Teamwork Experience Research Articles

How clinicians manage access to opioid replacement therapy.

In Australia, people wait to access opioid replacement therapy (ORT). The aim of this study was to examine how clinicians (n = 35) prioritize consumers for opioid replacement therapy (ORT). The study used a methodology informed by a constructivist approach to grounded theory. Based on a scenario related to two consumers seeking admission to opioid replacement therapy (ORT), participants were asked to prioritize one for preferential admission and questioned about their decision-making. Clinicians were neither confident nor unanimous in their decision-making. Team involvement and work experience influenced their judgment. Differences between clinicians in regard to understanding risks and protective factors were identified. To support uniformity in managing treatment requests, clearer policy direction to gui clinician practice, and further exploration of how models of care and team involvement influence consumer outcomes, are recommended.

La supuestamente ilegible escritura de médico como artefacto visual y estímulo creativo para la educación artística

In this paper we analyze the educational possibilities of medicine doctor’s writing, studying graphic component of documents, both historical and the most recent. We defend handwriting as an important graphic element for art education, from the premises of visual culture. We analyze the positive results of the exhibition “ Calligraphy of the disease, Medical Letter”, in which are visitors actually actors, performers and builders of meanings. We use the methodology of the case studies, field work incorporating direct observation of several groups of visitors. We also provide the experience of teamwork when planning the educational activity involving university students in the preparation of the exhibition. We have generates a collaborative space (Falk & Dierking 2000) promoting quality experiences for different types of users. We offer activities that can be used by visitors of different ages and interests, valuing their own perspectives and knowledge. We used the a/r/tographies (Irwin & O’Donoghue 2012) as theoretical references to manage our intentions to create the exhibition space and the educational space. Educational discourse runs throughout the entire exhibition, with a strong emphasis on public participation (Huerta, 2010).

Teacher design in teams as a professional development arrangement for developing technology integration knowledge and skills of science teachers in Tanzania

This study investigated the impact of teacher design teams as a professional development arrangement for developing technology integration knowledge and skills among in-service science teachers. The study was conducted at a secondary school in Tanzania, where 12 in-service science teachers participated in a workshop about technology integration in science teaching and worked in design teams to prepare technology-enhanced biology, chemistry and physics lessons. Through collaboration in design teams, teachers were able to make science animations using PowerPoint and record videos to use in their teaching. The designed lessons were taught in the classroom and reflected upon thereafter by all teachers. In order to determine the change in teachers' technology integration knowledge and skills, data were collected before and after the professional development arrangement by using questionnaire, interview and observation data. Focus group discussion and reflection questionnaire data were used to assess teachers' experience of working in design teams at the end of the professional development arrangement. Findings showed an increase in teachers' technology integration knowledge and skills between pre- and post-measurements. Collaboration in design teams had the potential for teachers to share knowledge, skills, experience and challenges related to technology-enhanced teaching.

G268 A Multidisciplinary Paediatric Society for Undergraduates

AimsMultidisciplinary team working is well established within child health services. We set up a Paediatric Society open to all healthcare undergraduate students to foster their interest in child health and...

How do School Management Teams Experience Teamwork: A Case Study in the Schools in the Kamwenge District, Uganda

Teamwork is an essential tool to achieve success for any organisation. In the absence of teamwork, teams fail to perform to the best of their abilities. This study was conducted on a purposeful sample of 40 teachers from ten government grant-aided primary schools, working in cooperation with Link Community Development, a non-governmental organisation. A survey questionnaire and interviews were used to collect data from the ten primary schools in the Kamwenge District. In this paper, we will take a look at the perceptions about and knowledge of teamwork among head teachers and teachers; the skills and competencies required for effective teamwork; the benefits of teamwork and its impact on teaching and learning; the challenges related to teamwork; and, finally, guidelines that can be employed by the School Management Teams (SMTs). The study revealed that teamwork among SMT members impacts positively on the quality of teaching and learning. DOI: 10.5901/mjss.2014.v5n3p138

A comprehensive training model of the teamwork competence

The teamwork competence is one of the most demanded competences by the social environment and, therefore, is already a part of the learning objectives in the university studies. A comprehensive training model of the framework competence is presented on this paper which includes a description of this operational competence, within the training field, and the keys to design the training plan by using the ICT. Finally, a multidimensional empirical study of the students’ experience in teamwork is presented, including the pre and post-implementation of a training prototype of this competence that was tested at the Technical University of Madrid and the University of Zaragoza in the 2012 spring term.

IMPACT OF TEAM WORK ON EMPLOYEE SATISFACTION

Purpose: The current study was based on analyzing effect of team work on employee satisfaction, as team work is considered to be a crucial factor for achieving organizational goals. Methodology/Sampling: A survey was conducted among 384 employees from different organization to analyze their team work experience. Regression analysis was applied to access the significance of linear relationship on data under study. Findings: It was found that team work has a significant impact on employee satisfaction. Future research should investigate the ways in which teamwork interest can be moderated by characteristics of the task and the group, preferably those characteristics that instructors have some control over to facilitate group work experiences. Practical Implications: Employers value team work skills from incoming employees with higher education. Hence it is critical that instructors in higher education institutions understand the importance of teamwork and the factors that contribute to positive teamwork environment. The study will be helpful for HR departments to understand the importance of team work and for devising better work groups.

Leadership, management and teamwork learning through an extra-curricular project for medical students: descriptive study.

Professionalism in medicine requires preparation for the globalized world. Our objective was to describe a project that introduces medical students to the community, hospital and laboratory activities, thereby allowing them to gain experience in people management, leadership and teamwork. Descriptive study of the process applied at a philanthropic medical school in Curitiba, Paraná. Inclusion of management and leadership practices as part of the medical degree program. The study groups consisted of fifteen students. After six months, any of the participants could be elected as a subcoordinator, with responsibility for managing tasks and representing the team in hospital departments and the community. The activities required increasing levels of responsibility. In medical schools, students' involvement in practical activities is often limited to observation. They are not required to take responsibilities or to interact with other students and stakeholders. However, they will become accountable, which thus has an adverse effect on all involved. The learning space described here aims to fill this gap by bringing students closer to the daily lives and experiences of healthcare professionals. Being a physician requires not only management and leadership, but also transferrable competencies, communication and critical thinking. These attributes can be acquired through experience of teamwork, under qualified supervision from teaching staff. Students are thus expected to develop skills to deal with and resolve conflicts, learn to share leadership, prepare others to help and replace them, adopt an approach based on mutual responsibility and discuss their performance.

Huddle up!: The adoption and use of structured team communication for VA medical home implementation.

Daily clinical team meetings (i.e., "huddles") may be helpful in implementing new roles and responsibilities for patient care because they provide a regular opportunity for member learning and feedback. We examined how huddles were implemented in the context of the VA patient-centered medical home (PCMH) transformation, including assessing barriers and facilitators to regular huddling among small teams ("teamlets"). We assessed the extent to which teamlet members that huddled had higher self-efficacy for PCMH changes, reported better teamwork experiences, and perceived more supportive practice environments. We used a convergent mixed-methods approach to analyze 79 teamlet member interviews from six VA primary care practices and 418 clinician and staff PCMH survey responses from the six interviewed practices and 13 additional practices in the same region. Most members reported participating in teamlet huddles when asked in surveys (85%). A minority of interview participants, however, described routine huddling focused on previsit planning that included all members. When members reported routine teamlet huddling, activities included (a) previsit planning, (b) strategizing treatment plans for patients with special or complex needs, (c) addressing daily workflow and communication issues through collective problem solving, and (d) ensuring awareness of what team members do and what actions are happening on the teamlet and in the practice. Primary care providers (PCPs) were least likely to report routine huddling. PCP huddlers reported greater self-efficacy for implementing PCMH changes. All huddlers, irrespective of role, reported better teamwork and more supportive practice climates. The most common barriers to teamlet huddling were limited time and operational constraints. In order to improve the impact of huddles on patient care, practice leaders should clearly communicate the goals, requirements, and benefits of huddling and provide adequate time and resources to ensure that frontline teams use huddle time to improve patient care.

Evaluación del pensamiento crítico en el trabajo en grupo

A group of university students took part in a multi-task teamwork experience in which they had to make use of some of the abilities regarded as most valuable by organizations. Before starting, participants agreed on the definition of one of the essential concepts to successfully accomplish multi-tasks critical thinking in team working as well as the best way to assess it. At the end of the multi-task, participants self-assessed and assessed their peers’ critical thinking throughout the activity by using the agreed criteria and the assessment tool designed by them: a rubric. Two types of analyses were conducted in order to analyze the results of this research study: a quantitative analysis on peers’ assessment and self-assessment scorings, and a qualitative analysis concerning the process experienced by participants.

Boerhaave’s Syndrome: Lessons Learned from 83 Cases over Three Decades

The authors describe their experience in the treatment of 83 Boerhaave patients. During the last few years the mortality of the disease has decreased. A successful treatment requires good treatment resources and experienced team work. The tailored open primary repair technique with fundic reinforcement, developed by the authors, is described in detail. This technique has decreased the amount of postoperative fistulation and esophageal resection. The mortality after stenting was 20%.

Interventional or surgical management of iatrogenic ostial coronary dissections

Results 6 cases happened at our institution (4 on interventional and 2 on diagnostic procedures) and 1 was urgently transferred from a secondary center without on site surgery following coronary intervention. Of 7 cases, 2 happened with radial approach and 5 with femoral. Ostial LM was dissected in 4 cases and RCA in 3. Aortic propagation less than 2.5 cm was seen in 2 pts. Five patients underwent interventional revascularization and 2 surgical (1 was stable (RCA) and 1 unstable (LM)). All 5 interventions were successful with prolonged hospital stay and uneventful f-up. Surgical intervention on RCA dissection was successful with uneventful f-up, patient with LM dissection underwent rescue surgery with double SV grafting, but died however at 4 postoperative day of intractable heart failure due to large myocardial infarction. Of 4 LM dissections, 2 were treated with 1 ostial stent, one with 2 sequential stents, and one with 2 stents in LM (culotte stenting). Two RCAs was stented with 1 stent, and one needed 3 stents to seal and prevent further aorto-ostial propagation. Conclusions Interventional treatment of IOCD dissection is feasible requiring skills and experienced team work. Surgical treatment is good alternative if delivered immediately and if basic hemodynamics could be maintained up to the operation theater.

Teamwork in primary care: perspectives of general practitioners and community nurses in Lithuania.

BackgroundA team approach in primary care has proven benefits in achieving better outcomes, reducing health care costs, satisfying patient needs, ensuring continuity of care, increasing job satisfaction among health providers and using human health care resources more efficiently. However, some research indicates constraints in collaboration within primary health care (PHC) teams in Lithuania. The aim of this study was to gain a better understanding of the phenomenon of teamwork in Lithuania by exploring the experiences of teamwork by general practitioners (GPs) and community nurses (CNs) involved in PHC.MethodsSix focus groups were formed with 29 GPs and 27 CNs from the Kaunas Region of Lithuania. Discussions were recorded and transcribed verbatim. A thematic analysis of these data was then performed.ResultsThe analysis of focus group data identified six thematic categories related to teamwork in PHC: the structure of a PHC team, synergy among PHC team members, descriptions of roles and responsibilities of team members, competencies of PHC team members, communications between PHC team members and the organisational background for teamwork. These findings provide the basis for a discussion of a thematic model of teamwork that embraces formal, individual and organisational factors.ConclusionsThe need for effective teamwork in PHC is an issue receiving broad consensus; however, the process of teambuilding is often taken for granted in the PHC sector in Lithuania. This study suggests that both formal and individual behavioural factors should be targeted when aiming to strengthen PHC teams. Furthermore, this study underscores the need to provide explicit formal descriptions of the roles and responsibilities of PHC team members in Lithuania, which would include establishing clear professional boundaries. The training of team members is an essential component of the teambuilding process, but not sufficient by itself.

Laboratory Automation of High-Quality and Efficient Ligand-Binding Assays for Biotherapeutic Drug Development

Regulated bioanalytical laboratories that run ligand-binding assays in support of biotherapeutics development face ever-increasing demand to support more projects with increased efficiency. Laboratory automation is a tool that has the potential to improve both quality and efficiency in a bioanalytical laboratory. The success of laboratory automation requires thoughtful evaluation of program needs and fit-for-purpose strategies, followed by pragmatic implementation plans and continuous user support. In this article, we present the development of fit-for-purpose automation of total walk-away and flexible modular modes. We shared the sustaining experience of vendor collaboration and team work to educate, promote and track the use of automation. The implementation of laboratory automation improves assay performance, data quality, process efficiency and method transfer to CRO in a regulated bioanalytical laboratory environment.

Implementing an interprofessional first-year teamwork project: some key reflections

Implementing an interprofessional teamwork project for first-year students presents pedagogical and practical challenges. While transferable skills and attributes are important, engagement of students with limited professional experience in teamwork depends on relevance to current learning needs. This report outlines principles learned from planning and implementing a teamwork project for an interprofessional health administration and service development course. Practising interprofessional teamwork as leaders and teachers, aligning with previous, current and future teamwork content and processes and responding to student feedback and achievement have been the key factors in shaping the project over three semesters. Face-to-face and online interprofessional teamwork learning has necessitated developing resources that support self-direction, using familiar technology and providing enabling physical environments. Implications for first-year interprofessional teamwork are that structured well-resourced processes, responsiveness and alignment of learning all improve student outcomes.

Multi-resource peer assisted learning in postgraduate setting: a pilot study.

To evaluate the satisfaction of participants and the effectiveness of an enhanced and relatively formal type of peer assisted learning (PAL) in postgraduate (PG) setting. An observational study. Layton Rehmat Ullah Benevolent Trust, Eye Hospital, Sargodha between 2008 and 2009. Participants were 6 medical officers and 2 consultants. Resources and sessions were defined and the curriculum agreed through consensus between all peers. Thirty clinically relevant topics on diseases, techniques and practicals were selected for PAL sessions. A 26-item questionnaire was used to evaluate PAL on Likert-scale. It also included a free text question about one strength and one weakness of PAL. The participants consented to all aspects of multi-resource PAL and they completed a questionnaire, from which data was gathered and analysed to reveal the impact of course. As a peer group they were satisfied with the teamwork experience. Seven out of eight peers reported to have increased their motivation level. In addition, as a peer tutor all peers accepted that the course equipped them with teaching skills and that teaching skills should be learnt. Similarly, as a peer tutee, they believe that peer assistance in a multiresource format had a positive impact on their learning and their difficult issues were unravelled. Finally, facilitated small group teaching, discussion and summing-up helped the peers to comprehend a given clinical topic. A pilot multi-resource PAL was evaluated and the participants appraised the course favourably and recommended it to their colleagues. The interest and zeal shown by the participants suggests that further investigation through a larger, prospective study is warranted.

System for Evaluating Groups When Applying Project-Based Learning to Surveying Engineering Education

AbstractThis study describes the methodology developed for adapting project-based learning to the practice part of one subject of surveying engineering. The main innovation is the use of a system for evaluating the groups of students selected for the application of this methodology. This evaluation complements the one obtained from the project report developed by students, and it allows for individualizing the grade outcome of the members of the groups. For this purpose, the system takes into account the evaluations carried out by students of their own experience of teamwork. The system has been tested with several groups of students of surveying engineering. The results have demonstrated the efficiency of the system in showing and detecting the behavior of the groups, some problems appearing during the work, the involvement of students, and the sharing of tasks performed by some groups, among other issues. This experience can be applied to any other subject of engineering that contains a high level of pr...

A picture tells 1000 words: learning teamwork in primary care

Teamwork and patient centredness are frequently articulated concepts in medical education, but are not always explicit in the curriculum. In Ireland, recent government policy emphasises the importance of a primary care team approach to health care. We report on an appraisal of a newly introduced community-based student attachment, which focused on teamwork. To review students' experience of teamwork following a community clinical placement by examining student assignments: essays, poetry, music and art. Year-2 graduate-entry students (n = 45) spent 2 weeks with a primary care team. Attachments comprised placements with members of the primary care team, emphasising team dynamics, at the end of which students submitted a representative piece of work, which captured their learning. Essays (n = 22) were analysed using a thematic content analysis. Artwork consisted of painting, collage, photography, poetry and original music (n = 23). These were analysed using Gardner's entry points. Three core themes emerged in both written and visual work: patient centredness; communication; and an improved appreciation of the skills of other health care professionals. Students identified optimal team communication occurring when patient outcomes were prioritised. Metaphors relating to puzzles, hands and inter-connectedness feature strongly. The poems and artwork had a high impact when they were presented to tutors. Primary care team placements focus student attention on teamwork and patient centredness. Student artwork shows potential as a tool to evaluate student learning in medical education.

Examining the Impact of Communication Interface on Students’ Experience of Teamwork

Team-based projects are widely used in both face-to-face and online programs in higher education. In both learning environments, student teams face considerable struggles that to date have primaril...

Interprofessional roles and cooperation in healthcare research

Research in the healthcare sector is often complex and requires the input from numerous health professionals. This study provides insight into the process of research in an interprofessional healthcare team. To investigate how professionals from various disciplines cooperate together, a short-term observational study was undertaken. The participants completed questionnaires assessing personality types and learning styles, as well as participated in a semi-structured interview. Team interactions were observed during four team meetings over a five month period. The members of the team were found to be diverse in terms of personality types and learning styles and they indicated that this contributed to the success of their team and the positive teamwork experience that they reported. This study highlights the importance of cooperation between various health professionals when conducting healthcare research.