Practice Team Research Articles

The Development and Innovation of Social-Emotional Learning in China

In todays society, implementing social-e motional learning (SEL) is an important way to promote childrens all-round development fromthesmallsense, and the key to building global citizenship fromthelargesense. With the concept of social-emotional learning being proposed by the Collaborative for Academic, Social and Emotional Learning (CASEL), and SEL was putting on the global policy agenda by the United Nations Educational, Scientific and Cultural Organization (UNESCO), many countries have begun to explore and carry out relevant practices according to their actual conditions. This study takes the practice of MOE-UNICEF SEL Programme Team in China as an example to analyse how the policies and practices related to social-emotion learning were diffused and innovated in China. Onthisbasis, some preliminary suggestions on policy formation, theoretical framework, areas requiring special attention, programme implementation and evaluation can be put forward, which are hoped to provide a little reference for the better promotion of SEL.

The processes of developing the coach-athlete relationship: a case study in women’s university sport

ABSTRACT The purpose of this research was to describe and interpret the processes of developing the coach-athlete relationship in a women’s university sports team across one competitive season. Data were generated from observations of 19 team practices and 11 games, and two individual interviews with the coach and three athletes. Participants’ unique perspectives of developing the coach-athlete relationship were examined through the use of Jowett’s (2007) 3 + 1Cs model. Findings highlight the ambiguous and often contradicting ways that participants understood and interpreted the processes of their coach-athlete relationship, due in part by the performance and social agendas at play. This research makes a contribution to knowledge about the processes of the coach-athlete relationship in a team environment and application of the 3 + 1 Cs model by primarily attending to its processes rather than outcomes. In doing so, we showed some of the complexities in these processes and the challenges this offers to coaches and athletes.

What Works in Collaboration? Identifying Key Ingredients to Improve Service Delivery in Schools.

This survey study examined factors that may influence interprofessional collaboration in schools to support children with oral and written language impairments, namely, knowledge, collaborative beliefs and practices, and resources. A survey was conducted across 319 school-based professionals, in a partnering public school district, to examine these constructs within the context of each individual participant's professional role. Between-groups comparisons were made between special educators, general educators, paraprofessionals, and indirect educators (i.e., those whose roles do not explicitly include language-based instruction). Special educators had significantly higher levels of learning experiences and knowledge about language disorders compared to other groups. Those who engaged in the most independent learning (i.e., learning outside of pre- or in-service learning) exhibited the highest levels of knowledge. Collaborative beliefs among professionals were best predicted by access to resources and overall professional learning experiences. More positive collaborative beliefs, in turn, predicted higher rates of collaborative behaviors. Resources were predicted by a small negative relationship with years of experience and by working in specific school buildings within the district. Those with less experience in specific buildings reported more resources. Individuals with higher levels of individual learning and positive attitudes toward collaboration may enhance the interprofessional collaborative practices of teams supporting children with language disorders. https://doi.org/10.23641/asha.24059178.

Developing consensus on the principles and key actions for collaborative working between general practices and community pharmacies: a modified eDelphi study

ObjectivesTo develop consensus on the principles and key actions for collaborative working in practice between general practice, community pharmacy and patients and their carers.DesignThree-round modified eDelphi study, starting from an...

Environmental Sustainability and the National Hockey League: A Review of the Seven Canadian Teams

Environmentalists consistently note that the way we live and work is having devastating impacts on the environment, and immediate change is required if the planet is to be saved. Legislation is being enacted to force industries and companies to change their business practices so the impact of their programs and services is less damaging to the environment. Some organizations, including professional sports teams and facilities, have implemented environmentally friendly programs and practices to reduce their environmental impact. They have subsequently celebrated these developments as part of their corporate social responsibility (CSR) and corporate environmental responsibility (CER) programs. The researchers reviewed the programs and practices of the seven National Hockey League (NHL) teams based in Canada and, based on these assessments, offered suggestions for improvement based on the best practices of teams and facilities from other sports and facilities across the globe. These environmental programs should serve as the most critical component of their corporate social responsibility program. Keywords: corporate environmental responsibility, National Hockey League, Canada

Relational coordination in value-based health care.

An important element of value-based health care (VBHC) is interprofessional collaboration in integrated practice units (IPUs) for the delivery of the complete cycle of care. High levels of interprofessional collaboration between clinical and nonclinical staff in IPUs are assumed rather than proven. Factors that may stimulate interprofessional collaboration in the context of VBHC are underresearched. The aim of this study was to examine relational coordination (RC) in VBHC and its antecedents. A questionnaire was used to examine the association of both team practices and organizational conditions with interprofessional collaboration in IPUs. Gittell's Relational Coordination Survey was drawn upon to measure interprofessional collaboration by capturing the relational dynamics in coordinated working. The questionnaire also included measures of team practices (team meetings and boundary spanning behavior) and organizational conditions (task interdependence and time constraints). The number of different professional groups participating in team meetings is positively associated with RC in IPUs. Boundary spanning behavior, task interdependence, and time constraints are not associated with RC. In IPUs, the diversity within interprofessional team meetings is important for establishing high-quality communication and relationships. Hospital managers should prioritize facilitating and encouraging shared meetings to enhance RC levels among professional groups in IPUs.

Emergence of creativity in IS development teams: A socio-technical systems perspective

Despite the crucial role of creativity in the dynamic and intricate practice of Information Systems Development (ISD), our understanding of its emergence in ISD teams is limited. Prior research has focused on isolated interventions into the people, structure, task, and technology components of ISD practices. However, the synergistic interactions between these components are often overlooked, resulting in interventions that may be ineffective or counterproductive. Drawing on Leavitt’s Socio-Technical Systems (STS) theory, this paper explores creativity as a synergistic outcome of interactions within and between the people, structure, task, and technology components. Our qualitative study at a multinational banking software provider reveals that creativity emerged from within-component interactions when innovators and facilitators in ISD teams interact empathetically during idea generation and evaluation, visualize ideas using technologies for representation and collaboration, and align their creative styles with the organization's formal and informal structures. Additionally, we found that interactions between the STS components in ISD team practices created stimulating environments for creativity to emerge. Our study advances an STS perspective on the emergence of creativity in ISD teams, emphasizing synergistic interactions between people, structure, task, and technology rather than isolated interventions. Practically, our findings provide insights into how IS professionals can nurture creativity by fostering empathetic leadership, aligning creative styles with organizational structures, and balancing tensions between control and drift.

Clinical analysis of decision implementation by a multidisciplinary team in cervical cancer cases in Ganzhou, China.

In this study, we evaluated the role of a multidisciplinary team (MDT) in clinical practice for cervical cancer by analyzing the development of a single-case multidisciplinary consultation for cervical cancer. Patients in MDT consultations for cervical cancer were retrospectively analyzed for clinical information, decision content of MDT discussion, implementation, and follow-up results. Of the 392 patients who met the inclusion criteria, 359 had a first episode, of which 284 were stage IA-IIA2 (79.11%) and 75 were stage IIB-IVB (20.89%). Of these 392, 33 had a recurrence (8.42%). A total of 416 cases were analyzed, and neoadjuvant chemotherapy with surgery was recommended in 43 cases, of which 40 cases were implemented, and 36 of the 40 achieved the expected outcome. Surgical treatment was recommended in 241 cases, of which 226 underwent surgery, and 215 of them achieved the expected outcome. Radiotherapy was recommended in 31 cases, of which 26 cases underwent it, and 22 of them achieved the expected efficacy. Concurrent chemoradiotherapy was recommended in 57 cases, of which 49 underwent it, and 39 of them achieved the expected efficacy. Other treatments were recommended in 44 cases, of which 23 cases were implemented, and 10 of them achieved the expected efficacy, with statistically significant differences compared with cases without implementation (P <0.05). MDT decisions were correlated with age; the younger the patients, the higher the implementation efficiency (P <0.05). The difference between MDT expectation in all implementation and partial implementation and age was statistically significant (P <0.05). No significant difference was found between age and MDT expectation in all not fully implemented decisions (P >0.05). Some decisions were not fully implemented due to economic status and fear of certain treatments of the patient. The MDT plays an important role in clinical practice such as clinical staging, treatment plan, and the complete treatment management of patients with cervical cancer, which can significantly improve the near-term treatment effect, whereas its effect on a long-term prognosis needs further clinical observation and active exploration.

Burden and patient characteristics associated with repeat consultation for unscheduled care within 30 days in primary care: a retrospective case control study with implications for aging and public health.

Repeated consultations in primary care represent a significant burden on healthcare services. Characterizing the patients who repeatedly attend ambulatory care would enhance our understanding of the healthcare needs of this population, with a view to providing appropriate services. The aim of this study was therefore to identify the factors associated with repeated consultation in unscheduled care. Our secondary aim was to explore the specific profile of patients aged >65 years. A retrospective case-control study comparing re-consultation within 30 days at a primary care facility versus non-reconsulting patients, defined as those who did not reconsult within 30 days, among patients consulting over a period of 1 year (1 January to 31 December 2019). Data was collected for a random sample of 5,059 consultations. Patients and controls were matched for age ± 5 years, and sex. The main factors associated with repeat consultation were an initial consultation late at night (midnight to 6.00 am; OR 1.31, 95%CI 1.20-1.44), and psychological disorders as the main diagnosis (OR 1.33, 95%CI 1.20-1.48). Conversely, consulting at the weekend was associated with a lower likelihood of repeat consultation (OR 0.82, 95% 0.85-0.91). 30-day reconsultations were significantly more frequent after late night consultation. This could be used as an indicator of the quality of care to assess performance of general practice teams with implications for improving overall health of an aging population.

Family caregivers in primary care: a survey of German general practitioners on procedures and problems experienced in day-to-day practice

BackgroundBy providing both assistance and support, GPs can play a central role for family caregivers. By catering to the needs of caregivers, they are capable of stabilising in-home care settings over the long term. The aim of the present study is to provide a status quo analysis of how GPs assess their options for supporting individuals providing care, as well as the focal points set by their practice, and their estimation of obstacles and challenges encountered in day-to-day practice.MethodAn online questionnaire was used to survey a total of 5112 GPs in North Rhine-Westphalia between April and November 2022 (response quota: 46%). A heterogeneous random sample was obtained (58% male, 42% female; average age: 57; 50% medium-sized town/city practice, 50% rural/small town practice). To determine significant differences between two groups, a t-test was used with independent random samples. Answers to free-form questions were analysed using a subsequent coding based on a qualitative content analysis.FindingsA total of 70% of respondents have frequent contact with family caregivers. Some 79% consider GPs to be well-suited to the role of primary contact point for caregivers and coordinating care. GP-carer support relationships typically arise as a result of caregivers approaching GPs (90%). Topics frequently addressed involve a worsening of the care situation (77%) and changes in the care needed (86%); consultations in the initial phase of the care situation are less common (44%). While respondents perceive a complex constellation of needs on the part of family caregivers, differences in priorities are observable between GPs in urban and rural environments (involvement of consultant/support network versus proactive and psychosocial assistance). GPs experience a wide range of challenges in providing assistance to caregivers, including the timely organisation of appropriate relief programmes (87%), referring caregivers to suitable help services (80%) or the early identification of informal caregivers (60%).DiscussionIn order to strengthen the GP role, the practice team should talk to caregivers as early as possible, and refer them to suitable help and support programmes. To achieve effective support for successful care, it is important to cater equally to the needs of the persons giving and receiving care as part of the caregiver-care receiver-GP triad.

Creating Global High-performing Innovation Teams - Insights and Guidelines

This study proposes a model, process and guidelines supporting the creation of global high-performing innovation teams. As global innovation work by teams has become more common, global companies conducting or aiming to conduct global innovation work would benefit from using the suggested proposals. Through a two-pronged research approach, data were collected through a systematic literature review to identify key factors enabling global innovation work from the innovation team perspective and its context, which were validated through interviews and questionnaires with senior management, management, and team members involved in innovation teams spanning six countries. The analysis enabled the proposition of an original model describing a global high-performing innovation team and its context and perspectives alongside a process and guidelines to create such teams in practice, adding knowledge to previous literature, particularly the research field of Innovation Management. Limitations and further research are discussed.

When a woman replaces a man: evaluating coach dismissal in professional tennis

ABSTRACT Purpose Previous research indicates gender discrimination in leadership positions. However, performance and not gender should be the key indicator when evaluating a leader. We examine the performance effect of changing from a female to a male coach and vice versa. Methodology We analyze 1,093 Billie Jean King Cup singles matches from 2006 to 2016, with the match result as the dependent variable. First, we examine the very short-term effects arising from the change of a coach with a regression discontinuity design. Second, we evaluate the short-, medium-, and long-term performances. Findings The results show that the gender of the new coach has no significant effect on performance. However, when a female coach succeeds another female coach, performance improves. This provides an argument in favor of female leadership. Practical Implications Team managers should primarily focus on the quality of the coach instead of gender. The results also suggest that a continuum of female leadership is likely advantageous. Research Contribution This paper contributes to the debate regarding the misrepresentation of women as head coaches and offers an avenue for further research.

Strategy on precision medicine multidisciplinary team in clinical practice

AbstractBackgroundThe multidisciplinary team (MDT) of precision medicine refers to an expert group composed of experts from multiple disciplines, which uses the concept of precision medicine to regularly discuss related diseases, in order to solve difficult clinical problems and put forward feasible personalized treatment schemes for patients.Methods and resultsThe composition and function of precision medicine MDT is defined based on our clinical practice. MDT consists of core fixed members, extended members, auxiliary personnel and secretary. The overall workflow of MDT includes patient selection, organization, discussion and follow‐up. Under this workflow, our MDT team handled many cases, and some of them have been reported.ConclusionWe focused on the strategy analysis on multidisciplinary team of precision medicine including composition, function, management, and criteria, hoping to provide a novel and standardized treatment mode for patients.

Navigating cultural competence in district nursing.

Cultural diversity is an evolving feature of modern-day society. It is recognised that many factors contribute to culturally competent care and evidence suggests there are still inequalities in care provision to some populations. District nurses (DN) deliver care to individuals', families and communities across varying demographics, and aim to provide high quality evidencebased, person-centred care. The scope of the DN and the community nursing team's practice is far reaching and extends across generations and an array of chronic complex health conditions. Therefore, it is imperative that DNs are aware of aspects surrounding cultural diversity, to ensure they can holistically assess and manage patients on their caseloads and support teams to practice culturally competent care. This article aims to provide an outline of key areas for exploration in cultural competence. It will highlight communication, pain, end of life, nutrition and health disparities to consider barriers and challenges for district nursing practice.

Can extended duties dental nurses (EDDNs) as oral health educators (OHEs) be beneficial for the practice and morale?

Jo Dawson explores what it is like to use the Oral Health Education qualification in a general dental practice setting and the empowering opportunities it can offer patients and staff. Aim To have a better understanding of the advantages of using EDDN OHEs in general dental practice. Objectives To have an increased awareness of the role of an oral health educator. To understand what benefits offering an OHE service could bring to a dental practice. To look at examples using EDDN OHEs and the impact they have had on Dental Nurse's self-esteem and their standing within the practice team.

The impact of general practice team composition and climate on staff and patient experiences: a systematic review.

Recent policy initiatives seeking to address the workforce crisis in general practice have promoted greater multidisciplinarity. Evidence is lacking on how changes in staffing and the relational climate in practice teams affect the experiences of staff and patients. To synthesise evidence on how the composition of the practice workforce and team climate affect staff job satisfaction and burnout, and the processes and quality of care for patients. Four different searches were carried out between December 2021 and March 2022 using MEDLINE, Embase, Cochrane, CINAHL PsycINFO and Web of Science. PRISMA guidelines were followed and data were synthesised thematically. Eleven studies set in primary care were included, 10 from US integrated healthcare systems, one from Canada. Findings indicate that when teams are understaffed and work environments are stressful, patient care and staff wellbeing suffer. However, a good relational climate can buffer against burnout and protect patient care. Good team dynamics and team cohesion have a greater impact on job satisfaction and patient care coordination than team composition; stable team membership is also important. Better patient experiences are associated with female physicians. However, these same physicians are at higher risk of burnout. Evidence regarding team composition and team climate in relation to staff and patient outcomes remains limited. Challenges exist when drawing conclusions across different team compositions and differing definitions of team climate. Future research may benefit from exploring the conditions that generate a productive team climate.

Provision of Concussion Information From Coaches and the Presence of Athletic Trainers: Findings From the 2021 YouthStyles Survey.

Coaches play an important role in concussion safety, and their views on concussion influence those of their athletes and the athletes' reporting behaviors. In this 2021 survey of youth, we examined how often coaches provide concussion safety information to their athletes and the association between coaches' provision of concussion information to athletes and the presence of athletic trainers (ATs) at a team's games and practices. More than 4 in 10 youth who played sports reported that their coaches did not provide any sort of concussion education or information to them in the past 12 months. Among those youth who always or sometimes had ATs at practices or games, 76.3% received some type of coach education on concussion in the past 12 months, compared with 31.9% of those who rarely or never had ATs at practices or games (P < .0001). Increasing access to ATs and adapting current concussion training and educational materials for coaches to increase coach-athlete communication may be beneficial.

Nurturing growth

Sarah Mantle explores how to get the most out of the practice team

Equitable and timely access to outpatient COVID-19 treatment: A review of centralized workflow implementation at an integrated health system

BackgroundDuring the evolution of the COVID-19 pandemic, health care entities had to adapt to rapidly changing research and best practices in disease prevention and treatment to maintain the delivery of high-quality patient care. Prompt interdisciplinary efforts amongst physician, pharmacist, nursing, and information technology teammates are needed to develop robust centralized strategies to allocate and administer COVID-19 therapies in the ambulatory setting. ObjectiveThe objective of this analysis is to demonstrate the impact of a system-wide, centralized workflow on referral times and treatment outcomes for COVID-19 infected patients in the ambulatory setting. MethodsUpon release of monoclonal antibodies for the treatment of COVID-19, a centralized approach for patient treatment referrals to the University of North Carolina Health Virtual Practice team was developed due to the limited supply. Collaboration with infectious disease colleagues played a pivotal role in the rapid application of therapeutic guidance and creation of treatment prioritization levels. ResultsFrom November 2020 through February 2022, the centralized workflow team facilitated the administration of over 17,000 COVID-19 treatment infusions. The median time from treatment referral to infusion was 2 days from a positive COVID-19 test result.From January through February 2022, 514 oral COVID-19 treatment courses were dispensed from the health system’s outpatient pharmacies. The median time from referral to treatment was 1 day from diagnosis. ConclusionGiven the ongoing strain and demand of COVID-19 on the health care system, a centralized, multidisciplinary team of experts allowed for efficient delivery of COVID-19 therapies through one provider touchpoint. The collaboration between outpatient pharmacies, infusion sites, and Virtual Practice culminated in a sustainable, centralized treatment approach that supported widespread reach, and equitable dose distribution, to the most vulnerable patient populations.

A multi-national survey of experience and attitudes towards managing catheter related blood stream infections for home parenteral nutrition

Catheter-related bloodstream infection (CRBSI) is the most common complication of home parenteral nutrition (HPN) in patients with chronic intestinal failure (CIF). The aim of this study was to assess the broad range of practices of international multi-disciplinary teams involved in the care of this complication occurring in CIF patients. An online questionnaire was designed and distributed to members of the European Society for Clinical Nutrition and Metabolism (ESPEN) and distributed to colleagues involved in managing patients with CIF. A total of 47 responses were included from centers across 21 countries. The centers had been delivering HPN for a median 21 years (IQR 11-35) and were actively following a median 58 patients (27-120) per center for benign CIF in 80% of cases (67-95). Tunneled catheters were the most common type of central venous catheters (CVC), representing 70% (47-86) of all CVC in use. For the management of CRBSI, written procedures were provided in 87% of centers. First measures included simultaneous central and peripheral blood cultures (90%), stopping HPN infusion (74%), and administrating an antibiotic lock and systemic antibiotics (44%). Immediate removal of the CVC was more likely in case of fungal infection (78%), Staphylococcus aureus (53%), or in case of PICC catheter (52%) (all p<0.01). After the first CRBSI, 80% of centers used preventive CVC locks (taurolidine in 84% of cases, p<0.001). We observed a large heterogeneity in practices regarding preparation, duration, reaspiration, and volume of CVC locks, and monitoring of CRBSI (timing of blood cultures, radiological work-up). In this international survey of HPN expert centers, we observed a significant consensus regarding the initial management of CRBSI and the use of secondary preventive CVC locks, while areas of variation exist. Management of CRBSI may be improved with clearer recommendations based on the micro-organism and the type of CVC, including PICC lines which are increasingly used yet insufficiently studied in HPN patients.