Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool.
AIM: Team performance is important in multidisciplinary teams (MDTs), but no tools exist for assessment. Our objective was to construct a robust tool for scientific assessment of MDT performance. MATERIALS AND METHODS: An observational tool was developed to assess performance in MDTs. Behaviours we...
| Auteurs principaux: | , , , , |
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| Format: | Journal article |
| Langue: | English |
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2011
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| _version_ | 1826260588891734016 |
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| author | Lamb, B Wong, H Vincent, C Green, J Sevdalis, N |
| author_facet | Lamb, B Wong, H Vincent, C Green, J Sevdalis, N |
| author_sort | Lamb, B |
| collection | OXFORD |
| description | AIM: Team performance is important in multidisciplinary teams (MDTs), but no tools exist for assessment. Our objective was to construct a robust tool for scientific assessment of MDT performance. MATERIALS AND METHODS: An observational tool was developed to assess performance in MDTs. Behaviours were scored on Likert scales, with objective anchors. Five MDT meetings (112 cases) were observed by a surgeon and a psychologist. The presentation of case history, radiological and pathological information, chair's effectiveness, and contributions to decision-making of surgeons, oncologists, radiologists, pathologists and clinical nurse specialists (CNSs) are analysed via descriptive statistics, a comparison of average scores (Mann-Whitney U) to test interobserver agreement and intraclass correlation coefficients (ICCs) to further assess interobserver agreement and learning curves. RESULTS: Contributions of surgeons, chair's effectiveness, presentation of case history and radiological information were rated above average (p ≤ 0.001). Contributions of histopathologists and CNS were rated below average (p ≤ 0.001), and others average. The interobserver agreement was high (ICC = 0.70+) for presentation of radiological information, and contribution of oncologists, radiologists, pathologists and CNSs; adequate for case history presentation (ICC = 0.68) and contribution of surgeons (ICC = 0.69); moderate for chairperson (ICC = 0.52); and poor for pathological information (ICC = 0.31). Average differences were found only for case-history presentation (p ≤ 0.001). ICCs improved significantly in assessment of case history, and Oncologists, and ICCs were consistently high for CNS, Radiologists, and Histopathologists. CONCLUSIONS: Scientific observational metrics can be reliably used by medical and non-medical observers in cancer MDTs. Such robust assessment tools provide part of a toolkit for team evaluation and enhancement. |
| first_indexed | 2024-03-06T19:08:03Z |
| format | Journal article |
| id | oxford-uuid:15d4b8b7-f28b-426b-b785-10f538894967 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T19:08:03Z |
| publishDate | 2011 |
| record_format | dspace |
| spelling | oxford-uuid:15d4b8b7-f28b-426b-b785-10f5388949672022-03-26T10:27:43ZTeamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:15d4b8b7-f28b-426b-b785-10f538894967EnglishSymplectic Elements at Oxford2011Lamb, BWong, HVincent, CGreen, JSevdalis, N AIM: Team performance is important in multidisciplinary teams (MDTs), but no tools exist for assessment. Our objective was to construct a robust tool for scientific assessment of MDT performance. MATERIALS AND METHODS: An observational tool was developed to assess performance in MDTs. Behaviours were scored on Likert scales, with objective anchors. Five MDT meetings (112 cases) were observed by a surgeon and a psychologist. The presentation of case history, radiological and pathological information, chair's effectiveness, and contributions to decision-making of surgeons, oncologists, radiologists, pathologists and clinical nurse specialists (CNSs) are analysed via descriptive statistics, a comparison of average scores (Mann-Whitney U) to test interobserver agreement and intraclass correlation coefficients (ICCs) to further assess interobserver agreement and learning curves. RESULTS: Contributions of surgeons, chair's effectiveness, presentation of case history and radiological information were rated above average (p ≤ 0.001). Contributions of histopathologists and CNS were rated below average (p ≤ 0.001), and others average. The interobserver agreement was high (ICC = 0.70+) for presentation of radiological information, and contribution of oncologists, radiologists, pathologists and CNSs; adequate for case history presentation (ICC = 0.68) and contribution of surgeons (ICC = 0.69); moderate for chairperson (ICC = 0.52); and poor for pathological information (ICC = 0.31). Average differences were found only for case-history presentation (p ≤ 0.001). ICCs improved significantly in assessment of case history, and Oncologists, and ICCs were consistently high for CNS, Radiologists, and Histopathologists. CONCLUSIONS: Scientific observational metrics can be reliably used by medical and non-medical observers in cancer MDTs. Such robust assessment tools provide part of a toolkit for team evaluation and enhancement. |
| spellingShingle | Lamb, B Wong, H Vincent, C Green, J Sevdalis, N Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. |
| title | Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. |
| title_full | Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. |
| title_fullStr | Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. |
| title_full_unstemmed | Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. |
| title_short | Teamwork and team performance in multidisciplinary cancer teams: development and evaluation of an observational assessment tool. |
| title_sort | teamwork and team performance in multidisciplinary cancer teams development and evaluation of an observational assessment tool |
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