Team Effectiveness Research Articles

Accounting for Human Engagement Behavior to Enhance AI-Assisted Decision Making

Artificial intelligence (AI) technologies have been increasingly integrated into human workflows. For example, the usage of AI-based decision aids in human decision-making processes has resulted in a new paradigm of AI-assisted decision making---that is, the AI-based decision aid provides a decision recommendation to the human decision makers, while humans make the final decision. The increasing prevalence of human-AI collaborative decision making highlights the need to understand how humans engage with the AI-based decision aid in these decision-making processes, and how to promote the effectiveness of the human-AI team in decision making. In this talk, I'll discuss a few examples illustrating that when AI is used to assist humans---both an individual decision maker or a group of decision makers---in decision making, people's engagement with the AI assistance is largely subject to their heuristics and biases, rather than careful deliberation of the respective strengths and limitations of AI and themselves. I'll then describe how to enhance AI-assisted decision making by accounting for human engagement behavior in the designs of AI-based decision aids. For example, AI recommendations can be presented to decision makers in a way that promotes their appropriate trust and reliance on AI by leveraging or mitigating human biases, informed by the analysis of human competence in decision making. Alternatively, AI-assisted decision making can be improved by developing AI models that can anticipate and adapt to the engagement behavior of human decision makers.

Unveiling the mechanisms by which inclusive leadership influences the good soldier syndrome among health-care employees

PurposeThe purpose of this study is to investigate the relationship between inclusive leadership (IL), psychological safety (PS), affective commitment (AC) and organizational citizenship behavior (OCB) at the workplace. By understanding the sequential linkages, the research aims to provide insights for fostering a positive organizational culture that promotes employee commitment and employees’ willingness to go the extra mile for the organization.Design/methodology/approachThe authors study how IL and OCB are related through PS and AC. For this purpose, cross-sectional data from 384 nursing professionals in India was collected and structural equation modeling was conducted on the same using IBM AMOS.FindingsThe study found that IL has a major impact on OCB. The study further found that perceived IL leads to PS which is associated with OCB through AC.Research limitations/implicationsThe study has many theoretical and practical implications. This study uses a framework that is based on Affective events theory. In a health-care environment, IL can foster AC by promoting a culture of respect, collaboration and value for diverse perspectives, which enhances health-care professionals’ emotional attachment to their work and the organization. Additionally, by encouraging open communication and a sense of belonging, IL contributes to OCB, as health-care staff are more likely to engage in discretionary behaviors that support the overall effectiveness and positive functioning of the health-care team if PS is improved, ultimately improving patient care outcomes.Originality/valueTo the best of the authors’ knowledge, this is one of the primary studies that looks into the sequential mechanism through which IL impacts OCB.

Pengaruh Model Pembelajaran Team Games Tournament Terhadap Hasil Belajar Siswa Kelas V Pada Subtema 1 Peristiwa Kebangsaan Masa Penjajahan Di SD Negeri 091273 Karang Bangun

The purpose of this study to determine the effect of Team games tournament model on student learning outcomes in subtheme 1 Class V SD Negeri 091273 Karang bangun. This study is a pre-experimental study using one group pretest-posttest design, the sample of this study was 25 people. Data collection technique is a test. By doing the pretest got an average result of 65.92, then given treatment after treatment using the Team games tournament model so that it gets a posttest with an average value of 91.76. With the value obtained, the value of the postest has a higher average than the pretest. After doing the post test, the researchers conducted an n-gain Test got an n-gain score of 0.7660 categorized as high and the hypothesis test got a value of 27,562. T test results obtained by thitung = 27,562 with a significance level of 0,000. since the significant probability is much smaller than 0.05 i.e. 0.000 and thitung = 27,562 > ttable = 1,711 then HO is rejected and Ha is accepted. This shows that there is an influence of the Team games tournament learning model on the learning outcomes of Class V students on the theme 7 events in life and subtheme 1 national events of the colonial period on learning 1 and 2 in Class V at SD Negeri 091273 Karang bangun academic year 2023/2024.

Summary of clinical investigation plan for The DIATEC trial: in-hospital diabetes management by a diabetes team and continuous glucose monitoring or point of care glucose testing – a randomised controlled trial

BackgroundWorldwide, up to 20 % of hospitalised patients have diabetes mellitus. In-hospital dysglycaemia increases patient mortality, morbidity, and length of hospital stay. Improved in-hospital diabetes management strategies are needed. The DIATEC trial investigates the effects of an in-hospital diabetes team and operational insulin titration algorithms based on either continuous glucose monitoring (CGM) data or standard point-of-care (POC) glucose testing.MethodsThis is a two-armed, two-site, prospective randomised open-label blinded endpoint (PROBE) trial. We recruit non-critically ill hospitalised general medical and orthopaedic patients with type 2 diabetes treated with basal, prandial, and correctional insulin (N = 166).In both arms, patients are monitored by POC glucose testing and diabetes management is done by ward nurses guided by in-hospital diabetes teams. In one of the arms, patients are monitored in addition to POC glucose testing by telemetric CGM viewed by the in-hospital diabetes teams only. The in-hospital diabetes teams have operational algorithms to titrate insulin in both arms. Outcomes are in-hospital glycaemic and clinical outcomes.DiscussionThe DIATEC trial will show the glycaemic and clinical effects of in-hospital CGM handled by in-hospital diabetes teams with access to operational insulin titration algorithms in non-critically ill patients with type 2 diabetes. The DIATEC trial seeks to identify which hospitalised patients will benefit from CGM and in-hospital diabetes teams compared to POC glucose testing. This is essential information to optimise the use of healthcare resources before broadly implementing in-hospital CGM and diabetes teams.Trial registrationProspectively registered at ClinicalTrials.gov with identification number NCT05803473 on March 27th 2023.

Effectiveness of interdisciplinary teacher teams among English teachers in public secondary schools in Jolo

This descriptive-comparative study assessed the effectiveness of interdisciplinary teacher teams among English teachers in public secondary schools in Jolo during school year 2023-2024. One hundred (n=100) samples were taken through non-probability sampling method, quota sampling, among selected public secondary schools in Jolo, Sulu, Philippines. A modified questionnaire was used to elicit the perceptions of English teachers regarding the effectiveness of implementing interdisciplinary teacher teams in public secondary schools. English teachers believed that the interdisciplinary teacher teams among secondary schools was very effective in Instructional Practices, Student Orientation, Team Organization, and Team Structures. Findings also noted significant difference on the perceptions of English teachers regarding the effectiveness of interdisciplinary teacher teams in Team Organization. The study highlighted the positive impact of interdisciplinary approaches on student engagement and achievement. Interdisciplinary teacher teams offered opportunities for professional growth and development. Educators had the opportunity to expand their knowledge base, develop their teaching practices, and gain insights into alternative instructional approaches through collaboration with colleagues from different disciplines. Educational institutions can support this professional development by providing resources, incentives, and recognition for interdisciplinary collaboration.

IMPROVING SPORT SCIENCE IMPACT IN ATHLETE-LED PRACTICE ENVIRONMENTS: A PERSEPCTIVE FROM TRACK CYCLING

INTRODUCTION & AIMS Like most high performance sports, track cyclists are typically supported within the training environment by coaches and interdisciplinary practitioners who, through evidence-based practices, guide the athlete through the process of performance development. To effectively impact practice and athlete performance, practitioners must be able to implement their knowledge and expertise in a way that complements the wider performance team. The aim of this study was to examine track cycling coaches’ perspectives of the role and impact of sport science and research on their practice and the athlete development process. METHODS Semi-structured interviews were conducted with elite track cycling coaches (n=8) who had been working at the highest level of the sport (Olympics, UCI World Championships). The interviews addressed factors contributing to athlete preparation, and the current and potential impact of sport science on the development of elite track cyclists. Reflexive thematic analysis was conducted to identify common themes in participants’ experiences and perspectives. RESULTS Three principal themes were identified from the data: ‘conversation & the information dynamic’, highlighting the impact of information and feedback within the performance team for developing collective training intelligence; ‘integrating performance components for the individual’, detailing the importance of individualised and integrated approaches to athletes’ performance needs; and, ‘science to complement the vision’, examining the value of filtered data, and limitations of research in practice. CONCLUSION The findings highlighted two key contributors to performance team effectiveness: athletes deeply invested in, and actively contributing to, the development process; and, performance staff identifying and filtering research and data to impact decision making and athlete development. A four-stage model was developed from the collective findings for guiding sport scientists’ impact in athlete-led practice environments. Additionally, the model outlines sport scientist-supportive actions for coaches and athletes, along with practice-supportive actions for researchers, to improve impact within the sport.

How to create team design in tourism and hospitality organizations: Through team‐level autonomy and task interdependence

AbstractTeam‐based organizational structures have been widely adopted in tourism and hospitality firms. Based on socio‐technical systems theory, this study focused on two critical components of team design: team‐level autonomy and task interdependence. The impacts of these elements on team outcomes vary by context (e.g., organizations and task types). Exploration of these features' relationships with teamwork processes in tourism and hospitality settings is thus warranted. This study took a social process (i.e., team communication) as a mediating mechanism to explain team‐level organizational phenomena. A total of 312 responses from tourism and hospitality employees were collected through Qualtrics. Structural equation modeling using the R Lavaan package showed that team‐level autonomy and task interdependence were positively and indirectly related to team performance through team communication. Also, their interaction was positively associated with team outcomes. These findings contribute to the team effectiveness literature and provide tourism and hospitality organizations with practical guidance.

Building Micro-Foundations for Digital Transformation: A Moderated Mediation Model of the Interplay between Digital Literacy and Digital Transformation

In an era where digital transformation (DGT) is pivotal for organizational resilience and competitiveness, integrating sustainability into the digitalization process has emerged as a strategic imperative. By employing the resource-based view (RBV) and the dynamic capability theory (DCT), this study delves into the micro-foundations of DGT in medium- and large-sized enterprises, highlighting the synergistic role of managerial digital literacy in fostering digital transformation through the mediation role of digital readiness and the moderation role of the top management team (TMT). To fulfill the objectives of this study, data were collected through a cross-sectional mail survey, yielding responses from 235 senior and mid-level managers across medium- and large-sized firms in various industries within Turkey. Results have confirmed that digital literacy significantly enhances digital transformation and readiness, laying the groundwork for successful digital transformation initiatives. Digital readiness significantly mediates the relationship between digital literacy and digital transformation, indicating that enhancing digital literacy is a crucial step that indirectly influences digital transformation through improving digital readiness. The moderating effect of top management team (TMT) behavioral integration on the digital literacy and digital readiness link is affirmed, highlighting its critical role in facilitating organizational digital adaptation. TMT behavioral integration does not positively moderate the direct relationship between digital literacy and digital transformation. The study’s findings offer a novel lens on digital transformation, revealing that the interplay between digital literacy, readiness, and TMT behavioral integration crafts a strategic scaffold for enhancing organizational agility and competitive edge in the digital era.

Criteria for evaluating the effectiveness of psychiatric home care-mobile team: A systematic review of the literature.

To explore criteria evaluating the effectiveness of psychiatric home care-mobile team practices, that have been developed widely in the last decades. Systematic review of the literature. We included 24 studies published between January 2010 and October 2023. CINAHL, APA PsycInfo, Embase, Scopus and PubMed. The evaluation criteria differed according to the studies: impact on hospital stay, symptomatic clinical impact, repercussions on functioning, quality of life, analysis of profitability, safety, therapeutic alliance and finally, cooperation network. The variability of the criteria used to judge the effectiveness of psychiatric home care-mobile team practices shows their richness and diversity, and the absence of standardisation. The variability of the criteria used to judge the effectiveness of psychiatric home care-mobile team practices supports a qualitative and multidisciplinary approach, with enhanced teamwork. Psychiatric home care-mobile team practice have widely developed in the last years and their effectiveness need to be evaluated. Our main finding is that there is a rich variety of practices and that evaluation criteria are very diverse, thus not standardised. We suggest using a mixed-method approach to capture the subjective experience of patients and caregivers. These findings also highlight the significance of institutional cooperative work and call for a redefinition of team construction. The authors adhered to PRISMA guidelines. No patient or public contribution.

Contextual barriers and enablers to establishing an addiction-focused consultation team for hospitalized adults with opioid use disorder

BackgroundHospitalization presents an opportunity to begin people with opioid use disorder (OUD) on medications for opioid use disorder (MOUD) and link them to care after discharge; regrettably, people admitted to the hospital with an underlying OUD typically do not receive MOUD and are not connected with subsequent treatment for their condition. To address this gap, we launched a multi-site randomized controlled trial to test the effectiveness of a hospital-based addiction consultation team (the Substance Use Treatment and Recovery Team (START)) consisting of an addiction medicine specialist and care manager team that provide collaborative care and a specified intervention to people with OUD during the inpatient stay. Successful implementation of new practices can be impacted by organizational context, though no previous studies have examined context prior to implementation of addiction consultation services (ACS). This study assessed pre-implementation context for implementing a specialized ACS and tailoring it accordingly.MethodsWe conducted semi-structured interviews with hospital administrators, physicians, physician assistants, nurses, and social workers at the three study sites between April and August 2021 before the launch of the pragmatic trial. Using an analytical framework based on the Consolidated Framework for Implementation Research, we completed a thematic analysis of interview data to understand potential barriers or enablers and perceptions about acceptability and feasibility.ResultsWe interviewed 28 participants across three sites. The following themes emerged across sites: (1) START is an urgently needed model for people with OUD; (2) Intervention adaptations are recommended to meet local and cultural needs; (3) Linking people with OUD to community clinicians is a highly needed component of START; (4) It is important to engage stakeholders across departments and roles throughout implementation. Across sites, participants generally saw a need for change from usual care to support people with OUD, and thought the START was acceptable and feasible to implement. Differences among sites included tailoring the START to support the needs of varying patient populations and different perceptions of the prevalence of OUD.ConclusionsHospitals planning to implement an ACS in the inpatient setting may wish to engage in a systematic pre-implementation contextual assessment using a similar framework to understand and address potential barriers and contextual factors that may impact implementation. Pre-implementation work can help ensure the ACS and other new practices fit within each unique hospital context.

Digital leadership: a systematic literature review and future research agenda

PurposeIn view of the increasing exploration and scattered literature on digital leadership, this study aims to clarify the concept, characteristics and structure of digital leadership, identify its focus research themes and further determine future research directions in this field.Design/methodology/approachA systematic literature review is adopted in this study using 53 academic documents published in peer-reviewed journals and conference proceedings, which comprehensively combs and analyzes the research achievements.FindingsThe key characteristics of digital leadership are vision motivation, digital empowerment, innovation and entrepreneurship, cross-boundary collaboration and dynamic adaptation. Digital strategic thinking, digital insight, digital change and digital talent development are the core dimensions of digital leadership. Besides, there are three main research topics: the application of digital leadership in certain contexts including school education, government governance and business management; the development of digital leadership scale within diverse contexts; and the effectiveness of digital leadership at the organizational, team and individual levels. Digital leadership has a positive role in organizational change and innovation, team effectiveness, and employee creativity and innovation behavior.Originality/valueThis study helps to clarify the connotation of digital leadership and its research progress, status and gaps, which contributes to the thorough knowledge system in the digital leadership area and the promising avenues for future research.

Are We Able to Prevent Neonatal Readmission? A Retrospective Analysis from a Pediatrics Department in Ploiești, Romania.

Background and Objectives: Early discharge after childbirth has led to a rise in neonatal readmission, thereby becoming a major concern in recent decades. Our research aimed to identify the risk factors and incidence of neonatal readmission and explore preventive measures. Materials and Methods: Our study at the Clinical Hospital of Pediatrics in Ploiești, Romania, included 108 neonates admitted during the neonatal period. Results: This accounted for 2.06% of all admissions (5226). The most prevalent cases were malnutrition (25%), fever (20.3%), and bronchiolitis (17.5%). Diarrhea and infectious gastroenteritis were also observed (14.8%), along with acute rhinoconjunctivitis (9.2%) and late-onset sepsis (3.7%). No deaths were recorded. The most significant characteristics identified were number of children (p < 0.001) and age at maternity discharge (p < 0.001). By following the prevention rules, malnutrition, feeding errors, and infections can be avoided. This includes practicing proper hand hygiene for both mothers and medical staff, as well as educating and demonstrating to mothers the benefits of breastfeeding. In addition, all newborns discharged from the maternity ward would benefit from follow-up at 7-10 days of life. Conclusions: Our results confirm the effectiveness of a multidisciplinary team and endorse the promotion of breastfeeding. Implementing quality control measures and regularly evaluating the surveillance program will help improve its effectiveness.

“Should I Introduce myself?”: Asynchronous semi-guided professional introductions for enhanced perceived team effectiveness in new virtual dyadic teams

Achieving effective collaboration and trust has been shown to be harder for virtual vs. in-person teams. Related work has confirmed that introductions are a key mechanism to form trust in newly-formed teams. The rise of remote work necessitated by the COVID-19 pandemic highlighted the need for accelerating the development of effective collaboration in virtual teams. In response to this need, based on the research around introductions and trust in team settings, we have developed a novel approach for virtual introductions. This is what we term as asynchronous, semi-guided, professional introductions. Participants pre-record an introduction that uses a set of professionally-focused questions and watch these introductions prior to the meeting. Our study examines the impact of these introductions on virtual teams in three conditions: video, text, and no introduction. In this study, we used the Team Diagnostic Survey post-task completion to assess team effectiveness and interpersonal processes of 28 dyads. Thematic coding was used to collect dyads’ experience and engagement. The introduction conditions demonstrated significantly improved collaboration, effectiveness, and engagement amongst participants. Notably, the video condition was particularly well-received by participants and resulted in higher levels of engagement and effectiveness compared to the text and no introduction conditions. Ultimately, the use of these introductions led to a marked increase in trust and collaboration amongst participants. We reflect on the effects of this finding in the mainstream and propose further research to support newly-formed virtual dyadic teams to increase team effectiveness. This study contributes to the existing literature by introducing a novel asynchronous, semi-guided approach to virtual dyadic team introductions, offering insights crucial for contemporary remote work dynamics.

Creative Personality, Team Conflict Profiles, and Team Outcomes

We develop theory using a novel conceptualization of creative personality to explain how implicit creative personality predicts the development of conflict in teams. Specifically, we contend that implicit creative personality is useful for predicting differing profiles of team conflict that subsequently predict important team outcomes, including performance. Informed by the complexity perspective on conflict, we demonstrate that higher team average levels of implicit creative personality are associated with functional profiles of team conflict that are indicative of team norms of ‘lively debate’ and a robust work ethic, both of which are ultimately beneficial to multiple aspects of team effectiveness. The findings from two samples (including more than 900 individuals in over 240 teams) of undergraduate students largely support our theory. This investigation of the influence of implicit aspects of creative personality on team effectiveness through team conflict offers clarity regarding the way in which creative personality affects team processes and team outcomes. Implications for theory and practice are discussed.

Teamwork atmosphere, team diversity and team leadership: Basis for team effectiveness framework

Teamwork atmosphere, team diversity and team leadership: Basis for team effectiveness framework

Teams need to be healthy, too: toward a definition and model of healthy teams

PurposeTeams across a wide range of contexts must look beyond task performance to consider the affective, cognitive and behavioral health of their members. Despite much interest in team health in practice, consideration of team health has remained scant from a research perspective. The purpose of this paper is to address these issues by advancing a definition and model of team health.Design/methodology/approachThe authors review relevant literature on team stress, processes and emergent states to propose a definition and model of team health.FindingsThe authors advance a definition of team health, or the holistic, dynamic compilation of states that emerge and interact as a team resource to buffer stress. Further, the authors argue that team health improves outcomes at both the individual and team level by improving team members’ well-being and enhancing team effectiveness, respectively. In addition, the authors propose a framework integrating the job demands-resources model with the input-mediator-output-input model of teamwork to illustrate the behavioral drivers that promote team health, which buffers teams stress to maintain members’ well-being and team effectiveness.Originality/valueThis work answers calls from multidisciplinary industries for work that considers team health, providing implications for future research in this area.

Police responses to vulnerable populations: tracking the evolution from “zero-policing” to “co-responding”

PurposeThe paper examines the historical shifts in policing strategies towards individuals with SMI and vulnerable populations, highlighting the development of co-response models, introducing the concept of “untethered” co-response.Design/methodology/approachThis paper conducts a review of literature to trace the evolution of police responses to individuals with serious mental illness (SMI) and vulnerable populations. It categorizes four generations of police approaches—zero-policing, over-policing, crisis intervention and co-response—and introduces a fifth generation, the “untethered” co-response model exemplified by Project SCOPE in Philadelphia.FindingsThe review identifies historical patterns of police response to SMI individuals, emphasizing the challenges and consequences associated with over-policing. It outlines the evolution from crisis intervention teams to co-response models and introduces Project SCOPE as an innovative “untethered” co-response approach.Research limitations/implicationsThe research acknowledges the challenges in evaluating the effectiveness of crisis intervention teams and co-response models due to variations in implementation and limited standardized models. It emphasizes the need for more rigorous research, including randomized controlled trials, to substantiate claims about the effectiveness of these models.Practical implicationsThe paper suggests that the “untethered” co-response model, exemplified by Project SCOPE, has the potential to positively impact criminal justice and social service outcomes for vulnerable populations. It encourages ongoing policy and evaluative research to inform evidence-based practice and mitigate collateral harms associated with policing responses.Social implicationsGiven the rising interactions between police and individuals with mental health issues, exacerbated by the COVID-19 pandemic, the paper highlights the urgency for innovative, non-policing-driven responses to vulnerable persons.Originality/valueThe paper contributes to the literature by proposing a fifth generation of police response to vulnerable persons, the “untethered” co-response model and presenting Project SCOPE as a practical example.

Enhancing Team Performance in Surgical Operations: A Case Study at a Private Cancer Hospital and Research Centre in Thrissur District

Purpose: The purpose of this study is to evaluate the existing team dynamics within the surgical crew; to gain insights into the perceptions of different team members regarding team effectiveness and potential areas for improvement; to investigate factors crucial to successful teamwork in the operation theatre, and to analyze successful practices that have positively impacted team performance and patient outcomes. Design/methodology/approach: Quantitative data was gathered through a validated questionnaire distributed among surgical team members at a private cancer hospital and research center in Thrissur District, Kerala. Descriptive research was adapted for this study. The population for the study includes the members of the surgical team. A sample size of 120 members including doctors, nurses, technicians, and other supportive members who participated in various surgeries, were selected using a random sampling technique for the data purpose. Findings: The findings of the study disclosed that the challenges included occasional communication breakdowns and role ambiguity that seriously influenced the team performance of a surgical crew. Successful practices involved structured communication protocols, regular team training, and a collaborative leadership approach. Stakeholders accentuated the need for continuous improvement in strategies premeditated to the operation theatre’s unique demands. Research limitations/implications: The study’s inferences underscore the necessity for targeted intermediations focusing on the factors manipulating the surgical teams. Implementing structured training programs, refining communication protocols, and fostering a collaborative leadership culture can notably improve team performance. Additionally, modifying these interventions to suit the specific demands of the operation theatre is essential for sustaining and augmenting positive changes in teamwork dynamics, ultimately elevating the quality of patient care and outcomes. Social Implications: The empirical research contributed to enhancing the quality of surgical care, improving patient safety, and refining the overall performance of surgical teams in specialized healthcare settings through enhanced team performance for societal well-being by improving patient outcomes and reducing healthcare disparities. A more cohesive surgical team fosters a safer environment, positively impacting patient satisfaction, trust in healthcare, and overall community health. Additionally, it promotes a culture of collaboration and excellence, setting a precedent for improved healthcare practices within society. Originality / Value: The originality of the study lies in its broad examination of team dynamics within a specialized setting, the operation theatre of a private cancer hospital, and a research center. The study offers insights into specific challenges, successful practices, and context-specific interventions, to enhance team performance and patient care in this distinct healthcare environment.

The impact of a climate of perceived organizational support on nurses' well-being and healthcare-unit performance: A longitudinal questionnaire study.

To investigate the relationship between nurses' climate of perceived organizational support, and their well-being and healthcare-unit performance. A two-wave cohort questionnaire study among nurses within six hospitals in Sweden. Hypotheses were tested using cross-lagged path models on the individual (organizational support, job satisfaction, burnout, intention to stay) and aggregate levels (care-unit organizational support, team effectiveness, patient safety climate and patient safety). Analyses were based on 1.817 nurses in 228 care-units (T1), 1.362 nurses in 213 care-units (T2) and longitudinal samples of 711 nurses and 140 care-units. Organizational support (T1) positively influenced job satisfaction (T2) and tended to decrease burnout (T2) but did not affect turnover intent. Reversed relationships were also found. No statistically significant prospective effects were found on the aggregate level. The results indicated a prospective reciprocally reinforcing relationship between organizational support and job satisfaction. Burnout and intention to stay were predictors rather than outcomes of the organizational support climate. A climate where nurses perceive that their organization values their contributions and cares about their well-being is beneficial for their job satisfaction and health, which, according to previous research, may influence nurse retention. The study addressed perceived organizational support as a potential predictor of nurses' well-being and healthcare-unit performance. A mutually reinforcing relation was indicated between organizational support and nurses' job satisfaction and health. Job dissatisfaction, burnout symptoms and turnover intentions were prospectively negatively related to the organizational support. Identifying and implementing a variety of practical measures to support perceptions of organizational support may be an effective way for healthcare management to start and sustain the development of a healthier work environment for healthcare professionals. STROBE statement for cohort studies. No patient or public contribution.

The Effectiveness of Pediatric Central Venous Access Device Surveillance and Rounding Team: A Single-Center Study.

Introduction Central venous access devices (CVADs) are indispensable in the management of pediatric cancer patients, offering vital access to treatment. Yet, complications related to CVADs, such as infections, thrombosis, and dislocations, pose significant risks, potentially leading to prolonged hospitalization, intensive care unit admission, or even mortality. To address these challenges, our hospital established a pediatric CVAD surveillance and rounding team to improve the management and care of pediatric patients with CVADs. Materials and methods This single-center retrospective study evaluated the impact of the pediatric CVAD surveillance and rounding team on the management of pediatric oncology patients with CVADs at Kurashiki Central Hospital, Kurashiki, Japan. We included pediatric cancer patients under 18 years of age who underwent CVAD placement from January 2018 to December 2022. The team conducted weekly rounds focusing on a comprehensive checklist to ensure optimal CVAD care. We compared the incidence of catheter-related complications before and after the establishment of the rounding team using the Student's t-test and Fisher's exact test. Results The study encompassed 28 patients before and 39 after the implementation of the surveillance rounds. Significant reductions were observed in the number of dislocations (from 28.6% to 0%, p = 0.001) and local infections (from 17.9% to 2.6%, p = 0.04). While the decreases in thrombosis, catheter breakage/rupture, and catheter-related bloodstream infections (CRBSIs) did not reach statistical significance, they suggest a favorable trend toward enhanced management of CVADs. Conclusions The establishment of a pediatric CVAD surveillance and rounding team significantly reduced the incidence of dislocations and local infections among pediatric cancer patients with CVADs. This multidisciplinary team approach highlights the importance of continuous surveillance, teamwork, and education in enhancing the quality of CVAD care, contributing to safer patient outcomes and emphasizing the need for continuous improvement in pediatric CVAD management.