TY - JOUR
T1 - Decoding healthcare teamwork
T2 - a typology of hospital teams
AU - Sanford, Natalie
AU - Lavelle, Mary
AU - Markiewicz, Ola
AU - Reedy, Gabriel
AU - Rafferty, Dame Anne Marie
AU - Darzi, Lord Ara
AU - Anderson, Janet E.
N1 - Publisher Copyright:
© 2024 The Author(s). Published with license by Taylor & Francis Group, LLC.
PY - 2024
Y1 - 2024
N2 - The effectiveness of healthcare depends on successful teamwork. Current understanding of teamwork in healthcare is limited due to the complexity of the context, variety of team structures, and unique demands of healthcare work. This qualitative study aimed to identify different types of healthcare teams based on their structure, membership, and function. The study used an ethnographic approach to observe five teams in an English hospital. Data were analyzed using a combined inductive-deductive approach based on the Temporal Observational Analysis of Teamwork framework. A typology was developed, consisting of five team types: structural, hybrid, satellite, responsive, and coordinating. Teams were challenged to varying degrees with staffing, membership instability, equipment shortages, and other elements of the healthcare environment. Teams varied in their ability to respond to these challenges depending on their characteristics, such as their teamworking style, location, and membership. The typology developed in this study can help healthcare organizations to better understand and design effective teams for different healthcare contexts. It can also guide future research on healthcare teams and provide a framework for comparing teams across settings. To improve teamwork, healthcare organizations should consider the unique needs of different team types and design effective training programs accordingly.
AB - The effectiveness of healthcare depends on successful teamwork. Current understanding of teamwork in healthcare is limited due to the complexity of the context, variety of team structures, and unique demands of healthcare work. This qualitative study aimed to identify different types of healthcare teams based on their structure, membership, and function. The study used an ethnographic approach to observe five teams in an English hospital. Data were analyzed using a combined inductive-deductive approach based on the Temporal Observational Analysis of Teamwork framework. A typology was developed, consisting of five team types: structural, hybrid, satellite, responsive, and coordinating. Teams were challenged to varying degrees with staffing, membership instability, equipment shortages, and other elements of the healthcare environment. Teams varied in their ability to respond to these challenges depending on their characteristics, such as their teamworking style, location, and membership. The typology developed in this study can help healthcare organizations to better understand and design effective teams for different healthcare contexts. It can also guide future research on healthcare teams and provide a framework for comparing teams across settings. To improve teamwork, healthcare organizations should consider the unique needs of different team types and design effective training programs accordingly.
KW - Adaptive teams
KW - healthcare teamwork
KW - interprofessional teamwork
KW - team design
KW - team typology
UR - http://www.scopus.com/inward/record.url?scp=85191318609&partnerID=8YFLogxK
U2 - 10.1080/13561820.2024.2343835
DO - 10.1080/13561820.2024.2343835
M3 - Article
C2 - 38666463
AN - SCOPUS:85191318609
SN - 1356-1820
VL - 38
SP - 602
EP - 611
JO - Journal of Interprofessional Care
JF - Journal of Interprofessional Care
IS - 4
ER -