Relational Coordination: Coordinating Work through Relationships of Shared Goals, Shared Knowledge and Mutual Respect

Author(s):  
Jody Hoffer Gittell
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.


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.


2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Irene Malcolm ◽  
Lydia Plowman

A study of the software localisation industry examines learning in digital society by describing localisers’ knowledge practices. The shortcomings of stand- ard models of professional learning that assume shared goals, codified knowledge and workers’ co-location are considered, along with the problem of learning in distributed and technologically mediated work contexts. The paper uses Knorr Cetina’s concept of macro-epistemics to highlight the need for theoretical develop- ment in relation to two questions: i) How do ways of organising localisers' work constitute opportunities and constraints for shared knowledge practices? ii) How does technology disrupt macro-epistemic potential and personal learning trajectories?


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.


2020 ◽  
Vol 27 (3) ◽  
pp. 18-26
Author(s):  
Kevan La ◽  
Fallys Masambuka-Kanchewa ◽  
Alexa Lamm ◽  
Kristin Davis ◽  
Silim Nahdy

Implementation of decentralized and pluralistic policies in provision of extension services has led to increased availability of actors providing extension services to farmers in most developing countries including Kenya. What is unique about extension services providers is that they have a shared goal of improving agricultural productivity. However, in some cases these providers differ in their knowledge regarding the practices or knowledge that is required to improve agricultural productivity. Lack of shared knowledge among providers has contributed to delivery of uncoordinated and duplication of efforts thereby limiting the effectiveness of efforts in extension services delivery. Moreover, in some cases lack of shared knowledge has contributed towards provision of conflicting information which has left farmers confused. Enhancing coordination and collaboration among these representatives is of paramount importance if their efforts to improve agricultural productivity are to be successful. Having structures in place that bring together organizations that have shared goals is an important step in facilitating coordination. This is based on findings of a case study that was conducted in Kenya with the Kenyan Forum for Agricultural Advisory Services (KeFAAS). The results of the study provide insights that can be used as a starting point when strengthening coordination in extension services delivery in decentralized and pluralistic environments. Keywords: coordination, improved productivity, shared goals, pluralism


Author(s):  
Vasilica-Maria Margalina ◽  
Lilian Victoria Morales Carrasco ◽  
Edisson Marcelo Coba Molina

The objective of this chapter is to measure the levels of relational coordination and their impact on partners' satisfaction and perceived benefits at business associations belonging to the apparel industry of Tungurahua, Ecuador, that receives benefits from public institutions. For this purpose, two business associations from a footwear local fair and two associations from a textile and apparel fair were analyzed. Interviews were conducted with the presidents of these associations, and a survey was applied to their partners. Results show that these business associations must still work on the improvement of their relational coordination levels, especially on shared knowledge. Relational coordination has also been found to be positively correlated with satisfaction and perceived benefits. The results of this research have implications for business associations and public institutions that want to develop social capital through associativity with the aim of improving the competitivity of SMEs of the textile and apparel industry.


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