Complementary Team Research Articles

In Case You Haven't Heard…

Can pharmacists help ease the mental health workforce shortage? Pharmacists are not new to health care, but Ray Love, psychiatric pharmacist and past president of the College of Psychiatric and Neurologic Pharmacists, says they're underutilized, according to an article published in the April 23 issue of #CrisisTalk. “Within pharmacy, we can serve a whole array of clinical roles in patient care settings,” he said. As behavioral healthcare demands increase and the workforce continues to plummet, Love believes psychiatric pharmacists can help address these shortages, the article stated. In recent years, the pandemic has pushed community pharmacists into the spotlight, with those working at retail pharmacies like Walgreens and CVS administering vaccines and long‐acting injectables like antipsychotic medications and naltrexone for substance use disorders. “Community pharmacists were the unsung heroes of Covid — they did all the vaccinations in assisted living and nursing homes and then administered them in the community,” he said. The National Center for Health Workforce Analysis at the Health and Human Services Department has projected that by 2036, there will be shortages throughout the behavioral health workforce, including addiction counselors, psychiatrists, psychologists, social workers, school counselors and psychiatric physician assistants. As workforce shortages rise, Love believes psychiatric pharmacists can help. “We're skilled in behavioral health medications and are complementary team members,” he said.

Diabetes care components effectively implemented in the ASEAN health systems: an umbrella review of systematic reviews

ObjectivesAssociation of Southeast Asian Nations (ASEAN) is among the hardest hit low-income and middle-income countries by diabetes. Innovative Care for Chronic Conditions (ICCC) framework has been adopted by the WHO...

A mutually complementary team of top managers as the most significant and valuable asset of the company

The actualization topic of mutually complementary teams is being caused by the complexity of the business environment, which requires transformation from the sole management to the common leadership, that is able to ensure the eff ectiveness and effi ciency of the company’s activities in both the short- and long-term period. Th e main drawbacks of management training programs are identifi ed, which do not allow graduates to form an idea of the company as a complex system. Th e conceptual diff erences that should be followed when teaching management are presented: a) owners and top managers; b) functional specialists. Th e main functions of management, which are mutually complementary, but between which there is a confl ict in the short-term period, are highlighted and researched in details. It was shown that the highquality managers training involves the compilation of a management style code in order to identify their fortes and precedence. Th e interpretation of two kinds and three directions of people integration (according to I. Adizes) into a cohesive team is being given. Th e conclusion had been done due to the increasing speed and interdependence of changes, companies are facing complex of problems, in the solution of which people with knowledge from various fi elds have to take part simultaneously, which is only possible, if the organization manages to create a mutually complementary team of top managers.

MULTIPLE CHOICE METHOD WITH GENETIC ALGORITHM FOR THE FORMATION OF SOCCER TEAMS

For soccer managers, player selection lineups are a key process for better performance, both on financial and sports matters. However, to determine a quality solution to this problem it becomes more complex, as the number of alternatives and criteria increases and the number of viable solutions grows ex ponentially. This paper proposes a multicriteria method with genetic algorithm for the evaluation of soccer teams based on Brazilian Championship data. A team complementation percentage was calculated con sidering a total of 322 athletes and 18 criteria. The results presented a 3-6-1 format as the ideal for this case study, obtaining a team complementation value of 43.04%. The method adaptability for the decision-maker is highlighted, showing it was possible to determinate the most complementary team according to the desired tactical formation and importance attributed for each criterion.

Bridging the Gap for Children With Compound Health Challenges: An Intervention Protocol.

Background: During the last decades, there is a major shift in the panorama of diseases in children and adolescents. More children are referred to the specialized health care services due to less specific symptoms and more complex health challenges. These children are particularly difficult to care for in a “single-disease” oriented system. Our objective was to develop an alternative and more holistic approach better tailored to the complex needs of these children.Method: The target patient population is children between 6 and 13 years with three or more referrals including both the pediatric department and the mental health services. Furthermore, to be included in the project, the child's actual complaints needed to be clinically considered as an unclear or compound condition in need of an alternative approach. This paper describes the process of developing an intervention where a complementary professional team meets the patient and his/her family altogether for 2.5 h. The consultation focus on clarifying the complex symptomatology and on problem solving. The bio-psycho-social model is applied, emphasizing the patient's story as told on the whiteboard. In the dynamic processes of development, piloting, evaluating, and adjusting the components, feed-back from the patients, their families, professional team members, and external team coaches is important.The professional teams include pediatricians, psychologists and physiotherapists. Achieving the transformation from a logistic oriented team where members act separately toward a real complementary team, seems to be a success factor.Discussion: Composing multi-disciplinary and complementary teams was an essential part of the re-designed intervention. Team interaction transforming the professionals from working as a logistic team to act as a complementary team, was one of the important requirements in the process. When re-designing the specialist health service, it is mandatory to anchor all changes among employees as well as the hospital leadership. In addition, it is important to include patient experiences in the process of improvement. Evaluation of long-term outcomes is needed to investigate possible benefits from the new intervention.Trial Registration: Transitioning Young Patients' Health Care Trajectories, NCT04652154. Registered December 3rd, 2020–Retrospectively registered, https://clinicaltrials.gov/ct2/show/NCT04652154?term=NCT04652154&draw=2&rank=1.

Three-way interaction effect of social media usage, perceived task interdependence and perceived participative leadership on employee creativity

PurposeDespite the growing use of social media in many organizations, managers face the challenges of how to effectively manage social media usage (SMU) in the workplace to ensure employee creativity. This study combined task-technology fit theory and the interactional perspective of employee creativity to understand the three-way interaction of SMU, perceived task interdependence, and perceived participative leadership on employee creativity.Design/methodology/approachA questionnaire survey was designed to test our hypotheses. The sample consisted of employees who use social media in the workplace. A total of 402 valid questionnaires were used for the hierarchical regression analysis.FindingsSMU had the strongest positive relationship with creativity when perceived task interdependence and perceived participative leadership were high. However, we did not find two-way interaction effects of SMU and perceived task interdependence on employee creativity.Originality/valueOur findings are aligned with the emergent view that the benefits of SMU can be better realized when it coexists with a set of complementary team contextual factors. The current study helps extend the contingency perspective and related studies in social media literature and employee creativity research.

Measuring individual worker output in a complementary team setting: Does regularized adjusted plus minus isolate individual NBA player contributions?

Adjusted plus minus (APM) measures have redefined our understanding of player value in basketball and hockey, where both are team games featuring player productivity spillovers. APM measures use seasonal play-by-play data to estimate individual player contributions. If a team's overall score margin success is figuratively represented by a pie, APM measures are well-designed to slice the pie and attribute individual contributions accordingly. However, they do not account for the possibility that better players can increase the overall size of the pie and thus increase the size of the slice (overall APM value) for teammates. Herein, we use data from NBA player-season Real Plus Minus (RPM)-a leading APM measure-for all recorded player-seasons from 2013-19 and player lineup data to test whether RPM is related to teammate quality. We run sets of linear fixed effect regression models to explain variation in RPM across player-seasons. We also employ a two-stage least square (2-SLS) method for robustness check. Both empirical approaches address potential endogeneity in the relationship of interest. We find strong evidence that RPM is related to on-court teammate quality. Despite adjusting for teammate and opponent quality, RPM does not control for complementarity effects. As such, RPM is not suited for out-of-sample prediction.

Setting Up and Expanding a Home Dialysis Program: Is There a Recipe for Success?

Home dialysis modalities remain significantly underused in the United States despite similar overall survival in the modalities, and recent incentives to expand these modalities. Although the absolute number of patients using home modalities has grown, the proportion compared to in-center hemodialysis (ICHD) continues to remain quite low. Well known barriers to home dialysis utilization exist, and an organized and team-based approach is required to overcome these barriers. Herein, we describe our efforts at growing our home dialysis program at a large academic medical center, with the proportion of home dialysis patients growing from 12% to 21% over the past 9 years. We prioritized individualized education for patients and better training for physicians, with the help of existing resources, aimed at better utilization of home modalities; an example includes dedicated dialysis education classes taught twice monthly by an experienced nurse practitioner, as well as the utilization of the dialysis educator from a dialysis provider for inpatient education of patients with CKD. The nephrology fellowship curriculum was restructured with emphasis on home modalities, and participation in annual home dialysis conferences has been encouraged. For timely placement and troubleshooting of access for dialysis, we followed a complementary team approach using surgeons and interventional radiologists and nephrologists, driven by a standardized protocol developed at UAB, and comanaged by our access coordinators. A team-based approach, with emphasis on staff engagement and leadership opportunities for dialysis nurses as well as collaborative efforts from a team of clinical nephrologists and the dialysis provider helped maintain efficiency, kindle growth, and provide consistently high-quality clinical care in the home program. Lastly, efforts at reducing burden of disease such as decreased number of monthly visits as well as using innovative strategies, such as telenephrology and assisted PD and HHD, were instrumental in reducing attrition.

Management of library skilled potential: functional approach

On the modern stage effective activity of libraries depends on their ability to achieve their goals and respond to the challenges of the external and internal environment. Effective instruments in the decision of this question is a management of library skilled potential by the improvement of command work, creation of complementary team. In the article the question of different styles of management is considered in libraries, having regard to that an ideal manager does not exist, each of leaders has the individual style of management, that adapts oneself for the achievement of aims. Such styles of management are offered as a producer of result, administrator, businessman, integrator and new roles of librarian — facilitator, tutor, moderator, are suggested. For effective management in the short and long term, library management must perform four functions which, in our view, form its basis at the present stage. The first is to work for the result in the short term; the second is administration; the third is the willingness to adapt to constant change, which covers the long term; fourth — the ability to integrate. The proposed new roles of librarians in the digital age will ensure the development of their personal qualities (activity, communication skills, dynamism, efficiency, tolerance, competence, creativity) and encourage self-improvement and self-organization, and new styles of library management, of styles (a producer of result, administrator, businessman, integrator) management is necessarily complemented by five basic management functions era: decision making, implementation, team building, human resources management, change management, and behavior and communication.

Adaptive Team Performance: The Influence of Membership Fluidity on Shared Team Cognition.

Team membership change literature has traditionally focused on performance effects of newcomers to teams. Yet, in practice, teams frequently experience membership loss without replacement (e.g., downsizing) or membership exchanges—replacing a member who has left the organization with a current, experienced employee. Despite the prevalence of these practices, little is known about the impact of such changes on team performance. Drawing upon two complementary team adaptation theories, the influence of both membership loss without replacement and loss with replacement by experienced personnel on the cognitive processes underlying adaptation (operationalized as development of effective team mental models – TMMs) was examined. Results suggested that Teammate TMMs (i.e., shared knowledge of member preferences/tendencies) and Team Interaction TMMs (i.e., shared knowledge of roles/responsibilities) are differentially influenced by the movement of members in and out of teams and differentially predict adaptive team performance. Further, TMM measurement choice (i.e., the use of similarity versus distance scores) matters as relationships differed depending on which metric was used. These results are discussed in the context of team adaptation theory, with implications for strategic human resource management.

Team Mental Models, Team Goal Orientations, and Information Elaboration, Predicting Team Creative Performance

This study aimed to enhance understanding of team creativity by investigating the type of team mental models that team members develop during their work on a creative problem solving task. We hypothesized that teams that develop dissimilar team mental models, compared to similar and complementary team mental models, will achieve a higher information elaboration. This effect will be moderated by the development of a high learning-performance team goal orientation. Information elaboration in turn was hypothesized to predict team creative performance. In a 3 (similar/dissimilar/complementary team mental models) × 3 (learning/performance/learning-performance goal orientation) experimental study on a sample of 33 teams (N = 98) we found that teams that developed more dissimilar team mental models and experienced a learning-performance goal orientation intervention engaged in more information elaboration. Information elaboration, in turn, mediated the relationship between the interaction between team mental models and team goal orientations and team creative performance. Implications for research on team mental models and team creativity are discussed.

Learning to Share

Learning to Share

Mental Health Integration

This article examines the impact of integrating mental health into primary health care. Mental Health Integration (MHI) within Intermountain Healthcare has changed the culture of primary health care by standardizing a team-based care process that includes mental health as a normal part of the routine medical encounter. Using a quantitative statistical analysis of qualitative reports (mixed methods study), the study reports on health outcomes associated with MHI for patients and staff. Researchers interviewed 59 patients and 50 staff to evaluate the impact of MHI on depression care. Patients receiving MHI reported an improved relationship with caregivers (P < .001) and improved overall functioning in their lives (P < .01). Staff providing care in MHI reported that patients experienced improved access to mental health care, improved overall patient productivity in daily functions (P < .01), and access to team care (P < .001). As MHI became routine, patients discussed complementary team interventions more frequently (P < .0001). Mental health problems rank second in chronic disease today. MHI offers promising results for improving the quality and cost of effective treatment for chronic disease. This research provides guidelines for organizing mental health care, staff productivity, and patient satisfaction, using a team approach to improve outcomes.

Complementary Therapy: Comfort for Those in Need Of Palliative Care

Traditionally, complementary therapies have been associated with relaxation therapies (Monti and Yang, 2005). However, the help and comfort resulting from complementary treatments go beyond what might be considered simply a ‘feel good’ factor (Pujol and Monti, 2007). Complementary therapies are now being used alongside orthodox treatments to help provide physical and emotional support for patients with terminal disease (National Institute for Health and Care Excellence (NICE), 2004). In palliative care, the most frequently used complementary therapies tend to be touch based (e.g. massage, aromatherapy and reflexology) or psychological interventions (e.g. relaxation, meditation and visualisation) (NICE, 2004). Stress renders individuals less able to cope physically and mentally with a myriad of symptoms and situations. Therefore, the relief of stress experienced by patients and carers may assist them in the management of their lives (Kumar et al, 2013). The role of the complementary therapist in palliative care can be fulfilling and gratifying. It is my experience that patients and carers often comment that the complementary therapies provided at St Christopher’s Hospice, London, help them to feel more relaxed at a very distressing time. The St Christopher’s complementary therapy team provides therapies for inpatients, outpatients and carers. It also provides home visits for those who are unable to come to the hospice. The team consists of six part-time therapists who are qualified and registered with the Complementary & Natural Healthcare Council. Each practitioner is qualified to offer at least two therapies. At present therapists are paid and volunteer therapists are not used. At St Christopher’s Hospice, the complementary therapy team offers a range of treatments, including:

Who Changes Course? The Role of Domain Knowledge and Novel Framing in Making Technology Changes

The foundations of established firms are laid when, early in life, venture executives explore dynamic landscapes in search of opportunities. During this search, the executive team processes information that might signal the need to change, and their cognitive flexibility in processing this information affects the likelihood of such changes. While executive backgrounds affect this information processing, current literature does not identify how executive backgrounds impact the extent of change a firm undertakes. Therefore, we compare the effects of teams dominated by domain insiders, domain outsiders, and complementary teams (blending insiders and outsiders) on the likelihood of different degrees of technology change. In an examination of the population ofU.S. solar photovoltaic manufacturing ventures from 1992 to 2007, we find that teams with extra‐domain expertise, particularly at theCEOlevel, undertake more significant technology change. By contrast, intra‐domain expertise has an inertial effect on change: even when combined in complementary team configurations, domain expertise reduces chances of significant technology change. These findings expand the discussion of types and antecedents of organization change, top management team composition, and the psychological foundations of strategy. Copyright © 2012 Strategic Management Society.

Fundamental Medical Mycology

In Fundamental Medical Mycology, Errol Reiss, Jean Shadomy, and Marshall Lyon have produced a valuable new text. Drs Reiss and Shadomy are medical mycologists who have extensive research and educational experience with the increasing spectrum of pathogenic fungi, including diagnosis of infections they cause and host defenses. Dr Lyon is an infectious diseases physician with clinical expertise in the epidemiology and management of opportunistic mycoses. This complementary team has produced a highly readable and comprehensive book, which they intend to be a text for medical and graduate students, a resource for microbiology technologists, and a reference for physicians and researchers. The book has been carefully organized, and the extensive table of contents enables readers to quickly identify specific areas of interest. The first 3 chapters contain basic information describing fungi, diagnostic methods, and antifungal chemotherapy. The succeeding 19 chapters review specific mycoses, using a similar format that addresses the following topics: etiology, clinical manifestations, ecology of the fungi, epidemiology of the infections, pathogenicity, animal infections, treatment, and laboratory diagnosis. Each chapter provides instructive case histories and ends with references and review questions. The book also includes a helpful glossary. A book of this nature can be judged by its completeness, accuracy and timeliness of coverage, clarity of the writing, and ease with which information can be accessed. By all of these criteria, Fundamental Medical Mycology merits high marks. The book does a superlative job in addressing recent advances in medical mycology, which include identifying emerging pathogens, new antifungal drugs and strategies for their use; progress in molecular diagnostics; and up-to-date knowledge about host defenses against fungi, especially opportunistic pathogens. For a 1-volume text, this book provides excellent coverage of several critical areas: detailed methods of identifying fungi; descriptions of common and rare mycoses; the nuances of interpreting serologic tests; and ongoing progress in detecting diagnostic fungal antigens, nucleic acids, and signature proteins in clinical specimens. In addition, the authors provide superb, concise descriptions of the strain diversity of the major pathogenic species and the clinical and epidemiologic relevance of certain phylogenetic clades. Currently unresolved or controversial topics are clearly explained, such as fungal sinusitis and the etiology of Malassezia spp. infections. When information is available, each chapter summarizes the mechanisms of pathogenicity and confirmed virulence factors. The authors discuss advances in understanding the innate and adaptive immune responses to fungi at the tissue, cellular, and molecular levels (e.g., the role of Th17 immune responses in candidiasis). Another asset is the frequent but unobtrusive inclusion of key citations to assist anyone seeking additional information. The illustrations include diagrams, clinical photographs, and photomicrographs from a variety of sources as well as original figures. Rather than attempt pictorial consistency throughout, the authors have gleaned images for their relevance to the text. This book will serve medical and graduate students who will value the book’s succinct, lucid coverage of key fungal infections, as well as instructive case vignettes and review questions. Clinical fellows and physicians will appreciate the readable summaries of specific mycoses, diagnostic procedures, common symptoms, and appropriate antifungal drugs. Biomedical scientists and educators in related fields will use this text as a resource for a quick review of specific topics.

Developing models of haemophilia care

Developing models of haemophilia care

Stepped Skills: A team approach towards communication about sexuality and intimacy in cancer and palliative care.

Cancer often has a profound and enduring impact on sexuality, affecting both patients and their partners. Most healthcare professionals in cancer and palliative care are struggling to address intimate issues with the patients in their care. Study 1: An Australian study using semi-structured interviews and documentary data analysis. Study 2: Building on this Australian study, using a hermeneutic phenomenological approach, data were collected in the Netherlands through interviewing 15 cancer patients, 13 partners and 20 healthcare professionals working in cancer and palliative care. The hermeneutic analysis was supported by ATLAS.ti and enhanced by peer debriefing and expert consultation. For patients and partners a person-oriented approach is a prerequisite for discussing the whole of their experience regarding the impact of cancer treatment on their sexuality and intimacy. Not all healthcare professionals are willing or capable of adopting such a person-oriented approach. A complementary team approach, with clearly defined roles for different team members and clear referral pathways, is required to enhance communication about sexuality and intimacy in cancer and palliative care. This approach, that includes the acknowledgement of the importance of patients' and partners' sexuality and intimacy by all team members, is captured in the Stepped Skills model that was developed as an outcome of the Dutch study.

Effectiveness of heuristic evaluation in usability evaluation of elearning applications in higher educ

The Internet, World Wide Web (WWW) and e-learning are contributing to new forms of teaching and learning. Such environments should be designed and evaluated in effective ways, considering both usability- and pedagogical issues. The selection of usability evaluation methods (UEMs) is influenced by the cost of a methods and its effectiveness in addressing users’ issues. The issue of usability is vital in e-learning, where students cannot begin to learn unless they can first use the application. Heuristic evaluation (HE) remains the most widely-used usability evaluation method. This paper describes meta-evaluation research that investigated an HE of a web-based learning (WBL) application. The evaluations were based on a synthesised framework of criteria, related to usability and learning within WBL environments. HE was found to be effective in terms of the number and nature of problems identified in the target application by a complementary team of experienced experts. The findings correspond closely with those of a survey among learners.

The Team Personality–Team Performance Relationship Revisited: The Impact of Criterion Choice, Pattern of Workflow, and Method of Aggregation

Using meta-analytic evidence, this study tested trait- and task-based theoretical approaches to team personality management, using both team behaviors and team outcomes as criteria. Trait theories state that maximization of the team trait is harmful for Extroversion (complementary team fit) but beneficial for Conscientiousness, Agreeableness, and Emotional Stability (supplementary fit). Task-based theories state that tasks with few work exchanges are best reflected by mean trait scores, whereas tasks with frequent work exchanges are best represented by other types of scores (e.g., minimum score). Correlations between different aggregations of team personality and team performance were coded, as well as the study criterion choice and the pattern of workflow (as moderators). Partial support for both trait and task theories were found. Team Conscientiousness and Agreeableness provided supplementary fit primarily with team behaviors, but there was mixed evidence that Extroversion provided complementary fit. Furthermore, minimum and variance measures of the team trait related to team performance in tasks with frequent work exchanges, but not in tasks with few work exchanges. Results suggest several limitations with existing measurement methods, which are discussed.