Building Collaborative Capacity: Promoting Interdisciplinary Teamwork in the Absence of Formal Teams
Building Collaborative Capacity: Promoting Interdisciplinary Teamwork in the Absence of Formal Teams
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建设协作能力：在没有正式团队的情况下促进跨学科团队合作
DOI：
10.1097/mlr.0b013e318215da3f
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发表时间：
2011
期刊：
影响因子：
3
通讯作者：
A. Avgar
中科院分区：
文献类型：
--
作者：
D. Weinberg;Dianne Cooney;J. Perloff;L. Babington;A. Avgar
背景：关于医疗团队有效性的矛盾发现可能与团队的实际结构——松散而非正式——和决策的本质——等级而非平等有关。我们引入了协作能力的概念——即使没有正式的团队结构，提供者无论交换多么短暂，也会像平等主义团队的成员一样进行协作的可能性。目的研究协作能力的各个方面和决定因素，即任务相互依赖、共同工作的规范以及卫生保健单位跨学科提供者之间的平等协作。研究设计我们收集了来自纽约州北部9家医院和7个卫生系统的45个单位的工作人员的调查数据。共有一千五百二十七份调查被退回，总体回复率为68.5%。结果团队结构和协作的测量在医院之间没有显着差异，仅在单位和职业组之间存在差异，较高地位的提供者报告更大的相互依赖性，更高的互动质量，以及在决策中更多的协作影响。明确的任务方向，即强调以患者为中心的护理，以及支持工作的组织环境，都与更高水平的任务相互依赖、员工互动质量和协作影响显著相关。结论在一定程度上，协作能力受到严格的医疗保健职业等级和劳动分工的限制，这使得团队合作在医院之间的相似性大于差异性。然而，在单位层面，通过强调以患者为中心的护理和支持提供者工作的环境，协作能力可能会得到改善。
BackgroundContradictory findings about the effectiveness of health care teams may relate to the actual structure of teams—loose rather than formal—and the nature of decision making—hierarchical rather than egalitarian. We introduce the concept of collaborative capacity—the likelihood that providers, no matter how brief their exchange, will collaborate as if they were members of an egalitarian team even in the absence of a formal team structure. ObjectiveTo examine aspects and determinants of collaborative capacity, namely task interdependence, norms of working together, and egalitarian collaboration among interdisciplinary providers on health care units. Research DesignWe collected survey data from unit-based staff in 45 units across 9 hospitals and 7 health systems in upstate New York. One thousand five hundred twenty-seven surveys were returned for an overall response rate of 68.5%. ResultsMeasures for team structure and collaboration do not vary significantly between hospitals, only by unit and occupational group, with higher status providers reporting greater interdependence, higher quality of interactions, and more collaborative influence in decision making. Clear task direction, namely an emphasis on patient-centered care, and organizational contexts supportive of work are both significantly associated with higher levels of task interdependence, quality of staff interactions, and collaborative influence. ConclusionsCollaborative capacity is somewhat constrained by a rigid hierarchy of health care occupations and division of labor that make teamwork more similar than different across hospitals. At the unit level, collaborative capacity may be improved, however, by an emphasis on patient-centered care and a context that supports providers' work.
影响因子：
2.5
作者：
Aiken, LH;Patrician, PA
通讯作者：
Patrician, PA