Health Care Teams as Agents for Change in Health and Risk Messaging

2017 ◽  
Author(s):  
Kevin Real ◽  
Andy Pilny
Keyword(s):  
Health Care ◽  
Field Research ◽  
Healthcare Systems ◽  
Health Care Team ◽  
Essential Elements ◽  
Care Team ◽  
Health Care Teams ◽  
Team Members ◽  
Communication Processes ◽  
Multiteam Systems

Effective communication in health care teams is central to the delivery of high-quality, safe, dependable, and efficient patient care. Understanding how health care team communication operates within healthcare systems is important. Viewing health care teams in hospital settings as creators and channels for diffusions of health and risk messages is an important contribution to health communication scholarship. Health care teams are essential elements of healthcare systems. In many instances, they are components of multiteam systems embedded within larger network ecosystems. These teams are not identical, thus, considering how team type (e.g., unidisciplinary, multidisciplinary, interdisciplinary) shapes distinct communication processes offers a better understanding of how these teams facilitate health and risk message diffusion. TeamSTEPPS is an important framework for essential teamwork behaviors that facilitate team processes in healthcare systems. Significantly, we develop specific communication competencies drawn from observation work that facilitate health care team effectiveness. Ideas developed by Kurt Lewin are utilized to consider how different types of multiteam systems can be effective as channels and facilitators of health and risk messages. We end the chapter with examples from field research. A set of hospital nursing unidisciplinary teams comprise a network of teams that form a heterarchical structure with important messages flowing between teams. An innovative form of hospital interdisciplinary rounds relies on specific communication practices to create and exchange health and risk messages to patients, families, health care team members, and other healthcare stakeholders.

Social networks in health care teams: evidence from the United States

2016 ◽  
Vol 30 (7) ◽  
pp. 1119-1139 ◽  
Author(s):  
Lusine Poghosyan ◽  
Robert J. Lucero ◽  
Ashley R. Knutson ◽  
Mark W. Friedberg ◽  
Hermine Poghosyan
Keyword(s):  
Health Care ◽  
Information Exchange ◽  
Team Member ◽  
The United States ◽  
Health Care Team ◽  
Care Team ◽  
Health Care Teams ◽  
Content Type ◽  
Team Members ◽  
Relational Structures

Purpose The purpose of this paper is to synthesize existing evidence regarding health care team networks, including their formation and association with outcomes in various health care settings. Design/methodology/approach Network theory informed this review. A literature search was conducted in major databases for studies that used social network analysis methods to study health care teams in the USA between 2000 and 2014. Retrieved studies were reviewed against inclusion and exclusion criteria. Findings Overall, 25 studies were included in this review. Results demonstrated that health care team members form professional (e.g. consultation) and personal (e.g. friendship) networks. Network formation can be influenced by team member characteristics (i.e. demographics and professional affiliations) as well as by contextual factors (i.e. providers sharing patient populations and physical proximity to colleagues). These networks can affect team member practice such as adoption of a new medication. Network structures can also impact patient and organizational outcomes, including occurrence of adverse events and deficiencies in health care delivery. Practical implications Administrators and policy makers can use knowledge of health care networks to leverage relational structures in teams and tailor interventions that facilitate information exchange, promote collaboration, increase diffusion of evidence-based practices, and potentially improve individual and team performance as well as patient care and outcomes. Originality/value Most health services research studies have investigated health care team composition and functioning using traditional social science methodologies, which fail to capture relational structures within teams. Thus, this review is original in terms of focusing on dynamic relationships among team members.

scholarly journals Advance Care Planning: Understanding Clinical Routines and Experiences of Interprofessional Team Members in Diverse Health Care Settings

2016 ◽  
Vol 34 (10) ◽  
pp. 946-953 ◽  
Author(s):  
Kelly Arnett ◽  
Rebecca L. Sudore ◽  
David Nowels ◽  
Cindy X. Feng ◽  
Cari R. Levy ◽  
...  
Keyword(s):  
Health Care ◽  
Advance Care Planning ◽  
Health Care Team ◽  
Care Team ◽  
Clinical Settings ◽  
Care Planning ◽  
Educational Materials ◽  
Team Members ◽  
Interprofessional Team ◽  
Advance Care

Background: Interprofessional health care team members consider advance care planning (ACP) to be important, yet gaps remain in systematic clinical routines to support ACP. A clearer understanding of the interprofessional team members’ perspectives on ACP clinical routines in diverse settings is needed. Methods: One hundred eighteen health care team members from community-based clinics, long-term care facilities, academic clinics, federally qualified health centers, and hospitals participated in a 35-question, cross-sectional online survey to assess clinical routines, workflow processes, and policies relating to ACP. Results: Respondents were 53% physicians, 18% advanced practice nurses, 11% nurses, and 18% other interprofessional team members including administrators, chaplains, social workers, and others. Regarding clinical routines, respondents reported that several interprofessional team members play a role in facilitating ACP (ie, physician, social worker, nurse, others). Most (62%) settings did not have, or did not know of, policies related to ACP documentation. Only 14% of settings had a patient education program. Two-thirds of the respondents said that addressing ACP is a high priority and 85% felt that nonphysicians could have ACP conversations with appropriate training. The clinical resources needed to improve clinical routines included training for providers and staff, dedicated staff to facilitate ACP, and availability of patient/family educational materials. Conclusion: Although interprofessional health care team members consider ACP a priority and several team members may be involved, clinical settings lack systematic clinical routines to support ACP. Patient educational materials, interprofessional team training, and policies to support ACP clinical workflows that do not rely solely on physicians could improve ACP across diverse clinical settings.

Diabetes Education—A Universal Need

1986 ◽  
Vol 12 (4) ◽  
pp. 387-389
Author(s):  
Sebastian Rodriguez
Keyword(s):  
Health Care ◽  
Latin America ◽  
Central America ◽  
Diabetes Education ◽  
Health Care Team ◽  
Care Team ◽  
Team Members ◽  
Health Team

About 20 years ago, when diabetes education and the development of the health care team were not quite bom, Dr Rodri guez had the dream and the enthusiasm to help the physicians and health team members of Latin America. With unswerv ing determination, end less patience, and good humor, he welded to gether the courses des cribed in this essay. He probably knows more physicians in South and Central America than any one else. His contribution is most timely. —EDS.

Performance Measures for Health Care Teams: A Review

2018 ◽  
Vol 49 (3) ◽  
pp. 306-356 ◽  
Author(s):  
Shannon Marlow ◽  
Tiffany Bisbey ◽  
Christina Lacerenza ◽  
Eduardo Salas
Keyword(s):  
Health Care ◽  
Team Performance ◽  
Interobserver Reliability ◽  
Health Care Team ◽  
Care Team ◽  
Future Research ◽  
Validity Evidence ◽  
Health Care Teams ◽  
Instrument Type ◽  
Effective Health Care

Interest in effective health care teamwork has advanced in recent years. To ensure these teams are performing effectively, valid and reliable measurement is necessary. This review identifies and organizes information about measures of health care team performance by addressing the following objectives: (a) identify existing measures of health care team performance ( k = 70), (b) summarize validity evidence (i.e., construct and content validity), (c) summarize reliability information (i.e., interrater/interobserver reliability and internal consistency), (d) summarize information pertaining to the use and implementation of the measures (i.e., generalizability, instrument type, and clarity of language), and (e) identify the teamwork content included in the measures. These findings can aid researchers and practitioners in selecting a measure that is appropriate for a specific context. This review also illuminates areas where future research is needed by identifying types of reliability, validity, and teamwork content that have been largely unaddressed.

We Have Enough Information to Act

2018 ◽  
Vol 158 (6) ◽  
pp. 985-986
Author(s):  
Jo Shapiro
Keyword(s):  
Health Care ◽  
Conflict Management ◽  
Peer Support ◽  
Health Care Team ◽  
Care Team ◽  
Team Members ◽  
Effective Interventions ◽  
Adaptive Solutions ◽  
Technical Solutions

Evidence clearly indicates that physicians are suffering. This is harming our profession, our colleagues, other health care team members, and sometimes our patients. There are efforts nationally and internationally to explore ways of promoting wellness and decreasing the high levels of burnout among physicians. While promoting wellness is a complex challenge, and the solutions will need to be multifactorial, the literature suggests that the most effective interventions are organizational. Instead of putting the burden solely on us as individuals to be able to cope with challenging environments, we should be working toward improving the culture and processes in the workplace. Some technical solutions will be needed, but the challenges will also require adaptive solutions that address issues of trust and support. Our Center for Professionalism and Peer Support offers organizational initiatives designed to foster a culture of trust and respect through professionalism, conflict management, peer support, and disclosure coaching programs.

ATTITUDE OF PREGNANT WOMEN AND HEALTH CARE TEAM MEMBERS TOWARD NORMAL DELIVERY VS CESAREAN SECTION

Maturitas ◽  
2009 ◽  
Vol 63 ◽  
pp. S129
Author(s):  
F. Mostafazadeh ◽  
M. Mashoufi ◽  
M. Rostamnejad ◽  
M. Karimollahi
Keyword(s):  
Health Care ◽  
Cesarean Section ◽  
Pregnant Women ◽  
Health Care Team ◽  
Care Team ◽  
Normal Delivery ◽  
Team Members
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