Team Awareness Research Articles

Knowledge, Awareness, And Practice Of Multidisciplinary Team (MDT) Involved In The Rehabilitation Of Head And Neck Cancer Patients Regarding Post-Radiotherapy Prosthetic Options.

BACKGROUND: Head and neck cancer (HNC) patients require specialized multidisciplinary team care throughout the diagnosis, treatment, and survival. To achieve rehabilitation goals, a multidisciplinary team (MDT) should have adequate information regarding post-radiotherapy prosthetic options. This enables optimal rehabilitation and improves their quality of life. AIM: To assess the Knowledge, awareness, and practice of a multidisciplinary team involved in the rehabilitation of Head and Neck cancer patients regarding post-radiotherapy prosthetic options. SETTINGS AND DESIGN: Descriptive survey. MATERIALS AND METHODS: The URLs of the questionnaire consisting of fifteen closed-ended questions were shared via the web to the MDT team practicing in Tamilnadu and Pondicherry, to obtain a response of 119 which was the predetermined sample size. STATISTICAL ANALYSIS: Frequency and percentages and the results were further analysed statistically by the Chi square test. RESULT: Majority of the members in the multidisciplinary team were aware of few information on the impact of common treatment side effects on prosthetic rehabilitation and prosthetic options available, but were not practicing. CONCLUSION: Prosthetic options in postradiotherapy patients provides better results in terms of retention, stability, masticatory efficiency, comfort, and psychological well-being of the patient. Hence, the awareness of MDT should be increased regarding various available options of the prosthetic rehabilitation, advantages and disadvantages of prosthesis, and possibilities for retreatment in the case of failure for a successful treatment outcome.

Presenteeism among nurses: An integrative review

BackgroundPresenteeism, a phenomenon in which employees attend work despite physical or mental limitations, is prevalent among nurses and has negative implications for patients, healthcare organizations, and nurses themselves. ObjectiveWe aimed to present the current state of knowledge on presenteeism in nursing, focusing on prevalence rates, reasons, influencing factors, and consequences. DesignWe performed an integrative review. MethodsWe searched databases for studies on presenteeism in the nursing workforce published between 2018 and 2024. This review included 44 studies that met the inclusion criteria, specifically 38 quantitative studies, 4 qualitative studies, and 2 reviews. ResultsThe results indicated that the prevalence of nurses exhibiting symptoms of presenteeism varies between 32% and 94%. The influencing factors include workload, team culture, age, childcare responsibilities, job insecurity, and leadership practices. Presenteeism can lead to significant individual and organizational consequences such as increased health issues among nurses, decreased quality of patient care, and higher healthcare costs. Most studies were focused on nurses who work in hospitals, with only one study addressing nurses who work in nursing homes. ConclusionThis review highlights the high prevalence of presenteeism among nurses and its multifaceted causes and effects. This underscores the need for increased awareness and training of both nurses and management teams regarding the importance of addressing presenteeism. Further research is needed in settings such as nursing homes and outpatient care to understand the unique challenges and impacts in these environments. Efforts should focus on improving working conditions, fostering supportive organizational cultures, and implementing effective leadership practices to mitigate the negative effects of presenteeism.

Impact of patient safety bundle and team-based training on obstetric hypertensive emergencies.

Hypertensive disorders of pregnancy, defined as chronic (<20 weeks) or gestational (>20 weeks), are a leading cause of pregnancy related mortality in the United States1. Hypertensive disorders of pregnancy had increased prevalence from 13.3% to 15.9% among delivery hospitalizations between 2017 and 20191. The objective of this project was to increase the percentage of obstetric patients with hypertensive emergency who received evidence-based treatment within 60 minutes at a single academic center. Study Design Data was collected before and after the implementation of a hypertension patient safety bundle. Each occurrence of hypertensive emergency was assessed to determine if evidence-based intervention occurred within 60 minutes, and if the intervention steps were successfully followed. Bundle implementation included creation of a standardized order set and interdisciplinary team-based simulations. Baseline data compared 250 pre-implementation to 250 post-implementation interventions. The quality improvement interdisciplinary team reevaluated data monthly and incorporated process improvements through Plan Do Study Act (PDSA) cycles to achieve a goal of 80% of patients receiving evidence-based treatment within 60 minutes. Results A total of 1025 hypertensive emergencies were identified in 543 patients. Prior to the protocol on average 64% of patients received evidence-based, timely treatment. After implementation of this bundle and several PDSA cycles, we sustained >80% of patients receiving target treatment for the final six months of data collection. The leading deviations were "no medication given" and "incorrect medication". Improvements in order set accessibility and repeated team-based trainings led to improvement in these identified protocol deviations. Conclusion Implementation of a patient safety bundle led to a sustained 6 month improvement in the percentage of patients receiving appropriate treatment of obstetric hypertensive emergency within 60 minutes of the first severe hypertension measurement. Processes that may have helped achieve this outcome included standardized order sets, team awareness of institutional data and team-based simulations.

728 Laparoscopic Fundoplication as a Day Case Procedure - Patient Comprehension for a Successful Model

Abstract Aim The British Association of Day Surgery states that elective laparoscopic Nissen’s fundoplication procedures should be performed as a day case in 40% of patients. The purpose of the study was to design a model for laparoscopic fundoplication to increase the numbers done as a day case procedure. Method This was a retrospective study of all patients who underwent laparoscopic fundoplication from 2014 - 2019. We introduced patient information leaflets and awareness amongst the patients regarding the procedure following our initial audit in 2014. Further intervention in terms of the surgical team and theatre staff awareness to reach our goal by distributing surgery-oriented pamphlets and information. We re-audited to see if there were any improvements in 2016 and 2019 when compared to our previous cohort. A total of 104 patients were audited through the years. Results In 2019, 34.4 % patients regardless of hiatus hernia size were discharged on the same day; 48.2 % patients were discharged on the next day; 24.1% patients had a large hiatus hernia or gastric volvulus; 40.9% patients excluding large and complicated hiatus hernia were discharged on the same day; 75.8 % patients had intraoperative local anaesthetic inject at the operative field. Conclusions The main two factors which contributed to improvement of our results were Intraoperative injection of local anaesthetic medications to operative field and Patient information pamphlets. Also, when a patient is made aware of the procedure being a day case in advance, they are more prepared to return home the same day following the procedure.

A method of using modern endpoint detection and response (EDR) systems to protect against complex attacks

The subject of the research in this article is the architecture of Endpoint Detection and Response and the EDR agent as their base parts in terms of mechanisms for detecting and countering complex attacks on information and communication systems (ICS). The aim of the work is to develop of method for improving the efficiency of using Endpoint Detection and Response (EDR) to reduce the risks of compromising ICS information, industrial, and infrastructure objects by effectively redistributing and utilizing the available EDR mechanisms, the cybersecurity team, and other resources available for implementing security measures in an enterprise, institution, or organization. The article addresses the following tasks: reviewing and analyzing existing EDR systems, analyzing the architecture of EDR solutions and EDR agents, the features of their use, the logic behind the construction of methods and mechanisms for detecting threats to the system from malicious actors and malicious code. The task of providing recommendations for the organization of ICS is also separately addressed in terms of the need to protect the entire ICS and its individual elements, as well as in terms of the available resources (the cybersecurity team, their qualifications and level of awareness of the architecture of EDR solutions) and means (available EDR system elements) for organizing protection. The following methods are used: modeling attack mechanisms, modeling attacker behavior. The following results were obtained: general and specific recommendations were formulated for optimizing the operation of EDR systems and ensuring the effective use of EDR system elements in the information and communication networks of enterprises, organizations, and institutions of various types and orientations depending on the available resources and the information requiring protection. Conclusions: The identified recommendations for the application of EDR mechanisms for protecting information systems and networks allow optimizing the costs of creating a protection infrastructure and implementing security measures, taking into account the characteristics of the available tools and the training and awareness of the cybersecurity team both in terms of response time to threats and the complexity and cost of performing protection tasks.

Congenital anomalies in Santa Catarina, Southern Brazil: macroregional and temporal birth prevalence for the period 2011-2020.

Congenital anomalies (CAs) are an important cause of infant mortality and efficient surveillance is necessary for their prevention. Therefore, the objective of this study is to establish baselines of prevalence at birth of priority CAs for surveillance in the state of Santa Catarina, using data from the Live Birth Information System considering the period 2011-2019 (baseline) and 2020 (pandemic year). The analyses were carried out based on the mother's residence health macroregion. The CAs were selected following the ICD-10 coding for chapter XVII. Birth prevalence was calculated per 10,000 live births and the confidence interval was established at 95%. 2011-2019 recorded 88.8/10,000 births with CAs (total). For 2011-2019, limb defects (without polydactyly) were the most prevalent (14.1/10,000), followed by congenital heart defects (8.9), oral clefts (8.2), polydactyly (7.9), Down syndrome (5.6), hypospadias (5.4), neural tube defects (4.7), gastroschisis (3.3), undefined sex (1.2), microcephaly (0.8) and omphalocele (0.3). There were no significant differences in temporal and spatial distribution. However, unusual fluctuations were observed in 2020, which may reflect the pandemic in CAs notifications. In the base period, Santa Catarina recorded CAs below the expected level of being identified at birth. With this, we conclude that the training and awareness of teams are essential for the surveillance of CAs in Santa Catarina.

Effect of Project Control Practices on the Performance of Building Construction Companies in Uganda: A Case Study of the City of Kampala

This research paper analytically evaluates the project control practice levels used by the building construction companies within Kampala, Uganda. The research also assesses the impact of project control practices on the productivity of companies. The research was performed to ascertain the current control practices among 160 respondents from various construction companies registered with the Uganda Registration Services Bureau. This research used amalgamation from multiple studies in the literature to obtain the variables. This research adopts 34 standard control practices from 4 vital project control duties: planning, monitoring, analyzing, and reporting. These project control tasks were organized using mean response ratings grounded in their relevance to the construction companies. This process authorized researchers to prioritize tasks based on their perceived importance or relevance to the construction companies involved. Results showed that evaluating performance with the use of S-curves (4.32), timely access to information and encouragement (4.55), report representation using quantitative tools 4.75, and cost value comparison application during analysis (4.76) were rated least among the control practices. On the other hand, the top project control practices included formulation of the project schedule (8.88), project feasibility validation (8.86), budgeting for each activity (8.84), key project route definition (8.81), team awareness of the budget (8.77), setting realistic targets for projects (8.50), and consultation from subcontractors (8.74). From the results obtained by the sample respondents specified, it can be concluded that planning is the most vital project control task practiced in the building construction industry in Uganda. In addition, this research ascertained a substantial relationship between project control practices and the performance of building construction companies. Accordingly, this research recommends that project control practices be effectively observed by both contracting and consulting companies to enhance their overall performance and governance.

Does feedback type matter? The superiority of process feedback over performance feedback in interdependent teamwork

BackgroundFeedback plays an important role for individuals and teams. While there is a lot of research on performance feedback, positive effects of process feedback (divided into individual- and team-level) are little studied. In particular, the simultaneous consideration of individual variables and feedback characteristics and their influence on feedback perceptions in the feedback process is missing. AimsThe present study analyzes the effects of three feedback conditions (i.e., performance feedback, team-level process feedback, and individual-level process feedback) on feedback perceptions (i.e., usefulness and fairness), as well as on feedback acceptance and team awareness. Sample142 randomly assigned two-person teams. MethodsEach team worked on four computer-based team tasks in the C³Fire microworld and received one type of feedback after completing each 15-min scenario. Measurements were taken after the second (T1) and fourth (T2) scenarios. ResultsStructural equation modeling results revealed positive effects of feedback orientation at T0 on feedback usefulness and feedback fairness at T1, and of usefulness and fairness on feedback acceptance at T2. Feedback usefulness (but not fairness) was also a positive predictor of team awareness at T2. Team-level process feedback resulted in overall positive effects on usefulness and fairness. In general, the effects on perceived usefulness appeared to be stronger than on perceived fairness of the feedback. ConclusionsTeam-level process feedback in teamwork and individual feedback orientation are important for perceived usefulness and fairness of the feedback. Team awareness may be enhanced by increasing feedback usefulness; feedback acceptance may be enhanced by increasing feedback usefulness and fairness.

Benefits of participatory involvement of patients in the development of a dermatological treatment app-A report from the practice

Approximately 2% of the German population suffer from psoriasis. HybridVITA has developed amobile application (app) that enables psoriasis patients to independently document the progression of the disease and the current psychological stress at home. The HybridVITA app was created in close collaboration with user groups to ensure optimal adaptation to their needs. Two interactive workshops were held with the user groups and the technical developers of the app as acore element of the developmental process. The workshops identified the needs and suggestions for improvement of the various user groups and formulated user stories for the further development of the app using the Scrum method. The participatory approach of the workshop enabled the project team to gather valuable practical knowledge at an early stage of development. The team's awareness of potential obstacles during the early stages of the project enabled them to proactively identify and address these issues prior to implementing the app in dermatological care. We are confident that apatient-centered and participatory approach to health app development can provide valuable insights for developers.

Practices, issues and possibilities at the interface between geriatrics and palliative care (InGaP): An exploratory study and knotworking

Introduction With the recognition of the need for palliative care for people with non-malignant conditions, there is an increasing emphasis on interdisciplinary working between geriatric and palliative care teams. This interdisciplinary work has evolved organically; more needs to be known about current working practices. This is of policy and clinical interest as the older patient population continues to grow. Methods An exploratory qualitative interview study was undertaken of end-of-life care for older in-patients in a large London NHS Trust. 30 semi-structured qualitative interviews were conducted with staff from palliative care and geriatric medical and nursing teams, two with patients and five with carers. Questions covered: examples and perceptions of collaboration and patient/carer perceptions of clarity as to who was providing care. Interviews were transcribed and thematically analysed focusing on: examples of successful collaboration; areas of tension, duplication or confusion about responsibilities; and suggestions for future practice. Results Participants were positive about collaboration. Examples of what works well include: the referral process to the palliative care team; inter-team communication and use of face-to-face handovers; unity between the teams when communicating with patients and families. Areas for potential development include: embedding palliative care within ward multidisciplinary team meetings; continual on-ward education given rotation of staff; and improving collaboration between palliative care, physiotherapy and occupational therapy. It is unclear whether patients’ and carers’ lack of awareness of the different teams has a detrimental effect on their care or needs. Conclusions There is evidence of strong collaborative working between the teams; however, this study highlights potential areas for improvement. An exploration of these relationships in other settings is required to determine if the same themes arise with a view to inform national guidelines and policy to improve care towards the end of life.

Fan Engagement Behavior: Validation of a Theory-Based Scale

In this research, we conducted two studies to validate a multidimensional scale of fan engagement behavior. In Study 1, we generated survey items through a systematic review of the relevant literature, collected data from fans of professional baseball (n = 319) and soccer (n = 301), and provided evidence for the construct and concurrent validity of the scale composed of six dimensions. In Study 2, we reassessed construct validity in professional baseball (n = 582) and found that fan engagement behavior was represented by the proposed six dimensions with a final list of 21 items. Further, our predictive analysis throughout a season showed that fan engagement behavior fully mediated the relationship between predictor (team identification and awareness of fan engagement initiatives) and outcome variables (media viewing frequency, attendance frequency, and flourishing). The developed scale advances our understanding of fans’ voluntary actions that are culturally embedded in spectator sport.

An Analysis Of Effect Job Demand Control-Support And Protection Motivation On Compliance In Filling Inpatient Care Medical Record Files At RSU. ESHMUN Medan

An important indicator to determine the quality of service in a hospital is about the completeness of the hospital's medical record files. There are many problems arise due to incomplete medical record files and do not recorded neatly and regularly. The incident is due to lack of medical team awareness in recording all information or actions that would be given to the patient. The aim of this study is to analyse the effect of Job Demand-Control-Support and Protection Motivation on compliance in filling out Medical Record files at RSU ESHMUN Medan 2023. This study uses quantitative research method which is analytical in nature. The total sampling of this study is 115 active nurses at RSU ESHMUN Medan. The result of the study informs that there are very strong and significant effect among Job Demand-Control-Support and Protection Motivation on compliance in filling out Medical Record files at RSU ESHMUN Medan 2023. The variable that has the most influence on Obedience with filling in inpatient medical record files at RSU ESHMUN in 2023 is the Protection Motivation variable. It is recommended to RSU ESHMUN Medan to improve the administration pattern in order to all of nurses have the same job demands and receive the same support.

Family Medicine Team Perspectives on Screening for Health-Related Social Needs.

Social drivers of health (SDH) strongly influence health outcomes and disparities. Although systemic level change is vital to address the disparities driven by SDH, it is also crucial that health care organizations develop the ability to care for patients in a manner that accounts for social factors and their influence on patient health. Although primary care is a natural fit for health-related social needs (HRSN) screening and intervention, significant barriers can impede primary care's effectiveness in this area. We conducted 3 focus groups with family medicine clinicians, clinical staff, and social care workers in an academic medical center using a semistructured discussion guide to explore current practices, perceived benefits, barriers, and potential opportunities and approaches for integrating routine HRSN screening in primary care. 3 primary themes emerged from the focus groups. They included 1) the barriers to routine screening in primary care, including time, workload, emotional burden, patient factors, and team members' fear of inadequacy of resources or their own ability; 2) the importance and benefit of HRSN screening, including the opportunity to improve patient care through increased care team awareness of the patient's context, interventions to address HRSN, and improved relationships between the care team and the patient; and 3) recommendations for implementing routine screening in primary care, including opportunities to optimize workflow and technology, the importance of an electronic medical record (EMR)-integrated resource database, and the centrality of teamwork. Family medicine health care teams embrace the importance of HRSN screening and the potential for positive impact. However, there are vital barriers and considerations to address for HRSN screening to be effectively integrated into primary care visits.

The Educational Value of Outdoor Sports in the Formation of Team Awareness among Chinese Secondary School Students

This study aims to explore the educational value of outdoor sports in the process of team awareness formation among Chinese secondary school students. Through literature review and questionnaire surveys, this essay have found that outdoor sports play a significant role in cultivating team awareness among secondary school students in China. Outdoor sports promote cooperation and interaction among students, nurturing their communication, leadership, and problem-solving abilities. Furthermore, the challenging and dynamic nature of outdoor environments can stimulate students' adaptability and innovative thinking. However, there are still some limitations in current research in this field. Therefore, based on relevant literature, this essay conducted an in-depth study on the educational value of outdoor sports in the formation of team awareness among Chinese secondary school students. Additionally, schools and teachers should emphasize the importance of outdoor sports by providing more outdoor activity opportunities, allowing students to experience the joy of teamwork in practice and cultivating their team awareness and overall competence. This study provides theoretical and practical support for the cultivation of team awareness among secondary school students and offers recommendations to enhance practices in this field.

67 Team awareness enhanced with artificial intelligence and augmented reality (TeamAware)

67 Team awareness enhanced with artificial intelligence and augmented reality (TeamAware)

A new framework for elevating and updating clinical language: RAISED patient-centric communication

Patient-centered care has been a key priority in health care for the last decade. However, successful execution of patient-centered care is dependent on health care team self-awareness and effective communication skills. Team awareness and communication are essential between health care providers across all communication modalities within the health care system. Patient-centric communication places the needs, wants, preferences, and motivations of the patient foremost to create an overall open, receptive, and honest patient-provider encounter. To best provide patient-centric communication in all patient-provider interactions, we propose a new communication framework: “Recognition, Awareness, Inclusivity, Stigma-free, and making patient-centric Educated Decisions” (RAISED). This communication framework encompasses techniques and strategies that can be used by any health care providers with any patient encounter through in-person, telehealth, verbal, or written modalities. The purpose of using the RAISED framework in practice is to improve patient-centric communication skills through stigma-free and inclusive language during shared decision making, resulting in improved patient satisfaction and health outcomes.

Use of design thinking and human factors approach to improve situation awareness in the pediatric intensive care unit.

Optimal design of healthcare spaces can enhance patient care. We applied design thinking and human factors principles to optimize communication and signage on high risk patients to improve situation awareness in a new clinical space for the pediatric ICU. To assess the impact of these tools in mitigating situation awareness concerns within the new clinical space. We hypothesized that implementing these design-informed tools would either maintain or improve situation awareness. A 15-week design thinking process was employed, involving research, ideation, and refinement to develop and implement new situation awareness tools. The process included engagement with interprofessional clinical teams, scenario planning, workflow mapping, iterative feedback collection, and collaboration with an industry partner for signage development and implementation. Improved and updated communication devices and bedside mitigation plans. Process metrics included individual and shared situation awareness of PICU care teams and our patient outcome metric was the rate of cardiopulmonary resuscitation (CPR) events pre- and post-transition. When evaluating all patients, shared situation awareness for accurate high-risk status improved from 81% pre-transition to 92% post-transition (p = .006). When assessing individual care team roles, accuracy of patient high-risk status improved from 88% to 95% (p = .05) for RNs, 85% to 96% (p = .003) for residents, and 88% to 95% (p = .03) for RTs. There was no change in the rate of CPR events following the transition.

Sport teams’ promotion of plant-based food consumption among fans

ABSTRACT The study’s goal is to examine the downstream relations of fan awareness of a favorite sport team’s pro-environmental food initiatives, considering fans with different degrees of team identification. Building upon the Awareness-to-Action Continuum, the authors propose two pathways that may help explain reported plant-based food consumption among fans (i.e. eating vegetables, eating vegan food, and avoiding meat), particularly at high (vs. low) degrees of team identification: team value internalization and fan-team personality match. Study 1 surveyed 799 fans of 12 different sport teams from various countries, which had implemented pro-environmental food initiatives in the past. Study 2 used a survey-experimental design to manipulate identification with one selected team from the U.S. (n = 356 fans) and assessed the downstream relations of fan awareness of the team’s pro-environmental food initiatives. The authors control for attitude and subjective norm in their analyses and show that the levels of team identification associate with the relation between fan awareness and reported consumption of plant-based foods via fan-team personality match but not via value internalization. Ironically, the perception of the team’s personality as superior to their own personality among low-identification fans is negatively related to the adoption of a plant-based diet despite high awareness levels.

Cultivating a Team Mindset about Productivity with a Nudge: A Field Study in Hybrid Development Teams

While there has been significant study of both individuals and teams of knowledge workers, research has focused largely on one or the other, with less focus on the interaction between the two. In this paper, we explore the tensions between the individual and their team, focusing on the choices an individual makes towards their own productivity versus their team's productivity. We developed a technology probe with a team nudge that fosters recurring reflection and prompts individuals to consider how their team helps them to be productive. We examined its impact through a longitudinal field study with 48 participants. We chose to undertake this study with software development teams as they are examples of knowledge workers who collaborate on a shared set of tasks with specific goals. Our exploration took place with hybrid development teams, which have increasingly become the norm. Our analysis of a total of 8338 hourly self-reports and 1389 daily diary entries found that the team nudge increased participants' productivity ratings and team awareness, led to participants spending more time on their own tasks, reshaped their perceptions of themselves and their team, yet, in general, did not increase team cohesion or affect well-being.

An Attitude toward the Collaborative Information Behavior: A Systematic Review

Objective Collaborative information behavior researches explain different types of functions and activities that people utilize in teamwork information-oriented environments by interacting with each other. The aim of this paper is to analyze the methodological structure and identify the main variables in existing CIB, CIS, and CIR studies. Methodology All papers extracted from international databases including Scopus and Web of Science from 1997 to 2019 were reviewed in terms of quality and appropriateness. Then the full text of 91 selected articles was assessed. Based on a prepared checklist, information was extracted in a variety of fields such as first author, year, main subject, type of study, analysis tools, variables studied, and number and type of participants. Finding The evaluation of the articles’ methodology showed that the most methodological structure was qualitative in 39 papers. Also, an investigation of the measurement tools showed that data were collected in 28 articles by questionnaire, 13 articles by interview, and questionnaire. Seventy-four percent of the selected studies have been done by mixed methods in the last five years. Conclusion This systematic review investigated the published papers in the field of CIB, CIS & CIR to evaluating of the research content structures and components. Team awareness, interaction, information sharing, collaboration, division of labor, communication, problem-solving, and cognitive dimension have been identified as the main elements of CIB.