Team Model Research Articles

Peningkatan Hasil Belajar IPAS Menggunakan Model Kooperatif Learning Tipe Team Games Tournament Berbantuan Quiziiz bagi Peserta Didik Kelas V SDN 01 Rejang Lebong

This study was motivated by the low learning outcomes of students because teachers have not used learning models that can encourage participation, active collaboration and meaningful learning for students. The purpose of this study was to describe the improvement of students' learning outcomes in IPAS learning by using the Team Games Tournament (TGT) type cooperative learning model assisted by Quiziiz in class V SDN 01 Rejang Lebong. This research is a classroom action research (PTK) that uses qualitative and quantitative approaches. This research was conducted in two cycles, namely cycle I which consisted of 2 meetings and cycle II which consisted of 1 meeting. Each cycle consisted of four stages, namely planning, implementation, observation, and reflection. The subjects of this research were teachers and 30 fifth grade students of SDN 01 Rejang Lebong. The data of this study were obtained from the results of the teaching module assessment, implementation process, and learning outcomes. The results showed an increase from cycle I to cycle II. The increase in research results is on: a) teaching module cycle I was 89.8 (Good) and increased in cycle II to 95.8% (very good), b) Implementation in the aspect of the teacher cycle I was 86.7% (good) and increased in cycle II to 94.4% (Very Good), in the aspect of students cycle I was 83.25% (Good) and increased in cycle II to 95.2% (very good), c) Learning outcomes of students cycle I was 81% (Good) and increased in cycle II to 88.7% (Good). Based on these results, it can be concluded that using the cooperative learning model of Team Games Tournament type assisted by quizizz for class V students of SDN 01 Rejang is able to actively involve students, increase collaboration and cooperation of students in groups, create a meaningful learning atmosphere, train critical thinking and increase curiosity and confidence of students in the learning process, so as to improve student learning outcomes in learning.

Transcatheter Aortic Valve Replacement for Aortic Valve Stenosis Case Report.

This case report details the interdisciplinary care provided to a 48-year-old male patient with severe aortic valve stenosis who underwent transcatheter aortic valve replacement in a community hospital setting. Focus is placed on the interdisciplinary team model demonstrated in the care of this patient, including interventional cardiology and cardiothoracic surgery from the outpatient to the inpatient setting. The use of decision-making tools, including the Society of Thoracic Surgeons Risk Calculator, and a collaborative, shared decision-making approach will be discussed. The care and evaluation of the patient will be presented and compared with the American College of Cardiology/American Heart Association guidelines.

A Narrative, Qualitative Research Study of CRNA Perspectives of Practice Within the Anesthesia Care Team Model

A Narrative, Qualitative Research Study of CRNA Perspectives of Practice Within the Anesthesia Care Team Model

Designing a Data Governance Framework for Cybersecurity Risk Reporting: A Model for Business Intelligence Teams

In the rapidly evolving digital landscape, the integration of robust data governance practices is crucial for enhancing cybersecurity risk reporting within organizations. This abstract presents a model for designing a data governance framework tailored specifically for Business Intelligence (BI) teams. The proposed framework emphasizes the intersection of data governance and cybersecurity, ensuring that data management practices support comprehensive risk reporting and decision-making processes. Key elements of the framework include data quality management, data access controls, and data lineage tracking, which collectively contribute to more accurate and timely cybersecurity risk assessments. By embedding these elements into the governance structure, BI teams can better manage and mitigate data-related risks, ensuring that cybersecurity threats are identified and addressed proactively. The model also incorporates advanced analytics and machine learning techniques to automate the detection of potential vulnerabilities, thereby enhancing the efficiency and effectiveness of risk reporting. Furthermore, the framework advocates for a collaborative approach, involving stakeholders from IT, security, compliance, and business units to ensure that data governance policies align with the organization's overall cybersecurity strategy. This interdisciplinary collaboration is essential for fostering a culture of cybersecurity awareness and accountability across the enterprise. In addition to technical considerations, the framework addresses the need for clear governance policies and procedures, regular audits, and continuous monitoring to maintain data integrity and compliance with regulatory requirements. The model is designed to be adaptable, allowing organizations to customize their data governance practices based on their specific industry, regulatory environment, and risk profile. The implementation of this data governance framework is expected to significantly improve the accuracy and reliability of cybersecurity risk reporting, providing BI teams with the tools and insights necessary to support informed decision-making and safeguard organizational assets against emerging threats.

ADIIT — An Evidence-Based Maturity Model for Faculty Support Teams in the Health Professions

Abstract Faculty support teams in health professions education operate in a unique environment that can engender specific challenges in their operations and development. This paper introduces an evidence-based maturity model designed to support the establishment and growth of such teams. The ADIIT model, which is named for the five levels of maturity that such teams can attain: (1) Ad Hoc/Initial; (2) Defined; (3) Integrated; (4) Innovative; (5) Transformative, enables faculty support teams to assess their current state and identify areas for improvement. Key elements of performance included in the model are team, leadership, operations/focus, customer base, and auxiliary services. The paper describes criteria for each element at each level and provides guidance about how to advance to the next level. A fictional case study is provided to demonstrate the application of the maturity model. Using this model will help faculty support teams in health professions education to develop the high level of focus and professionalism necessary to navigate between and provide support for classroom education, distributed learning, and clinical education.

Synesis as a framework to enable safety interventions in complex healthcare environments

BackgroundDespite wide adoption in the healthcare of safety event report (SER) systems, there is a paucity of unified structures for prompt analysis and action while retaining reporter confidentiality. We used...

Impact of Adverse Events on Neonatal Emergency Transport: Italian Experience.

To quantify and categorise retrospectively all adverse events occurring during unplanned neonatal emergency interhospital transfers conducted by the Transfer Service of the Spedali Civili di Brescia over 3 years. The revised data were extracted from specific questionnaires filled out by staff. The events were classified according to an adapted retrieval team model (PANSTAR); the risk level was assessed using an effective risk assessment score. In 340 transports, 74 adverse events were identified; 68% of them were perceived as due to human error. Most of the events (82%) occurred during the second stage of transportation. One of the 74 events was described as a potential cause of major injury to the patient; 61 of the 74 events were considered insignificant. No event was considered potentially catastrophic. Although most accidents do not pose a significant risk for the newborn, it is important to identify the few events that could potentially cause significant harm. Some phases of transportation are more at risk than others, and human error is confirmed as a predominant factor in most adverse events. Therefore, opportunities to reduce the number of events through education, training of neonatal retrieval teams and risk management should not be missed.

Efficacy of the nutritional support team model in the management of patients undergoing total gastrectomy combined with Roux-en-Y anastomosis.

To explore the efficacy of the nutritional support team (NST) management model in patients undergoing total gastrectomy combined with Roux-en-Y anastomosis. Clinical data of 102 patients who underwent total gastrectomy combined with Roux-en-Y anastomosis in Xingtai Central Hospital from January 2020 to October 2023 were retrospectively collected. Of 102 patients, 53 received the NST model of management (NST group), while 49 were managed by the conventional nutritional support (TN group). The nutritional and immune function status of the two groups before and seven days after the surgery, postoperative rehabilitation status, and the incidence of complications were compared. After the surgery, levels of albumin and total protein in both groups increased compared to before the surgery and were significantly higher in the NST group compared to the TN group (P<0.05). Levels of CD3+, CD4+, CD4+/CD8+ in the two groups increased compared to preoperative levels and were significantly higher than the TN group compared to the NST group. In contrast, postoperative CD8+ levels decreased and were significantly lower in the NST group (P<0.05). The duration of anal exhaust, defecation, and hospitalization in the NST group of patients was shorter (P<0.05), but no significance was found in the incidence of complications between the two groups (3.78% versus 16.33%) (P>0.05). For patients undergoing total gastrectomy combined with Roux-en-Y anastomosis, the NST nutritional management model can effectively improve nutritional status, enhance immune function, shorten the postoperative recovery process, and the incidence of complications is equivalent to that of patients receiving conventional nutritional support.

The Interdisciplinary Aortic Team: Opportunities for Collaboration in Acute Aortic Syndromes

AbstractInterdisciplinary teams offer potential advantages over siloed care models in complex cardiovascular disease management. Consensus guidelines for aortic management have increasingly identified the interdisciplinary aortic team as a key component in delivering quality care. Acute aortic syndromes are a subset of high acuity and lethal aortic pathologies that may benefit from an interdisciplinary approach. The advantages of the interdisciplinary aortic team model in the management of acute aortic syndromes and barriers to implementation are discussed.

THE RELATIONSHIP OF THE IMPLEMENTATION OF THE TEAM MODEL OF PROFESSIONAL NURSING CARE (MAKP) AND INCREASING NURSES' PERFORMANCE IN THE INPATIENT ROOM OF AHMAD YANI ISLAMIC HOSPITAL SURABAYA

Team model nursing care is an effort to improve the quality of nursing services at the Ahmad Yani Islamic Hospital, Surabaya.This research aims to determine the relationship between the method and methodTeam Model Professional Nursing Care on Nurse Performance in the Inpatient Room at the Ahmad Yani Islamic Hospital, Surabaya.The research uses a descriptive observational, cross-sectional research design with a chi-square test. The population in this study were all inpatient nurses, 201 people sampled in the study, and nurses who met the inclusion criteria were 199 people. The results of the cross-analysis between the application of the team method and the performance of the implementing nurses at the Ahmad Yani Islamic Hospital in Surabaya, it show that of the 199 respondents who implemented the team method, the performance of the implementing nurses was poor, as many as 83 respondents (41.7%) while the implementation of the team method with The performance of implementing nurses was good as many as 116 respondents (58.3%). In determining whether a hypothesis is rejected or accepted, the following basis is used: If the p-value &gt; 0.05 means there is no significant relationship, if the p-value &lt; 0.05 it means there is a significant relationship. Based on the theoretical test results, a significant value of 0.000 was obtained (p-value &lt; 0.05). This shows that there is a relationship between the application of the team method and the performance of implementing nurses at the Ahmad Yani Islamic Hospital, Surabaya.Through this research, it is hoped that it can be used as evaluation material for the work program of nurses in the room implemented in the hospital to encourage increased performance of implementing nurses in providing nursing care to patients as an improvement in the quality of nursing care.

Innovative Solutions for Multidrug-resistant Organisms Infections in ICU: A Joint Efficacy Evaluation of Multi-disciplinary Team and SHEL Model (Software, Hardware, Environment, Liveware)

BackgroundThe escalating threat of Multidrug-resistant organisms (MDROs) in Intensive Care Units (ICU) demands innovative management strategies to curb the rising infection rates and associated clinical challenges. ObjectiveTo assess the effectiveness of integrating the Multi-disciplinary team (MDT) approach with the SHEL model (Software, Hardware, Environment, Liveware) in reducing MDROs infections within ICU settings. MethodsFrom January 2021 to April 2024, a prospective, randomized controlled study was conducted in the ICU of Nantong Fourth People's Hospital, enrolling 411 patients with MDROs infections. These patients were randomly assigned into three groups: the MDT group, the SHEL model group, and a combined group. The intervention lasted for four weeks, during which the effects on the MDROs detection rate, infection rate, healthcare staff's infection control execution scores, and the rationality of antibiotic use were assessed, aiming to determine the efficacy of each approach in managing MDROs in the ICU setting. ResultsThe overall infection rate of MDROs in the ICU of our hospital from 2021 to 2024 was 60.18%, with sputum infection sources accounting for 68.37% of the total sources, making it the primary source of infection. The detection rate of MOROs in the combined group was significantly higher than that in the MDT group and the SHEL group, with the SHEL group having a higher detection rate than the MDT group (P<0.05). The infection rate of MOROs in the combined group was significantly lower than that in both the MDT group and the SHEL group, with the SHEL group having a lower detection rate than the MDT group (P<0.05). The implementation scores of the combination group in standard prevention, hand hygiene, antibiotic management, and isolation measures were significantly higher than those of the MDT and SHEL groups, with the SHEL group scoring higher than the MDT group (P<0.05). The rational use of antibiotics in the combined group was also higher than in both the MDT group and the SHEL group, with the SHEL group having a higher level than the MDT group (P<0.05). ConclusionThe integrated MDT and SHEL model significantly reduced MDROs infections in ICU, improved healthcare workers' infection prevention and nursing quality, and promoted the appropriate use of antibiotics, advocating for its clinical application.

The Development, Validity, and Reliability Study of Teacher Collaboration Skills Scale

Introduction: Collaborative working, one of the good practice examples in special education, is regarded as a beneficial tool for students with disabilities. The collaborative relationship of teachers providing special education services can encourage them to successfully carry out instructional practices in their classrooms and to create a trust-based team model. This study aims to develop the ‘Teacher Collaboration Skills Scale’ (TCSS) to assess teachers' collaborative work providing special education services. Method: The TCSS prepared in line with the study’s purpose was applied to 513 teachers. First, 62 teachers working together in special education schools were reached. In the pilot implementation phase, 157 teachers from 21 provinces of Türkiye attended, and exploratory factor analysis (EFA) was conducted. Finally, after revisions, the scale, prepared with online access permission, was completed by 294 teachers from 41 provinces, and confirmatory factor analysis (CFA) was performed on the data. Findings: EFA was conducted to test the relationship between items and to determine factors and the items collected under them. As a result, a structure consisting of 22 items with 4 factors was defined. The structure tested with CFA showed a high level of model-data fit. The scale’s reliability calculated by Cronbach’s alpha internal consistency coefficient was .97. Discussion: This scale is a valid and reliable tool for measuring teacher collaboration skills. It can be used to evaluate teachers’ collaborative working skills in special education in Türkiye and will guide the interventions to be developed.

The Integration of Nurse Practitioners Into Mass Gathering Medical Teams.

Mass gathering events can greatly impact overburdened emergency medical service systems and emergency departments, which frequently experience staffing shortages and overcrowding. Nurse practitioners (NPs) were introduced into an event medicine team at mass gatherings to reduce emergency transports to local emergency departments as well as offering a "treat and release" disposition for patients presenting to medical tents. This study aimed to examine the impact of NPs at mass gathering events; 147 chart reviews were performed from 05/01/2023 to 09/30/2023 for all patients assessed by an NP at events staffed by an event medicine team; 60% of patients assessed by an NP were treated and released from the event, potentially reducing the number of patient transports and emergency department visits considerably. NPs can provide higher levels of care at events, treating common complaints such as heat-related illness, nausea, vomiting, minor trauma, and laceration repairs. Although this study did not compare data from events where NPs were not present versus when they were utilized to grasp the statistical impact their presence has had since their introduction to the team model, the study clearly shows the benefits NPs bring to mass gathering medical care. This is significant for emergency NPs as this research validates the need to include these providers in this new setting and role in which they can practice. More research is needed to compare patient outcomes with and without NPs present.

Research on the shared mental model of top management team about the formation motivation, the structural characteristics and the impact mechanism of enterprise performance:a longitudinal case study of the life cycle

From the perspective of the team life cycle, the Top Management Team (TMT) of Enterprise F was selected as the focal point of research. Utilizing a longitudinal single-case study approach, this study dynamically correlated the formation drivers, structural attributes, and corporate performance associated with the shared mental model of the enterprise TMT, elucidating the interdependencies among these elements. The research indicated that during the formation,oscillation, standardization, and executing stages of the TMT life cycle, the levels of team cohesion, communication efficacy, and cognitive conflict. It is these dynamic alterations that propel the evolution and advancement of the TMT's shared mental model. Concurrently, the TMT's shared mental model exhibits varying structural attributes at different stages of the lifecycle. Moreover, the shared mental model exerts an influence on corporate performance by modulating the behavioral integration of the TMT. The case clearly reveals the formation motivation, the structural characteristics and the Impact mechanism of enterprise Performance about the TMT shared mental model based on the life cycle.

Team-centered IDAC: Modeling and simulation of operating crew in complex systems - Part 2: Simulation aspects and application

Complex systems operations, such as Nuclear Power Plants (NPPs), generally require professional operating teams. Factors associated with teamwork, such as inappropriate communication and coordination, are important contributing factors to accidents and unsafe behavior. The impact of crew interactions on team effectiveness and, consequently, on the entire system, has yet to be fully and quantitatively explored in high-risk environments such as NPPs. Since a team is an interactive social system, team-specific issues must be studied and evaluated from a “team perspective”—based on team dynamics and processes. This paper is a part of a two-papers series that presents a simulation-based Team Model for NPP control room operations. Part 1 describes the theoretical fundaments of the model and details its elements. The current paper, Part 2, describes the simulation aspects and a full application of the method to an NPP four-steam generator feedwater system pipe break. It presents how to set up the simulation elements, such as hardware and humans within a team, using MATLAB Simulink. The method is demonstrated through a case study of an NPP four-steam generator feed water system pipe break. The results are discussed and assessed against theoretical and experimental findings.

Multi-disciplinary team approach for pediatric hemimegalencephaly: Insights from a single institutional case series.

Recent genetic studies have revealed that hemimegalencephaly (HME) is a multi-system disorder associated with germline or mosaic variants within the PI3K-mTOR-GATOR1 signaling pathways. Patients with HME typically develop drug-resistant epilepsy necessitating extensive evaluation, hemispherectomy, and long-term management. We describe the role of a multidisciplinary team (MDT) for the diagnosis and management of recent patients with HME at UCLA who underwent hemispherectomy. Genetic evaluation identified nine patients with the following variants: NPRL3 x2 germline, PIK3CA mosaicism x4, MTOR mosaicism x1, AKT3 mosaicism x1, unknown x1. Each patient's MDT comprised 4-9 specialties. One child with a MTOR variant had persistent epilepsy after hemispherectomy, but addition of everolimus resulted in an 80% decrease in seizure frequency. Another child with hemihypertrophy and PIK3CA mosaic variant was offered targeted PIK3CA inhibitor treatment, alpelisib, for overgrowth. A third child with germline NPRL3 variant inherited from their unaffected mother resulted in a sibling being diagnosed with the variant who later developed seizures secondary to focal cortical dysplasia. The implementation of a MDT offers essential guidance for families affected by HME, encompassing prognostication, surveillance, and therapeutic strategies. Identifying the etiology of HME can facilitate the development of targeted treatments and enable timely genetic counseling. PLAIN LANGUAGE SUMMARY: Hemimegalencephaly (HME) is a complex brain disorder caused by genetic changes. It often leads to severe epilepsy that doesn't respond to standard treatments and frequently requires surgery. In this case series, nine patients with HME were identified and found to have genetic mutations in key growth-regulating genes. A multidisciplinary team model was developed to facilitate patients' care. For example, one patient's seizures improved with surgery, another with a new targeted medication, and another received treatment for symptoms of overgrowth. This team approach provides comprehensive care for patients and can lead to efficient care coordination and implementation of novel therapies.

Correction to: Examining ownership models in software teams

Correction to: Examining ownership models in software teams

Team-centered IDAC: Modeling and simulation of operating crew in complex systems – Part 1: Team model and fundamentals

Operation of highly complex systems such as Nuclear Power Plants (NPPs) generally require highly trained professional operating teams. Factors associated with teamwork, such as ineffective communication and coordination, can be important contributing factors to accidents and unsafe behavior. The impact of crew interactions on team effectiveness and, consequently, on the entire system, has not been fully and quantitatively explored in high-risk environments such as NPPs. Since a team is an interactive social system, team-specific issues must be studied and evaluated from a “team perspective”—based on team dynamics and processes. This paper is part of a two-papers series that presents a simulation-based Team Model for NPP control room operations. The current paper, Part 1, describes the theoretical fundaments of the model and details its elements. The accompanying paper describes the simulation aspects, and a full application of the method to a pipe break accident in a four- four-loop steam generator feedwater system. The proposed model is based on the IDAC (Information, Decision, and Action in Crew context) cognitive model framework. The resulting model, Team-centered IDAC (Tc-IDAC), examines the team activities “Collaborative information collection,” “Shared decision making,” and “Distributed action execution” through specific modules for Team Error Management. These modules include error detection, error indication and error correction, and team performance shaping factors.

Impact of Co-Management Mode on Diagnosis and Treatment Compliance in Community-Level Diabetic Patients with Retinopathy.

Aims/Background To implement a co-management mode among community-level diabetes patients and analyze its impact on diagnosis and treatment compliance and diabetic retinopathy of the patients. Methods A total of 80 patients who underwent diabetic retinopathy examination in Lanxi People's Hospital from January 2021 to March 2022 were retrospectively selected as the study objects. The clinical data of the patients were analyzed, including 40 patients who adopted the conventional diabetes management mode from January 2021 to August 2021 as the control group. From September 2021 to March 2022, 40 patients in the county medical service community diabetes management team model were adopted as the management group. The two groups of patients were compared in terms of diabetic retinopathy indictors, biochemical examination indicators, self-management ability, and nursing management satisfaction. Results Number of patients complying with treatment protocols in the management group was higher than that in the control group (p < 0.05). The blood spot area, macular thickness, hemangioma volume, and visual-field grayscale value in the management group at the last follow-up were all lower than those in the control group (p < 0.05). The levels of diastolic blood pressure (DBP), systolic blood pressure (SBP), fasting blood glucose (FBG), hemoglobin A1C (HbA1c), total cholesterol (TC), and triglyceride (TG) in the management group at the last follow-up were all lower than those in the control group (p < 0.05). The scores of disease cognition ability, self-management ability, and nursing management satisfaction in the management group were all higher than those in the control group (p < 0.05). Conclusion By changing management concept and implementing the whole-process management and treatment mode for diabetic patients within the scope of the county medical service community, the diagnosis and treatment compliance of the patients can be improved, and the effective control of blood glucose, blood pressure, and blood lipid levels can be achieved, thereby improving the self-management ability and nursing management satisfaction of the patients and providing a new nursing mode for chronic disease management.

Delivery of Oral Health Services at Medical Visits through 3 Medical Dental Integration Models.

The Rocky Mountain Network of Oral Health is 1 of 3 regional projects funded by the Health Resources and Services Administration (2019 to 2024) focusing on caries prevention through medical-dental integration (MDI) in community health centers (CHCs). MDI models included provision of preventive oral health services (POHS) at medical visits by the medical team (model 1), by integrated dental hygienists (DHs; model 2), or a hybrid of these models (model 3). The overarching aim is to evaluate the effectiveness of these models on 3 objectives: (1) ≥50% receive POHS, (2) ≥75% with high caries risk receives dental referral, and (3) ≥30% of parents/caregivers set an oral health goal for the child. Primary care association practice facilitators (PFs) recruited 22 CHCs to participate from Arizona, Colorado, Montana, and Wyoming. CHCs completed oral health needs assessments prior to participating. PFs coached CHCs using an MDI change package. CHCs submitted monthly and 6-mo, aggregated, deidentified population metrics for children aged 0 to 40 mo receiving well-child care visits. Monthly CHC-specific reports were used by PFs with teams in continuous quality improvement activities. POHS delivery trends over time were assessed using a linear mixed model, adjusting for number of eligible patients during each 6-mo reporting period. Participating CHCs were urban (55%), rural (36%), and frontier (8%). Twelve (55%) had co-located dental clinics. Ten CHCs implemented model 1, 5 implemented model 2, and 7 implemented model 3. From September 2020 to August 2023, CHCs reported providing 91,604 POHS to eligible children. After adjustment, there was significant improvement over time for all objectives: objective 1: F(5, 90) = 4.66, P = 0.0008; objective 2: F(5, 90) = 2.99, P = 0.0151; objective 3: F(5, 90) = 4.56, P = 0.0009. The implementation of 3 MDI models across 22 CHCs in 4 states resulted in a meaningful increase in POHS delivery. POHS delivery by both medical and embedded DHs was associated with the most substantial increase in POHS delivery. The results of this study can be used by medical and dental providers when deciding which approach they wish to use when planning the delivery of preventive oral health services at medical visits.