A systematic review of team-building interventions in non-acute healthcare settings
Abstract Background Healthcare is increasingly delivered in a team-based format emphasizing interdisciplinary coordination. While recent reviews have investigated team-building interventions primarily in acute healthcare settings (e.g. emergency or surgery departments), we aimed to systematically re...
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| Format: | Article |
| Language: | English |
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BMC
2018-03-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12913-018-2961-9 |
| _version_ | 1818135006599446528 |
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| author | Christopher J. Miller Bo Kim Allie Silverman Mark S. Bauer |
| author_facet | Christopher J. Miller Bo Kim Allie Silverman Mark S. Bauer |
| author_sort | Christopher J. Miller |
| collection | DOAJ |
| description | Abstract Background Healthcare is increasingly delivered in a team-based format emphasizing interdisciplinary coordination. While recent reviews have investigated team-building interventions primarily in acute healthcare settings (e.g. emergency or surgery departments), we aimed to systematically review the evidence base for team-building interventions in non-acute settings (e.g. primary care or rehabilitation clinics). Methods We conducted a systematic review in PubMed and Embase to identify team-building interventions, and conducted follow-up literature searches to identify articles describing empirical studies of those interventions. This process identified 14 team-building interventions for non-acute healthcare settings, and 25 manuscripts describing empirical studies of these interventions. We evaluated outcomes in four domains: trainee evaluations, teamwork attitudes/knowledge, team functioning, and patient impact. Results Trainee evaluations for team-building interventions were generally positive, but only one study associated team-building with statistically significant improvement in teamwork attitudes/knowledge. Similarly mixed results emerged for team functioning and patient impact. Conclusions The evidence base for healthcare team-building interventions in non-acute healthcare settings is much less developed than the parallel literature for short-term team function in acute care settings. Only one intervention we identified has been tested in multiple non-acute settings by distinct research teams. Positive findings regarding the utility of team-building interventions are tempered by a lack of control conditions, inconsistency in outcome measures, and high probability of bias. Considering these results alongside the well-recognized costs of poor healthcare teamwork suggests that additional research is sorely needed to develop the evidence base for team-building in non-acute settings. |
| first_indexed | 2024-12-11T09:17:39Z |
| format | Article |
| id | doaj.art-bda7a9cb451e4ebeaf37055783766085 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-11T09:17:39Z |
| publishDate | 2018-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-bda7a9cb451e4ebeaf370557837660852022-12-22T01:13:21ZengBMCBMC Health Services Research1472-69632018-03-0118112110.1186/s12913-018-2961-9A systematic review of team-building interventions in non-acute healthcare settingsChristopher J. Miller0Bo Kim1Allie Silverman2Mark S. Bauer3Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System (152M)Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System (152M)Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System (152M)Center for Healthcare Organization and Implementation Research (CHOIR), VA Boston Healthcare System (152M)Abstract Background Healthcare is increasingly delivered in a team-based format emphasizing interdisciplinary coordination. While recent reviews have investigated team-building interventions primarily in acute healthcare settings (e.g. emergency or surgery departments), we aimed to systematically review the evidence base for team-building interventions in non-acute settings (e.g. primary care or rehabilitation clinics). Methods We conducted a systematic review in PubMed and Embase to identify team-building interventions, and conducted follow-up literature searches to identify articles describing empirical studies of those interventions. This process identified 14 team-building interventions for non-acute healthcare settings, and 25 manuscripts describing empirical studies of these interventions. We evaluated outcomes in four domains: trainee evaluations, teamwork attitudes/knowledge, team functioning, and patient impact. Results Trainee evaluations for team-building interventions were generally positive, but only one study associated team-building with statistically significant improvement in teamwork attitudes/knowledge. Similarly mixed results emerged for team functioning and patient impact. Conclusions The evidence base for healthcare team-building interventions in non-acute healthcare settings is much less developed than the parallel literature for short-term team function in acute care settings. Only one intervention we identified has been tested in multiple non-acute settings by distinct research teams. Positive findings regarding the utility of team-building interventions are tempered by a lack of control conditions, inconsistency in outcome measures, and high probability of bias. Considering these results alongside the well-recognized costs of poor healthcare teamwork suggests that additional research is sorely needed to develop the evidence base for team-building in non-acute settings.http://link.springer.com/article/10.1186/s12913-018-2961-9TeamworkTeam trainingTeam-building interventionNon-acute |
| spellingShingle | Christopher J. Miller Bo Kim Allie Silverman Mark S. Bauer A systematic review of team-building interventions in non-acute healthcare settings BMC Health Services Research Teamwork Team training Team-building intervention Non-acute |
| title | A systematic review of team-building interventions in non-acute healthcare settings |
| title_full | A systematic review of team-building interventions in non-acute healthcare settings |
| title_fullStr | A systematic review of team-building interventions in non-acute healthcare settings |
| title_full_unstemmed | A systematic review of team-building interventions in non-acute healthcare settings |
| title_short | A systematic review of team-building interventions in non-acute healthcare settings |
| title_sort | systematic review of team building interventions in non acute healthcare settings |
| topic | Teamwork Team training Team-building intervention Non-acute |
| url | http://link.springer.com/article/10.1186/s12913-018-2961-9 |
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