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.

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.

Mothers’ Support Preferences With Their Chronically Ill Child’s Health Care Team

2021 ◽  
pp. 019394592110303
Author(s):  
Katherine A. Rafferty ◽  
Stephanie Nemmers-Bello ◽  
Sydney Tietz ◽  
Melissa Lipovac
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Care Program ◽  
Chronically Ill ◽  
The United States ◽  
Health Care Team ◽  
Care Team ◽  
Team Members ◽  
Pediatric Health Care ◽  
Effective Use

Children living with medical complexities are a growing population in the United States. Supportive pediatric health care team members are arguably the single most important factor in helping mothers manage their child’s multifaceted condition. To better understand what constitutes helpful support from health care team members, we interviewed 17 mothers affiliated with a pediatric palliative care program at a large Midwestern U.S. hospital. Using Charmaz’s approach to grounded theory analysis, we found that mothers desired a collaborative partnership with their child’s health care team. However, the development of this partnership was contingent upon team members’ effective use of informational, emotional, and network support. We identified two specific strategies that qualified each of these three different types of helpful supportive communication. These strategies may be implemented into training and educational programs for health care professionals to improve their communication skills.

Patient hospital experience and satisfaction on social media

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Subhajit Chakraborty ◽  
E. Mitchell Church
Keyword(s):  
Health Care ◽  
Social Media ◽  
Patient Satisfaction ◽  
Mixed Methods ◽  
Negative Binomial ◽  
Negative Binomial Regression ◽  
Health Service Delivery ◽  
Health Care Team ◽  
Care Team ◽  
Content Type

Purpose The purpose of this paper is to show the value of open-ended narrative patient reviews on social media for elucidating aspects of hospital patient satisfaction. Design/methodology/approach Mixed methods analyses using qualitative (manual content analyses using grounded theory and algorithmic analyses using the Natural Language Toolkit) followed by quantitative analyses (negative binomial regression). Findings Health-care team communication, health-care team action orientation and patient hospital room environment are positively related to patient hospital satisfaction. Patients form their hospital satisfaction perceptions based on the three facets of their hospital stay experience. Research limitations/implications In the spirit of continuous quality improvement, periodically analyzing patient social media comments could help health-care teams understand the patient satisfaction inhibitors that they need to avoid to offer patient-centric care. Practical implications By periodically analyzing patient social media comments hospital leaders can quickly identify the gaps in their health service delivery and plug them, which could ultimately give the hospital a competitive advantage. Originality/value To the best of the authors’ knowledge, this is one of the first studies to apply mixed methods to patient hospital review comments given freely on social media to critically understand what drives patient hospital satisfaction ratings.

scholarly journals DENTAL HYGIENISTS AS ESSENTIAL MEMBERS OF THE HEALTH CARE TEAM

2018 ◽  
Vol 1 (2) ◽  
pp. 73
Author(s):  
Jacqueline Juhl
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Care Delivery ◽  
Cost Effective ◽  
Economic Loss ◽  
The United States ◽  
Health Care Team ◽  
Care Team ◽  
Oral Disease ◽  
Dental Hygienists

Despite the advances in dental sciences, innovative oral health programs, and efforts dedicated by oral health professionals,globally, unmet oral disease, and the economic loss it causes, is growing. In the present, oral health care delivery systemsurgently need improvement. The introduction of dental hygienists as essential members of the health care team can contributeto improved and cost-effective health care outcomes. This paper provides definitions of dental hygienists from both, aninternational and the United States (U.S.) and describes their education, functions, and contributions to the health care team.

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.

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