20/23 Job Satisfaction Scale. Descriptive statistics and multilevel linear models were used for the analysis, including moderation effects. The Backward method was used to ascertain the order of significance. RESULTS in the models, the relationships between satisfaction with hierarchical relationships and the factor "support for new ideas" moderated for men and "task orientation" for women were significant. For satisfaction with the physical environment, "working hours" and "participation in the team" were significant and, for intrinsic satisfaction, the regime, working hours and the factors "team objectives", "participation in the team" and "support for new ideas" remained significant, as did the moderation effect between length of service, "participation in the team" and "support for new ideas". CONCLUSION team climate is influenced by job satisfaction in a heterogeneous way and the moderating effect of this relationship is associated with gender and length of service. BACKGROUND (1) There was a positive perception of the team climate and job satisfaction. BACKGROUND (2)The team climate influenced job satisfaction in a heterogeneous way. BACKGROUND (3) The moderating effect of this relationship was associated with gender and working hours. BACKGROUND (4) The working regime and working hours directly affected intrinsic satisfaction.
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Affiliation(s)
| | - Marina Peduzzi
- Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil
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Rahayu SA, Widianto S, Defi IR, Abdulah R. Does power distance in healthcare teams linked to patient satisfaction? A multilevel study of interprofessional care teams in a referral hospital in Indonesia. BMC Health Serv Res 2024; 24:83. [PMID: 38229081 DOI: 10.1186/s12913-023-10534-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2023] [Accepted: 12/28/2023] [Indexed: 01/18/2024] Open
Abstract
BACKGROUND Interprofessional care teams collaborate to provide care to patients in hospitals to ensure their full recovery. To provide quality patient care, healthcare workers must have a comprehensive understanding of each other's roles and collaborate effectively. Good interpersonal skills are also essential for maintaining cooperative and collaborative relationships, listening, and respecting other team member's values and positions. Therefore, this study aimed to investigate the effect of power distance in interprofessional care on patients' satisfaction. METHOD A quantitative study was conducted in a hospital by using a questionnaire instrument to collect information from patients and members of the interprofessional care team. The respondents included 10 geriatric, 19 palliative, 36 cancer, 8 burn, and 18 medical intermediate care (MIC) teams. Subsequently, a hierarchical regression analysis was conducted to examine whether interprofessional care could significantly predict the relationship between team power distance and patient satisfaction. RESULTS The measurement of the effect of power distance in interprofessional care among doctors, nurses, pharmacists, and nutritionists on patient satisfaction revealed nonsignificant results. However, the final analysis indicated negative coefficients with regard to power distance for nutritionists (-0.033098), nurses (-0.064912), and pharmacists (-0.006056). These findings indicated that the power distance associated with these professions was linked with decreased patient satisfaction. CONCLUSIONS The results suggested that power distance within an interprofessional care team can reduce patient satisfaction.
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Affiliation(s)
- Susi Afrianti Rahayu
- Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Jatinangor, 45363, Indonesia
- Bumi Siliwangi College of Pharmacy, Bandung, Indonesia
| | - Sunu Widianto
- Department of Management and Business, Faculty of Economics and Business, Universitas Padjadjaran, Jatinangor, 45363, Indonesia
| | - Irma Ruslina Defi
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Universitas Padjadjaran, Jatinangor, 45363, Indonesia
- Department of Physical Medicine and Rehabilitation, Hasan Sadikin Hospital, Bandung, Indonesia
| | - Rizky Abdulah
- Department of Pharmacology and Clinical Pharmacy, Faculty of Pharmacy, Universitas Padjadjaran, Jatinangor, 45363, Indonesia.
- Center for Excellence for Pharmaceutical Care Innovation, Universitas Padjadjaran, Jatinangor, Indonesia.
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Aydogdu ALF. Interpersonal relationships of the nursing team in the work environment according to nursing students: A qualitative study. Nurse Educ Pract 2024; 74:103861. [PMID: 38070419 DOI: 10.1016/j.nepr.2023.103861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 10/27/2023] [Accepted: 11/24/2023] [Indexed: 01/17/2024]
Abstract
AIM To explore the perceptions of nursing students from Brazilian universities about the interpersonal relationship of the nursing team in the work environment. BACKGROUND Healthcare institutions are complex entities where diverse professionals from different educational backgrounds work together to provide high-quality care to the population. The effective coordination of services within these institutions is closely linked to the interpersonal relationships among these different healthcare professionals. Nurses play a crucial role as members of the multidisciplinary healthcare team, acting as fundamental links between other professionals and patients. DESIGN This is a descriptive study with a qualitative approach. METHODS An online, open-ended questionnaire was used. A total of 30 nursing students participated in the study. RESULTS Data were organized in two themes: (1) Interpersonal relationships of the nursing team and (2) Improving interpersonal relationships of the nursing team. Also, eight sub-themes were identified: Conflict dynamics within the nursing team, Hierarchical issues, Lack of communication, Impact of workplace interpersonal relationships on nursing students, Valuing the profession, Understanding role boundaries, Training in effective communication and conflict management, and Curricular reform. CONCLUSIONS Blurred boundaries between professional roles, lack of respect, ineffective communication, hierarchical issues, and conflicts, were identified. Of particular concern was the limited interaction observed between the nursing team and multidisciplinary/support teams. Inadequate interpersonal relationships between members of the health team reflect negatively on nursing students during their clinical placements. These findings underscore the urgent need for interventions aimed at improving interpersonal relationships within nursing teams.
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Affiliation(s)
- Ana Luiza Ferreira Aydogdu
- Istanbul Health and Technology University, Faculty of Health Sciences, Department of Nursing, Sütlüce Mah., İmrahor Cd. No: 82, Beyoglu, Istanbul 34275, Turkey.
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Saatchi AG, Pallotti F, Sullivan P. Network approaches and interventions in healthcare settings: A systematic scoping review. PLoS One 2023; 18:e0282050. [PMID: 36821554 PMCID: PMC9949682 DOI: 10.1371/journal.pone.0282050] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Accepted: 02/07/2023] [Indexed: 02/24/2023] Open
Abstract
INTRODUCTION The growing interest in networks of interactions is sustained by the conviction that they can be leveraged to improve the quality and efficiency of healthcare delivery systems. Evidence in support of this conviction, however, is mostly based on descriptive studies. Systematic evaluation of the outcomes of network interventions in healthcare settings is still wanting. Despite the proliferation of studies based on Social Network Analysis (SNA) tools and techniques, we still know little about how intervention programs aimed at altering existing patterns of social interaction among healthcare providers affect the quality of service delivery. We update and extend prior reviews by providing a comprehensive assessment of available evidence. METHODS AND FINDINGS We searched eight databases to identify papers using SNA in healthcare settings published between 1st January 2010 and 1st May 2022. We followed Chambers et al.'s (2012) approach, using a Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. We distinguished between studies relying on SNA as part of an intervention program, and studies using SNA for descriptive purposes only. We further distinguished studies recommending a possible SNA-based intervention. We restricted our focus on SNA performed on networks among healthcare professionals (e.g., doctors, nurses, etc.) in any healthcare setting (e.g., hospitals, primary care, etc.). Our final review included 102 papers. The majority of the papers used SNA for descriptive purposes only. Only four studies adopted SNA as an intervention tool, and measured outcome variables. CONCLUSIONS We found little evidence for SNA-based intervention programs in healthcare settings. We discuss the reasons and challenges, and identify the main component elements of a network intervention plan. Future research should seek to evaluate the long-term role of SNA in changing practices, policies and behaviors, and provide evidence of how these changes affect patients and the quality of service delivery.
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Affiliation(s)
| | - Francesca Pallotti
- Department of Business, Operations and Strategy, University of Greenwich, London, United Kingdom
| | - Paul Sullivan
- NIHR ARC Northwest London, Imperial College London, London, United Kingdom
- University Sussex Hospitals NHS Foundation Trust, Sussex, United Kingdom
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Han C, Zhang L, Liu J, Zhang P. Mediating Role of Teamwork in the Influence of Team Role on Team Performance. J Multidiscip Healthc 2023; 16:1057-1066. [PMID: 37096239 PMCID: PMC10121380 DOI: 10.2147/jmdh.s394670] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Accepted: 01/04/2023] [Indexed: 04/26/2023] Open
Abstract
Objective As an important hospital task, the quality and efficiency of nursing practice directly affect the medical quality and sustainable development of the hospital. Increasing attention is now paid by managers to nursing teamwork. From the level of the nursing team, this study explored the relationship between team roles, using teamwork as the intermediate variable, and team performance to provide a theoretical foundation for the human resource management of nursing managers. Methods Taking 29 general inpatient areas of a tertiary general hospital in Beijing as research objects, a questionnaire survey was used to collect basic information on nursing staff, teamwork, team roles and team performance. The collected data were analysed. A pathway analysis based on a multiple regression analysis was used to interpret the effect of each team role on teamperformance. Results ①The mean and maximum value of emotional type (Teamworker and Finisher) were the largest in the role combination of nursing team. In the team role combination, the average value of emotional type was 12.58 ± 1.48, with significant difference (P<0.001). ② The average level of emotion, thinking and decision of team role combination is positively correlated with work performance; The average level and maximum value of emotion have a positive correlation with team cooperation; The average level of willingness was negatively correlated with team cooperation, job performance and satisfaction (P<0.05). ③ Teamwork plays a certain intermediary role in the mean value of emotion to improve level of team satisfaction and performance. Conclusion This study identified the important roles of different types of nursing staff in work performance and used a pathway analysis to create a path showing each role. Increasing the emotional-type nursing staff in a team can not only improve the mean level of team emotion but also effectively improve both teamwork and work performance.
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Affiliation(s)
- Chunjie Han
- Department of Rehabilitation Medicine, Beijing Luhe Hospital, Capital Medical University, Beijing, 101149, People’s Republic of China
| | - Lingli Zhang
- Department of Neurology, Beijing Luhe Hospital, Capital Medical University, Beijing, 101149, People’s Republic of China
| | - Jihong Liu
- Department of Neurology, Beijing Luhe Hospital, Capital Medical University, Beijing, 101149, People’s Republic of China
- Correspondence: Jihong Liu, Department of Neurology, Beijing Luhe Hospital, Capital Medical University, No. 82 of Xin Hua South Road, Tongzhou District, Beijing, 101149, People’s Republic of China, Tel +86 10-69543901-1041, Fax +86 10 69531069, Email
| | - Ping Zhang
- Department of Nursing, Beijing Rehabilitation Hospital, Capital Medical University, Beijing, 100144, People’s Republic of China
- Ping Zhang, Department of Nursing, Beijing Rehabilitation Hospital, Capital Medical University, No. 15 of Xixiazhuang South Road, Shijingshan District, Beijing, 100144, People’s Republic of China, Tel +86 10 5689 1513, Fax +86 10 5698 1555, Email
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Arnold C, Hennrich P, Wensing M. Information exchange networks for chronic diseases in primary care practices in Germany: a cross-sectional study. BMC PRIMARY CARE 2022; 23:56. [PMID: 35346050 PMCID: PMC8958478 DOI: 10.1186/s12875-022-01649-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Accepted: 02/23/2022] [Indexed: 11/10/2022]
Abstract
Abstract
Background
Coordination of care requires information exchange between health workers. The structure of their information exchange networks may influence the quality and efficiency of healthcare delivery. The aim of this study was to explore and classify information exchange networks in primary care for patients with chronic diseases in Germany.
Methods
A cross-sectional study was carried out between 2019 and 2021. As part of a larger project on coordination of care, this study focused on information exchange in practice teams regarding patients with type 2 diabetes (DM), coronary heart disease (CHD) and chronic heart failure (CHF). Social network analysis was applied to determine the number of connections, density and centralization for each of the health conditions for each of the practices. On the basis of the descriptive findings, we developed typologies of information exchange networks in primary care practices.
Results
We included 153 health workers from 40 practices, of which 25 practices were included in the social network analysis. Four types of information exchange structures were identified for the three chronic diseases: highly connected networks with low hierarchy, medium connected networks with medium hierarchy, medium connected networks with low hierarchy and lowly connected networks. Highly connected networks with low hierarchy were identified most frequently (18 networks for DM, 17 for CHD and 14 for CHF). Of the three chronic conditions, information sharing about patients with DM involved the most team members. Information exchange outside the family practice took place mainly with nurses and pharmacists.
Conclusions
This study identified four types of information exchange structures, which provides a practical tool for management and improvement in primary care. Some practices had few information transfer connections and could hardly be considered a network.
Trial registration
We registered the study prospectively on 7 November 2019 at the German Clinical Trials Register (DRKS, www.drks.de) under ID no. DRKS00019219.
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Peduzzi M, Agreli HLF, Espinoza P, Koyama MAH, Meireles E, Baptista PCP, West M. Relationship between team climate and satisfaction at work in the Family Health Strategy. Rev Saude Publica 2022; 55:117. [PMID: 35019052 PMCID: PMC8812825 DOI: 10.11606/s1518-8787.2021055003307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2020] [Accepted: 04/09/2021] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE To analyze the association between team climate, team characteristics and satisfaction at work in teams of the Estratégia Saúde da Família com Saúde Bucal (Family Health Strategy with Oral Health) (ESF with SB). METHODS Cross-sectional correlational study with ESF teams with SB in the municipality of São Paulo. Universe of 1,328 teams and random sample of 124 teams with 1,231 professionals. Applied questionnaire with data teams' characterization, team climate scale, and satisfaction at work. Analysis of validity, of climate and satisfaction scores through mean among professionals in each team, cluster analysis, association between variables by Pearson's correlation and Chi-square, and tested linear regression model for the two factors of satisfaction at work. RESULTS There was a directly proportional association between team climate and satisfaction at work. The better the climate with regard to team goals, the greater the intrinsic satisfaction at work and with the physical environment. The better the climate with regard to team goals and task orientation, the greater the satisfaction with hierarchical relations. The group with best team climate reported higher percentage of teams ranked with better satisfaction at work, and in the group with the worst team climate there was higher percentage of teams with the lowest satisfaction at work. CONCLUSIONS The study provides consistent although moderate evidence of association between favorable teamwork climate and job satisfaction in ESF with SB. It emphasizes the dimensions of climate, common goals and task orientation, and may serve as subsidy for management and permanent education of teams, aiming at the quality of care to the health needs of users, family and community in APS.
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Affiliation(s)
- Marina Peduzzi
- Universidade de São PauloEscola de EnfermagemDepartamento de Orientação ProfissionalSão PauloSPBrasilUniversidade de São Paulo. Escola de Enfermagem. Departamento de Orientação Profissional. São Paulo, SP, Brasil
| | | | - Pilar Espinoza
- Universidad San SebastiánFacultad de Ciencias para el Cuidado de la SaludSantiagoChileUniversidad San Sebastián. Facultad de Ciencias para el Cuidado de la Salud. Santiago, Región Metropolitana, Chile
| | - Mitti Ayako Hara Koyama
- Kamiyama Consultoria em Estatística LtdaSão PauloSPBrasilKamiyama Consultoria em Estatística Ltda. São Paulo, SP, Brasil
| | - Everson Meireles
- Universidade Federal do Recôncavo da BahiaCentro de Ciências da SaúdeSanto Antônio de JesusBABrasilUniversidade Federal do Recôncavo da Bahia. Centro de Ciências da Saúde. Santo Antônio de Jesus, BA, Brasil
| | - Patrícia Campos Pavan Baptista
- Universidade de São PauloEscola de EnfermagemDepartamento de Orientação ProfissionalSão PauloSPBrasilUniversidade de São Paulo. Escola de Enfermagem. Departamento de Orientação Profissional. São Paulo, SP, Brasil
| | - Michael West
- Lancaster UniversityManagement SchoolDepartment Organization Work and TechnologyLancasterUnited KingdomLancaster University. Management School. Department Organization Work and Technology. Lancaster, United Kingdom
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Carmo HDO, Peduzzi M, Tronchin DMR. Clima em equipe e satisfação no trabalho em um Serviço de Atendimento Móvel de Urgência. Rev Esc Enferm USP 2022. [DOI: 10.1590/1980-220x-reeusp-2022-0174pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
RESUMO Objetivo: identificar o clima em equipe e a satisfação no trabalho em um Serviço de Atendimento Móvel de Urgência (SAMU). Método: estudo quantitativo, exploratório-descritivo. A amostra correspondeu a 95 trabalhadores, alocados em 40 equipes de um SAMU na Região Metropolitana do município de São Paulo. Foram aplicados três instrumentos: caracterização sociodemográfica/laboral; Escala Clima na Equipe; e Escala de Satisfação no Trabalho-S20/23, validadas para o Brasil. Empregou-se a estatítica descritiva para a análise dos dados. Resultados: o escore total do clima em equipe se mostrou elevado tanto entre os trabalhadores (194,5 pontos; DP = 21) quanto entre as equipes (197,7 pontos; DP = 18,4). A satisfação obteve média no escore total de 4,5 (DP = 0,4), tratando-se dos trabalhadores, e 4,6 pontos (DP = 0,6), referindo-se àas equipes. Quanto ao clima, os fatores “Participação na equipe” e “Apoio para ideias novas” obtiveram percentuais de concordância > a 70% em todas as proposições. Referente à satisfação no trabalho, evidenciou-se percentual de concordantes > a 80% nas três dimensões. Conclusão: os achados mostram percepção positiva dos trabalhadores sobre o clima em equipe e a satisfação no trabalho, subsidiando a gestão do SAMU na promoção de ambiente favorável à prática profissional.
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Carmo HDO, Peduzzi M, Tronchin DMR. Team climate and job satisfaction in a Mobile Emergency Care Service. Rev Esc Enferm USP 2022; 56:e20220174. [PMID: 36201357 PMCID: PMC10085639 DOI: 10.1590/1980-220x-reeusp-2022-0174en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Accepted: 08/05/2022] [Indexed: 11/05/2022] Open
Abstract
ABSTRACT Objective: to identify the team climate and job satisfaction in a Mobile Emergency Care Service (SAMU). Method: this is a quantitative, exploratory-descriptive study. The sample corresponded to 95 workers, allocated in 40 teams of a SAMU in the Metropolitan Region of the city of São Paulo. We applied three instruments: sociodemographic/labor characterization; Team Climate Inventory; and Job Satisfaction Scale-S20/23, validated for Brazil. Descriptive statistics were used for data analysis. Results: the total score of team climate was high both among workers (194.5 points; SD = 21) and among teams (197.7 points; SD = 18.4). Satisfaction had a mean total score of 4.5 (SD = 0.4), for workers, and 4.6 points (SD = 0.6), for teams. As for the climate, “Team participation” and “Support for new ideas” obtained agreement percentages >70% in all propositions. Regarding job satisfaction, there was a percentage of concordance >80% in the three dimensions. Conclusion: the findings show a positive perception of workers about team climate and job satisfaction, supporting SAMU management in promoting a favorable environment for professional practice.
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Johnson KF, Blake J, Ramsey HE. Professional Counselors' Experiences on Interprofessional Teams in Hospital Settings. JOURNAL OF COUNSELING AND DEVELOPMENT 2021. [DOI: 10.1002/jcad.12393] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Kaprea F. Johnson
- Department of Counseling and Special Education Virginia Commonwealth University
- Now at College of Education and Human Ecology The Ohio State University
| | - Jennifer Blake
- Department of Counseling and Special Education Virginia Commonwealth University
| | - Hannah E. Ramsey
- Department of Counseling and Special Education Virginia Commonwealth University
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Moncatar TJRT, Nakamura K, Siongco KLL, Seino K, Carlson R, Canila CC, Javier RS, Lorenzo FME. Interprofessional collaboration and barriers among health and social workers caring for older adults: a Philippine case study. HUMAN RESOURCES FOR HEALTH 2021; 19:52. [PMID: 33874959 PMCID: PMC8056548 DOI: 10.1186/s12960-021-00568-1] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Accepted: 02/18/2021] [Indexed: 05/25/2023]
Abstract
BACKGROUND There is limited information on how the barriers to interprofessional collaboration (IPC) across various professionals, organizations, and care facilities influence the health and welfare of older adults. This study aimed to describe the status of IPC practices among health and social workers providing care for older adults in the Philippines; investigate the perceived barriers to its implementation and perceived effects on geriatric care; and identify possible solutions to address the barriers limiting collaborative practice. METHODS A case study approach was utilized employing 12 semi-structured in-depth interviews and 29 focus group discussions with care workers from selected primary health care units, public and private hospitals, and nursing homes that are directly involved in geriatric care delivery in two cities in the Philippines. Overall, 174 health and social workers consented to participate in this study. All interviews were audio-recorded and transcribed verbatim. An inductive thematic analysis using NVivo 12® was used to identify and categorize relevant thematic codes. RESULTS Interprofessional geriatric care provided by health and social workers was observed to be currently limited to ad hoc communications typically addressing only administrative concerns. This limitation is imposed by a confluence of barriers such as personal values and beliefs, organizational resource constraints, and a silo system care culture which practitioners say negatively influences care delivery. This in turn results in inability of care providers to access adequate care information, as well as delays and renders inaccessible available care provided to vulnerable older adults. Uncoordinated care of older adults also led to reported inefficient duplication and overlap of interventions. CONCLUSION Geriatric care workers fear such barriers may aggravate the increasing unmet needs of older adults. In order to address these potential negative outcomes, establishing a clear and committed system of governance that includes IPC is perceived as necessary to install a cohesive service delivery mechanism and provide holistic care for older adults. Future studies are needed to measure the effects of identified barriers on the potential of IPC to facilitate an integrated health and social service delivery system for the improvement of quality of life of older adults in the Philippines.
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Affiliation(s)
- TJ Robinson T. Moncatar
- Department of Global Health Entrepreneurship, Division of Public Health, Tokyo Medical and Dental University, Tokyo, 113-8519 Japan
- Department of Health Policy and Administration, College of Public Health, University of the Philippines Manila, 1000 Metro Manila, Philippines
| | - Keiko Nakamura
- Department of Global Health Entrepreneurship, Division of Public Health, Tokyo Medical and Dental University, Tokyo, 113-8519 Japan
- World Health Organization Collaborating Centre for Healthy Cities and Urban Policy Research, Tokyo, 113-8519 Japan
| | - Kathryn Lizbeth L. Siongco
- Department of Global Health Entrepreneurship, Division of Public Health, Tokyo Medical and Dental University, Tokyo, 113-8519 Japan
- College of Nursing, University of the Philippines Manila, 1000 Metro Manila, Philippines
| | - Kaoruko Seino
- Department of Global Health Entrepreneurship, Division of Public Health, Tokyo Medical and Dental University, Tokyo, 113-8519 Japan
- World Health Organization Collaborating Centre for Healthy Cities and Urban Policy Research, Tokyo, 113-8519 Japan
| | - Rebecca Carlson
- Institute of Global Affairs, Tokyo Medical and Dental University, Tokyo, 113-8519 Japan
| | - Carmelita C. Canila
- Department of Health Policy and Administration, College of Public Health, University of the Philippines Manila, 1000 Metro Manila, Philippines
| | - Richard S. Javier
- Department of Health Policy and Administration, College of Public Health, University of the Philippines Manila, 1000 Metro Manila, Philippines
| | - Fely Marilyn E. Lorenzo
- Department of Health Policy and Administration, College of Public Health, University of the Philippines Manila, 1000 Metro Manila, Philippines
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Haruta J, Tsugawa S, Ogura K. Exploring the structure of social media application-based information-sharing clinical networks in a community in Japan using a social network analysis approach. Fam Med Community Health 2020; 8:e000396. [PMID: 32978234 PMCID: PMC7520901 DOI: 10.1136/fmch-2020-000396] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVE Currently, use of social networking services (SNSs) for interprofessional collaboration is increasing. However, few studies have reported on virtual interprofessional interactions in community healthcare services. Revealing such structural characteristics of the networks can provide insight into the functions of the interprofessional information-sharing network and lead to smoother collaboration. Thus, we aimed to explore the structure of SNS-based information-sharing clinical networks. DESIGN Social network analysis (SNA). SETTING We selected a community in City X in Japan. DATA COLLECTION We analysed SNS-based information-sharing clinical network data linked to patients receiving home medical care or care services between January and December 2018. A network was created for each patient to allow healthcare professionals to post and view messages on the web platform. In the SNA, healthcare professions registered in a patient group were represented as nodes, and message posting/viewing relationships were represented as links in the patient network. We investigated the structural characteristics of the target networks using several measures for SNA, including indegree centrality and outdegree centrality, which reflect the number of incoming and outgoing links to/from a node, respectively. Additionally, the professions forming the most central nodes were investigated based on their ranking to identify those with a central role in the networks. Finally, to compare the networks of nursing care levels 1-3 (lighter care requirement) and those with nursing care levels 4-5 (heavier care requirement), we analysed the structural differences in the networks and investigated the roles of healthcare professionals using centrality measures of nodes. RESULTS Among 844 groups, 247 groups with any nursing care level data were available for analysis. Increasing nursing care level showed higher density, reciprocity and lower centralisation. Healthcare professions with high indegree centrality (physicians, care workers and physical therapists) differed from those with high outdegree centrality (home care workers, physical therapists, and registered dieticians). Visiting nurses and nurses in the clinic played a central role, but visiting nurses tended to have higher indegree and outdegree centrality, while nurses in the clinic had higher closeness and betweenness centrality in networks with heavier care requirement. CONCLUSION The SNS-based information-sharing clinical network structure showed that different professions played some form of a central role. Associations between network structures and patient outcomes, cost effectiveness and other factors warrant further investigation.
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Affiliation(s)
- Junji Haruta
- Medical Education Center, Keio University, Tokyo, Japan
- School of Medicine, University of Tsukuba, Tsukuba, Japan
| | - Sho Tsugawa
- Division of Information Engineering, University of Tsukuba, Tsukuba, Japan
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Haruta J, Ozone S, Goto R. Factors for self-assessment score of interprofessional team collaboration in community hospitals in Japan. Fam Med Community Health 2020; 7:e000202. [PMID: 32148729 PMCID: PMC6910769 DOI: 10.1136/fmch-2019-000202] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Objective Interprofessional collaboration is considered an important strategy in overcoming the complex issues associated with healthcare outcomes. A nationwide, community-based integrated care system developed for the care of older people in individual communities in Japan requires community hospitals to deliver integrated care to coordinate efforts for creating effective environments for health. This study aimed to explore the factors associated with the self-assessment score of interprofessional collaboration in community hospitals. Design Cross-sectional study using the Assessment of Interprofessional Team Collaboration Scale (AITCS). Setting This study was conducted in three small community hospitals in Japan. Participants All healthcare staff in the hospitals via research collaborators were asked to complete the anonymous self-administered questionnaire of the AITCS comprising questions related to individual factors (age, gender, profession), hospital to which they belonged, relationships with neighbouring facilities, job burden and job satisfaction from July to October 2018. The association between the questionnaire items as explanatory variables and AITCS score as an objective variable was determined using univariate followed by multiple regression analyses. Results The data from 325 of 630 participants were analysed, of whom 252 were female (77.5%) and 240 were nurses (73.8%). The mean of the total AITCS score was 117.6 (range 37–185), and the Visual Analogue Scale for relationships with neighbouring facilities, job satisfaction and job burden was 53.0 mm (0–100), 46.1 mm (0–100) and 64.3 mm (0–100), respectively. In univariate analyses of the association with AITCS score, explanatory variables with a significance level of <0.05 were relationships with neighbouring facilities, job satisfaction and job burden. On multiple regression analysis, the total AITCS score was independently associated with age, profession (nurse/non-nurse), relationships with neighbouring facilities and job satisfaction. Conclusions Better self-assessment score of interprofessional collaboration is more strongly associated with younger age, a nursing profession, better relationships with neighbouring facilities and greater job satisfaction than with the hospital to which the participant belonged. These findings may help community hospitals enhance the integration of service delivery and benefit to the community through interprofessional collaboration.
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Affiliation(s)
- Junji Haruta
- Department of Primary Care and Medical Education, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan
| | - Sachiko Ozone
- Department of General Medicine and Primary Care, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan
| | - Ryohei Goto
- Department of General Medicine and Primary Care, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan
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Damián Sanz M, Yagüe‐Fabra JA, Gracia Matilla R. Use of Lean techniques in health care in Spain to improve involvement and satisfaction of workers. Int J Health Plann Manage 2018; 34:e274-e290. [DOI: 10.1002/hpm.2646] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2018] [Revised: 08/06/2018] [Accepted: 08/07/2018] [Indexed: 11/12/2022] Open
Affiliation(s)
| | | | - Rosa Gracia Matilla
- Hospital Universitario Miguel Servet. Paseo Isabel la Católica Zaragoza Spain
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