Advancing research on teams and team effectiveness in implementation science: An application of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework

Background Effective teams are essential to high-quality healthcare. However, teams, team-level constructs, and team effectiveness strategies are poorly delineated in implementation science theories, models, and frameworks (TMFs), hindering our understanding of how teams may influence implementation...

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Main Authors: Elizabeth A. McGuier, David J. Kolko, Nicole A. Stadnick, Lauren Brookman-Frazee, Courtney Benjamin Wolk, Christina T. Yuan, C. Shawn Burke, Gregory A. Aarons
Format: Article
Language:English
Published: SAGE Publishing 2023-07-01
Series:Implementation Research and Practice
Online Access:https://doi.org/10.1177/26334895231190855
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author Elizabeth A. McGuier
David J. Kolko
Nicole A. Stadnick
Lauren Brookman-Frazee
Courtney Benjamin Wolk
Christina T. Yuan
C. Shawn Burke
Gregory A. Aarons
author_facet Elizabeth A. McGuier
David J. Kolko
Nicole A. Stadnick
Lauren Brookman-Frazee
Courtney Benjamin Wolk
Christina T. Yuan
C. Shawn Burke
Gregory A. Aarons
author_sort Elizabeth A. McGuier
collection DOAJ
description Background Effective teams are essential to high-quality healthcare. However, teams, team-level constructs, and team effectiveness strategies are poorly delineated in implementation science theories, models, and frameworks (TMFs), hindering our understanding of how teams may influence implementation. The Exploration, Preparation, Implementation, Sustainment (EPIS) framework is a flexible and accommodating framework that can facilitate the application of team effectiveness approaches in implementation science. Main Text We define teams and provide an overview of key constructs in team effectiveness research. We describe ways to conceptualize different types of teams and team constructs relevant to implementation within the EPIS framework. Three case examples illustrate the application of EPIS to implementation studies involving teams. Within each study, we describe the structure of the team and how team constructs influenced implementation processes and outcomes. Conclusions Integrating teams and team constructs into the EPIS framework demonstrates how TMFs can be applied to advance our understanding of teams and implementation. Implementation strategies that target team effectiveness may improve implementation outcomes in team-based settings. Incorporation of teams into implementation TMFs is necessary to facilitate application of team effectiveness research in implementation science.
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spelling doaj.art-506fdab289c34376b17e43f5e543d2bc2023-07-28T08:33:19ZengSAGE PublishingImplementation Research and Practice2633-48952023-07-01410.1177/26334895231190855Advancing research on teams and team effectiveness in implementation science: An application of the Exploration, Preparation, Implementation, Sustainment (EPIS) frameworkElizabeth A. McGuier0David J. Kolko1Nicole A. Stadnick2Lauren Brookman-Frazee3Courtney Benjamin Wolk4Christina T. Yuan5C. Shawn Burke6Gregory A. Aarons7 Department of Psychiatry, , Pittsburgh, PA, USA Department of Psychiatry, , Pittsburgh, PA, USA , San Diego, CA, USA , San Diego, CA, USA Penn Implementation Science Center at the Leonard Davis Institute of Health Economics, , Philadelphia, PA, USA Department of Health Policy and Management, , Baltimore, MD, USA Institute for Simulation and Training, School of Modeling, Simulation, and Training, , Orlando, FL, USA , San Diego, CA, USABackground Effective teams are essential to high-quality healthcare. However, teams, team-level constructs, and team effectiveness strategies are poorly delineated in implementation science theories, models, and frameworks (TMFs), hindering our understanding of how teams may influence implementation. The Exploration, Preparation, Implementation, Sustainment (EPIS) framework is a flexible and accommodating framework that can facilitate the application of team effectiveness approaches in implementation science. Main Text We define teams and provide an overview of key constructs in team effectiveness research. We describe ways to conceptualize different types of teams and team constructs relevant to implementation within the EPIS framework. Three case examples illustrate the application of EPIS to implementation studies involving teams. Within each study, we describe the structure of the team and how team constructs influenced implementation processes and outcomes. Conclusions Integrating teams and team constructs into the EPIS framework demonstrates how TMFs can be applied to advance our understanding of teams and implementation. Implementation strategies that target team effectiveness may improve implementation outcomes in team-based settings. Incorporation of teams into implementation TMFs is necessary to facilitate application of team effectiveness research in implementation science.https://doi.org/10.1177/26334895231190855
spellingShingle Elizabeth A. McGuier
David J. Kolko
Nicole A. Stadnick
Lauren Brookman-Frazee
Courtney Benjamin Wolk
Christina T. Yuan
C. Shawn Burke
Gregory A. Aarons
Advancing research on teams and team effectiveness in implementation science: An application of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework
Implementation Research and Practice
title Advancing research on teams and team effectiveness in implementation science: An application of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework
title_full Advancing research on teams and team effectiveness in implementation science: An application of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework
title_fullStr Advancing research on teams and team effectiveness in implementation science: An application of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework
title_full_unstemmed Advancing research on teams and team effectiveness in implementation science: An application of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework
title_short Advancing research on teams and team effectiveness in implementation science: An application of the Exploration, Preparation, Implementation, Sustainment (EPIS) framework
title_sort advancing research on teams and team effectiveness in implementation science an application of the exploration preparation implementation sustainment epis framework
url https://doi.org/10.1177/26334895231190855
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