scholarly journals Shared goals, communication and mutual respect in multicultural staff teams: A relational coordination perspective

Nursing Open ◽  
2020 ◽  
Author(s):  
Laila Tingvold ◽  
Mai C. Munkejord
CJEM ◽  
2020 ◽  
Vol 22 (S1) ◽  
pp. S49-S50
Author(s):  
E. Purdy ◽  
C. Alexander ◽  
J. Matulich ◽  
V. Brazil

Introduction: Major trauma care is complex, and requires individuals and teams to perform together in time critical, high stakes situations. Scenario based simulation is well established as a strategy for trauma teamwork improvement, but its role in the relational and cultural aspects of trauma care is less well understood. Relational Coordination theory offers a framework though which we aimed to understand the impact of an established trauma simulation program Methods: We studied simulation activities using a narrative survey of trauma providers from anaesthesia, emergency medicine, medical imaging, surgery, trauma service, intensive care and pre-hospital providers at Gold Coast University Hospital, in conjunction with data from an ethnography. Data analysis was performed using a recursive approach - a simultaneous deductive approach using the relational coordination framework and an inductive analysis. Results: 95/480 (19.8%) staff completed free text survey questions on simulation. Deductive analysis of data from this narrative survey results using the RC framework domains identified examples of shared goals, shared knowledge, communication, and mutual respect. Two major themes from the inductive analysis – “Behaviour, process and system change”, and “Culture and relationships” - aligned closely with findings from the RC analysis, with additional themes of “Personal and team learning” and the “Impact of the simulation experience” identified. Conclusion: Our findings suggest that an established trauma simulation program can have a profound impact on the relational aspects of care and the development of a collaborative culture, with perceived tangible impacts on teamwork behaviours and institutional systems and processes. The RC framework – shared knowledge, shared goals and mutual respect in the context of communication that is timely, accurate, frequent and problem-solving based – can provide a common language for simulation educators to design and debrief simulation exercises that aim to have a translational impact.


2021 ◽  
pp. 002188632199159
Author(s):  
Rendelle Bolton ◽  
Caroline Logan ◽  
Jody Hoffer Gittell

Work is increasingly complex, specialized, and interdependent, requiring coordination across roles, disciplines, organizations, and sectors to achieve desired outcomes. Relational coordination theory proposes that relationships of shared goals, shared knowledge, and mutual respect help to support frequent, timely, accurate, problem-solving communication, and vice versa, enabling stakeholders to effectively coordinate their work across boundaries. While the theory contends that cross-cutting structures can strengthen relational coordination, and that relational coordination promotes desired outcomes for multiple stakeholders, the empirical evidence supporting the theory has not previously been synthesized. In this article, we systematically review all empirical studies assessing the predictors and outcomes of relational coordination published from 1991 to 2019. We find evidence supporting the existing theory and discuss how that evidence supports expanding the theory from a linear structure–process–outcomes model to a dynamic model of change. An agenda for researchers and practitioners is proposed.


2021 ◽  
Vol 186 (Supplement_3) ◽  
pp. 42-47 ◽  
Author(s):  
Meghan Hamwey ◽  
Karlen S Bader-Larsen ◽  
Danette F Cruthirds ◽  
Lara Varpio

ABSTRACT Introduction Multiple aspects of interpersonal dynamics can help or hinder the success of teams, particularly those in a Military Interprofessional Healthcare Team (MIHT). One specific mechanism for MIHTs’ success is camaraderie and how these military teams are able to achieve, maintain, and enable the development of this important characteristic. Despite our understanding of military service members as being bonded like a family, we have a limited understanding of how this bond is translated into their MIHT experiences. Materials and Methods This study conducted interviews among 30 individuals who had participated in, led individual, and/or led many MIHTs, using a grounded theory methodology. Participants represented 11 different health professions, including officers and enlisted military members, and three branches of the U.S. military (e.g., army, navy, and air force). Data were collected and analyzed in iterative cycles until saturation was achieved. Results We identified six themes that shaped the overarching concept of camaraderie in MIHTs. These themes were (1) confidence in competent peers, (2) shared goals, (3) mutual respect, (4) desire to help one another improve, (5) personal is professional, and (6) bonds of military service. This paper describes each of these themes, provides illustrative examples from the data, and describes how these components contribute to MIHTs’ team dynamics. We present a model for how to understand these themes. Conclusions Through the identification and exploration of these aspects of camaraderie, we are able to better understand how MIHTs are able to be successful. MIHTs that demonstrated confidence in their brother/sister in arms possessed shared goals and missions, while maintaining mutual respect, a desire to help one another do better, and creating a personal and professional overlap tended to form stronger bonds of military service. Critically, these six aspects support a more nuanced understanding of the spirit of camaraderie and how it underpins MIHT success.


Author(s):  
Setya Haksama ◽  
Yeni Farida Istanti ◽  
Windhu Purnomo ◽  
Stefanus Supriyanto ◽  
Samsul Arifin ◽  
...  

Coordination in hospital is important process needed to reach the organization’s goals. One of the process that need coordination among cross-functional unit is essential drug procurement. The essential drug in Karsa Husada Batu Public Hospital (RSU Karsa Husada Batu) were often in out of stock condition in some specific kinds of drug. The average of  essential drug  out of stock between year of 2017 until the first semester of 2018 reached 33,73%. This number was far from the ideal standard of 0% out of stock condition. This research was aimed to give recommendation for a better coordination of essential drug management. The study used quantitative research. The population in this research was all hospital staff who participate in essential  drug procurement in Karsa Husada Batu. Public Hospital. There were 29 samples as the respondents in this research. The variables in this research were frequently communication, timely communication, accurately communication, problem solving communication, shared knowledge, mutual respect, and shared goals. The result from the study showed that communication reached good result consist of frequently communication is good (69,00%), timely communication is good (65,50 %), accurately communicationis good (79,30%), problem solving communication is good (69,00%), shared knowledge is good (58,62%), but the mutual respect is not good (58,60%), and shared goals is not good (65,52%).


2021 ◽  
Vol 11 (8) ◽  
pp. 445
Author(s):  
Cristina Checa-Morales ◽  
Carmen De-Pablos-Heredero ◽  
Angela Lorena Carreño ◽  
Sajid Haider ◽  
Antón García

The knowledge of local culture is essential to establish competitive strategies in higher education. The objective of this research was to identify the organizational differences among three universities with different international contexts and satisfaction level. An approach was made regarding Relational Coordination (RC) attributes: accurate, frequent and problem-solving communication, shared knowledge, mutual respect and shared goals, by discriminant analysis method. A random sample of 300 students, 100 belonging to each university, was surveyed on the 23 RC variables in 2017–2018. First, the RC variables were evaluated by general linear model (GLM). The three universities—Arcada University of Applied Science (ARCADA) in Finland, University of Cordoba (UCO) in Spain and Agricultural Polytechnic of Manabi “MFL” (ESPAM) in Ecuador—and the two levels of student satisfaction—Low and High—were used as fixed factors. Second, a discriminant model was built with RC variables. A higher level of RC practices concerning to accurate, frequent and problem-solving communication achieved higher levels of satisfaction, regardless of the universities’ socioeconomic context. RC differentiation among three universities showed that shared goals with lecturers and administrative officers and problem-solving communication among classmates were the variables with the highest discriminant power. Two clusters were obtained, where UCO was the most differentiated university. In conclusion, organizational practices made a difference among the three universities. Discriminant analysis can be adapted and extended to different universities to improve quality.


2018 ◽  
Vol 2 (1) ◽  
pp. 32
Author(s):  
Itmam Aulia Rakhman

Ath-Thusi uses Aristotle's understanding of the practical reason of the theory of surgery. According to Ath-Thusi, the cause of deviation is anything excessive. Thus, the unbalanced state of the soul is caused by the advantages, disadvantages, or morbidity of the mind. Diversity in a society is a necessity, a household, as the smallest community of a complex society and full of differences, it is certainly necessary to be based on the building of togetherness and mutual respect between one another. This article will describe the creative ideas of Khawajah Nashiruddin Ath-Thusi related to the philosophy of the household in order to answer the present-day problematic of the family.


2007 ◽  
Vol 48 (1-2) ◽  
pp. 215-223 ◽  
Author(s):  
Emőke Tari Solymosi

Abstract Bartók's influence on his outstanding Hungarian contemporary, László Lajtha (1892–1963) remains as yet largely unresearched. Lajtha studied with Bartók at the Royal Hungarian Academy of Music and went on to become a composer, folk music researcher, versatile teacher, international cultural ambassador, and member of the French Academy. The two men's friendship and mutual respect lasted throughout Bartók's life. Among the leading musicians of the time, it was Bartók who first expressed his high opinion of the younger composer's talent. Bartók's influence can be observed in almost every field of Lajtha's work. For example, it was Bartók who recommended that Lajtha choose Paris as the place to complete his studies, which fostered in turn Lajtha's orientation toward Latin culture. Following in Bartók's footsteps, Lajtha became one of the greatest folk music collectors and researchers in Hungary, and this music also exerted a significant effect on his compositional style. Bartók recommended that the director Georg Hoellering commission Lajtha to write film music, which became an important new genre for the latter. A large number of documents — especially the unpublished letters from László Lajtha to John S. Weissmann, one of his former students — offer proof that Bartók's inspiration and practical assistance were of paramount importance to the development of Lajtha's career, oeuvre, and aesthetics.


2013 ◽  
Vol 14 (1) ◽  
pp. 9
Author(s):  
Abbas Mahmud

The paper examined different areas of management in relation to Nomadic Education programme and looked into policy statement which is enshrined in the National Policy on Education and definition regarding to management. System theory was also used in order to examine issues o f effective management in schools. Administrators roles in schools was discussed such as mutual respect, shared ideas and the process in establishing nomadic schools with a lot of considerations before erecting the structure. School plant planning was discussed in respect of managers/head teachers in managing the schools toward the achieving educational goals. The paper also examined the component that helps in achieving the goals which are management structure, the hierarchical model to the management o f nomadic schools and how it will really help in managing the school activities. Lastly the paper made some recommendations, such as, government should provide the needed teaching and learning materials for successful attaining goals etc.


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