Team Coordination Research Articles

Requesting Relatives' Consent for Intensive Care for Organ Donation: An Empirical Analysis of Spanish Transplant Coordinators' Practices.

Intensive care to facilitate organ donation (ICOD) involves the initiation or continuation of intensive care for patients with devastating brain injury for donation purposes. In the Spanish system, relatives undergo an early interview to request consent for this procedure. If they consent, a waiting time is agreed upon in the expectation that death by neurological criteria occurs and donation after brain death takes place. Otherwise, relatives can decide on donation after circulatory determination of death or withdrawal of life support. This study analyzes how Spanish transplant coordinators interact with relatives in early interviews and follow-ups on potential donation pathways. Semistructured interviews were conducted with a random stratified sample of 23 Spanish transplant coordination teams to explore strategies, practices, and perceptions of ICOD consent requests. The interviews were recorded, transcribed, and analyzed using content analysis. Previous coordination with other units and information retrieval regarding patient and relatives' situations is crucial. The development of early interviews includes an introduction to the family, identification of decision makers, empathizing with relatives and offering condolences, reaffirming the fatal prognosis, explaining the possibility of donating based on the patient's will, confirming the family's understanding and resolving doubts, and ensuring comfort and assessing family needs. Approaching families to obtain ICOD consent is a regular practice for Spanish coordination teams. It involves a highly professional and diversified set of strategies based on establishing a support relationship for relatives. Our study provides strategies that serve as a reference for obtaining ICOD consent from families in other settings.

Количественная оценка степени сформированности навыков командной деятельности

<p>The article presents a method for quantifying teamwork skills formation using a triangular scheme and mathematical models based on transition probability matrices. The study focuses on analyzing individual and jointly coordinated activities of participants under experimental conditions, involving working on a simulator for jointly controlling an aircraft. Markov chains are used to analyze the results, allowing for detailed analysis of task completion dynamics and identification of key aspects of participant interaction. The findings confirm the effectiveness of the proposed approach to analyzing and improving team coordination.</p>

Choking under pressure in online and live esports competitions

This paper explores the phenomenon of choking under pressure within the context of esports, particularly focusing on the difference between online and live competitive settings and on high-pressure situations during overtime rounds. Employing a quasi-experimental design, the research leverages an extensive dataset covering professional CS:GO matches from 2012 to 2022 (match-level) and from 2015 to 2023 (round-level), including performance metrics such as players' ratings, headshot percentages, and teammate damage. The findings indicate a substantial decrease in the performance of esports players during overtime. This effect, however, is significantly mitigated in online competitions compared to live events. The study also reveals that while individual performance suffers under pressure, the impact on team coordination is less pronounced in online settings, suggesting that the virtual environment might offer a buffer against the negative effects of stress on team dynamics. This study enriches our understanding of performance psychology in digital settings but also opens up new avenues for research on stress, teamwork, and performance in professional and virtual environments.

Challenges With Robot-Assisted Surgery Setup for Complex Minimally Invasive Upper Gastrointestinal Surgery.

The utilization of robot-assisted approaches to surgery has increased significantly over the last two decades. This has introduced novel complexities into the operating room environment, requiring management of new challenges and workflow adaptation. This study aimed to analyze challenges in the surgical setup for complex upper gastrointestinal robot-assisted surgery (UGI-RAS) and identify opportunities for solutions. Direct observations of surgical setup processes for UGI-RAS were performed by a trained Human Factors researcher at a non-profit academic medical center in Southern California. Setup tasks were subdivided into five phases: (1) before wheels-in; (2) patient transfer and anesthesia induction; (3) patient preparation; (4) surgery preparation; and (5) robot docking. Start/end times for each phase/task were documented along with workflow disruption (FD) narratives and timestamps. Setup tasks and FDs were analyzed using descriptive statistics. Twenty UGI-RAS setup procedures were observed between May-November 2023: sleeve gastrectomy +/- hiatal hernia repair (n = 9, 45.00%); para-esophageal hernia repair +/- fundoplication (n = 8, 40.00%); revision to Roux-en-Y gastric bypass (n = 2, 10.00%); and gastric band removal (n = 1, 5.00%). Frequent FDs included planning breakdowns (n = 20, 29.85%), equipment/supply management (n = 17, 25.37%), patient care coordination (n = 8, 11.94%), and equipment challenges (n = 8, 11.94%). Eleven of 20 observations were first-start cases, of which 10 experienced delayed starts. Interventions aimed at improving workflows during UGI-RAS setup include performing pre-operative team huddles and conducting trainings aimed at team coordination and equipment challenges. These solutions could result in improved teamwork, efficiency, and communication while reducing case start delays and turnover time.

Channeling personal initiative through team coordination: A heat map analysis of soccer players’ aggregate behavioral initiative

Channeling personal initiative through team coordination: A heat map analysis of soccer players’ aggregate behavioral initiative

Distributed Space Team Coordination: An Agent-based Modeling and Simulation Approach

Distributed Space Team Coordination: An Agent-based Modeling and Simulation Approach

Enhancing Emergency Response: The Role of Collective Competence in Epidemiological Teams for Effective Laboratory Data Collection and Analysis

Background: Health systems globally face ncreasing challenges from health crises and epidemic threats, necessitating the pivotal role of epidemiological teams in emergency response. This study investigates the significance of collective competence within these teams, focusing on their ability to collect, analyze, and manage laboratory data effectively. Methods: A cross-sectional descriptive study design was used to survey epidemiological teams in Saudi Arabia. A structured questionnaire was developed based on existing literature and distributed electronically to participants. Data analysis was performed using the Statistical Package for the Social Sciences (SPSS), using descriptive and inferential statistics to summarize participant characteristics and explore associations between variables. Results: A total of 208 epidemiological teams member completed the questionnaire, yielding insights into their The Role of Collective Competence in Epidemiological Teams. The findings reveal high levels of agreement regarding the effectiveness of management approaches, knowledge sharing, and team collaboration, with the average score exceeding 4.0 on a 5-point scale. Notably, team efficacy was found to significantly enhance the efficiency of laboratory data collection and analysis, accounting for approximately 25.9% of the variance in efficacy. Discussion: These findings underscore the need to invest in developing team competencies within epidemiological teams to improve emergency response capabilities. The study provides practical insights into enhancing team collaboration and coordination, ultimately contributing to more effective public health interventions in future health crises.

Theoretical Gap and Delimitation of Engineering Leadership in the Malaysian Construction Industry

In the context of the Malaysian construction industry, effective leadership remains pivotal for navigating the complexities inherent in engineering projects. Past studies have consistently identified leadership as one of the critical factors in ensuring the success of construction projects. Effective leadership has been linked to project performance, timely completion, and team coordination. Despite the recognized importance of leadership in construction project success, there remains a lack of a clear definition of engineering leadership. This ambiguity poses challenges for the development of robust frameworks to guide and cultivate engineering leaders. This article addresses the theoretical gaps and delimitations remarked in current studies on leadership within engineering sector, specifically in construction industry. A comprehensive review of leadership theories reveals a progression from foundational concepts such as Trait Theory to contemporary frameworks including Transformational and Servant Leadership. While these theories have enriched our understanding of leadership dynamics, there exists a discernible stagnation in the development of new theoretical frameworks. Many studies predominantly focus on validating existing models rather than pioneering innovative perspectives tailored to the unique challenges of the Malaysian construction ecosystem. This review highlights the need for future research to explore and articulate imperative insights that can effectively guide leadership practices within Malaysia's construction sector, fostering project outcomes and sustainable industry development.

Gender identity, salience of information, and tacit coordination: Gender differences in response to strategic uncertainty

We use a lab experiment to explore whether gender composition and gender identity salience influence team coordination. Identity in the experiment is induced using gender-specific and neutral avatars. In contrast with many previous studies, we do not find the presence of in-group favoritism, irrespective of whether gender identity or random avatars define the group. In addition, behavior remains unchanged when the gender of the counterpart is revealed. However, females are found to cooperate significantly more when gender information is disclosed, implying an elevation in the salience of gender identity induces the females to choose based on social expectations. This research adds to the discourse on gender dynamics in decision-making and suggests that gender identity plays a role in economic choices, innovating traditional views on diversity in teamwork. Our research sheds light on the intricate dynamics of gender composition in team settings, particularly under conditions of risk and uncertainty. These findings have the potential to inform both organizational practices and public policy, thereby contributing to a more equitable and efficient labor market.

Implementation Of Poverty Reduction Policies By The Regional Poverty Reduction Coordination Team (TKPKD) in West Pasaman District

Implementation Of Poverty Reduction Policies By The Regional Poverty Reduction Coordination Team (TKPKD) in West Pasaman District

A Taxonomy for Supporting Industry- Academia Communication in Software Quality

Software quality is one of the most important components of software development. Software quality attracts the user's attention and produces reliable and error-free software. Poor approach strategies lead to less effective outcomes and a higher likelihood of failure. The gap between software quality research and practice is one of the main problems with software quality. The difference between the way software quality research is communicated and the way industry concerns related to software quality is the actual gap.software industries are unaware about rapid technological change, complexities of Modern software systems, security concerns, skill shortage impact on software quality, to overcome theses problems and gaps. Taxonomy is proposed to enhance industry-academia collaboration by facilitating better communication between software quality research and practice. Some of the best quality standards are outlined and authorized in this paper that yields the greatest out-comes. A methodical and goal-oriented strategy is used to develop the proposed taxonomy, with the help of literature review, blogs, articles, and interviews with researchers and practitioners. Twenty distinct questions regarding team co-ordination, dispersion, culture, behaviors and attitudes, experience, and other topics are included in the questionnaire. The taxonomy is evaluated through online survey by implementing it in an industry-academia collaboration project. Researchers and practitioners could use the proposed taxonomy to classify and identify quality concerns or obstacles.

Performance modeling of composite fading channels: an application to wearable wireless communication systems

In pragmatic wireless propagation scenarios, communication between wearable devices may be significantly impacted by fading, particularly when wireless communication is crucial for mission control, situational awareness, and team coordination in defense operations. There may be times when communication links are temporarily unavailable in places due to contemporaneous effect of slow fading and fast fading, including cities or regions with tough terrain. This phenomena results in composite fading environments. Moreover, the data transfer speeds may drop as a result of fading, making it a challenging task to rapidly transmit crucial real time data. In addition, the precision of GPS and positioning systems, that are essential for operations viz., target tracking, navigation and rescue can be impacted by fading. In this setting, the work portrays modeling the fading channels over the Weibull distribution by exploiting Tsallis’ q-statistical framework. From the analytical observations, it was evident that in contrast to the well-known composite models, the q-Weibull model provides a better characterization of the generated fading signals. Furthermore, the closed form solution to the different performance metrics that are crucial in characterizing the fading environments are provided.

Molecular tumor board: Real-world experience in a tertiary cancer centre in Singapore.

107 Background: Genomic profiling is increasingly employed to support diagnosis and treatment of cancer. Our Molecular tumor boards (MTBs) serves as a collaborative platform for a multi-disciplinary team of oncologists, pathologists, scientists, bioinformaticians, genetic counsellors and research coordinators to discuss and match patients to the most relevant therapies and/or clinical trials. We report here the evaluation of our MTBs for year 2023 with the aim of identifying challenges and opportunities for successful implementation of precision oncology. Methods: Regular monthly MTBs were conducted to discuss molecular profiles from predominantly advanced-stage patients enrolled to the IMPACT study (Individualized Molecular Profiling for Allocation to Clinical Trials NCT02806388). Next-generation sequencing was performed either in-house using Oncomine or commercial FoundationOne panels. Additional tests such as whole transcriptome sequencing (WTS), immunohistochemistry (IHC) and fluorescent in-situ hybridization (FISH) were also performed where indicated. MTB recommendations were documented for follow-up and analysis. Results: A total of 102 out of 611 profiled patients were discussed in MTBs in 2023, with an average of 8.6 patients per month. Top 3 cancer types were gastrointestinal (32%), breast (18%) and lung (18%). 65/102 (63.7%) cases had MTB recommendations, of which 21 (20.6%) had multiple recommendations. Overall uptake rate for recommendations was 23.8% (29/122). Conclusions: MTB plays an important role in identifying therapeutic opportunities by factoring in patient variables, available data and physician experience while at the same time provides an avenue for further investigation to gather cumulative evidence. Frequent reasons encountered for not adopting the recommendations include: (1) insufficient sample to proceed with further investigations, (2) limited access to off-label treatments, and (3) additional considerations to participate in clinical trials. To fully realize the value of MTB, we will focus on (1) defining the molecular tests for efficient profiling, (2) crafting a route for special access to treatments and (3) increasing awareness and understanding of clinical trials. [Table: see text]

Instructor led rotational model: An innovative approach to social work practicums in hospital environments

With the saturation of student practicum placements requests in urban centres, job vacancies, budgetary restraints, and social workers’ intensive workloads, field education coordination teams are increasingly challenged to find social workers who are able to supervise student practicums and secure educational partnerships with organizations willing to support their staff in doing so. This is especially true in hospital settings, where social workers are still feeling the effects of the Coronavirus (COVID-19) pandemic in their daily work lives. Hospital practicums are highly sought out by social work students and yet there are few practicum opportunities for students compared to the demand. Social workers are employed in various practice settings, including hospital social work. As social workers are Canada's largest group of mental health professionals within the hospital system, having robust and sustainable practicum opportunities is critical to the training and development of future social workers. To address these ongoing challenges in social work field education, the University of Calgary, MacEwan University, and Alberta Health Services worked together to develop and pilot a new practicum model at the Bachelor of Social Work level. This practicum model, titled the ‘Instructor Led Rotational Model’, was implemented as a pilot project during the winter 2023 semester. This article provides an overview of this initiative, including a description of innovative practice education components and discussion of the challenges in field education that the model aims to address. Considerations for revisions and future offerings of the instructor led practicum model are also identified.

Peningkatan Kapasitas Bisnis AgroEcofarm pada Kelompok P4S Tani Makmur Jaya

Gogodeso Village consists of settlements, moorland, people's plantations, rice fields with a village area of 383 Ha. In general, livelihoods are identified into several sectors, namely agriculture (mostly), services/trade, industry and others. One of the farmer empowerment programs is the Tani Makmur Jaya Self-Help Agricultural and Rural Training Center (P4S). In its activities, P4S consistently and routinely develops organic farming, one of which is making organic fertilizer and carrying out healthy cultivation practices. However, they experienced problems with production, management and human resources and marketing. The implementation methods used are: (1) Planning (2) Administrative preparation and team coordination (3) Socialization of Organic Fertilizer (4) Training in Making Organic Fertilizer (5) Management and marketing training (6) Mentoring (7) Supervising related production activities and post-production (8) Evaluation (9) Program sustainability. Community-based empowerment activities in increasing the capacity of AgroEcofarm-based businesses at P4S Tani Makmur Jaya can run smoothly, including the transfer of organic fertilizer technology, transfer of business management and human resources and transfer of marketing branding. In making fertilizer, production can be increased by 2000 bottles of POC/year and 2000 sacks/year of solid organic fertilizer respectively. Apart from that, there are new brands for P4S fertilizer, namely POC Orchomi and Biokosh for solid organic fertilizer.

Comparison of characteristic competencies of public health nurses working at a community general support center and health and welfare in public administration in Japan.

To compare the characteristic competencies of public health nurses working for the older adult's health and welfare in public administration ("PA") with those at community general support centers ("CGSC") in Japan. We conducted a questionnaire survey by mail for PA and CGSC public health nurses. A competency list that was developed to compare three groups (PA, CGSC experts with ≥5 years of experience, and CGSC newcomers with ≤2 years of experience) was used. The following characteristics were examined: (1) competencies acquired early after arriving at the CGSC, (2) competencies acquired through a certain amount of CGSC experience, (3) common competencies, (4) competencies that even experts lacked, and (5) competencies that the newcomers lacked. We examined the responses of 171 PA nurses, 185 CGSC expert public health nurses, and 165 CGSC newcomer public health nurses. The results of comparison of the three groups showed that (1) had no applicable items; (2) had nine items for individual support associated with preventive care management; (3) had 14 items including teamwork among three professionals (social workers, senior care manager, public health nurse)/other professionals and self-improvement; (4) had three items for community development, (5) had two items for individual support and 16 items for community development. Initiatives for preventive care and coordination of care teams should be supported and suggested as characteristic competencies for CGSC public health nurses.

Evaluación del rol del equipo de coordinación de nefrología en la consulta externa específica de acceso vascular. ¿Qué podemos aportar de nuevo?

Background and objectivesThe key points of a monographic vascular access (VA) consultation are an adequate preoperative assessment, as well as a correct management and optimization of waiting lists. Our main objective of present study was to evaluate the degree of exploratory-dependent concordance in outpatient clinics regarding implanted VA, between nephrology and vascular surgery. Materials and methodsWe analyzed VA created or surgically repaired between 2021 and 2022. We compared the differences in the preoperative variables between the groups in which the assessments between the two teams were coincident and non-coincident, and the primary (PP) and secondary (PS) patencies during the follow-up period (Kapplan-Meier curves and Log-rank test, and Cox regression analysis). Significant P≤.05. ResultsA total of 605 VA creations or repairs were analyzed: 74 ligations (12.2%), 207 distal arterio-venous fistulaes (AVF) (34.3%), 237 proximal AVF (39.2%), 35 repairs (5.7%), 41 grafts (6.7%) and 11 others (1.9%). After an average waiting list time of 16.5±11.6 days, excluding ligations, adequate 1-month maturation was observed in 87.6% of cases. A total of 158 endovascular procedures and 17 surgical repairs were performed during postoperative follow-up. Primary (PP) and secondary (PS) patencies at 6, 12 and 24 months were PP: 76.2%, 64.9%, 57.5% and PS: 86.4%, 81.2%, 74.7%, respectively. Of the total number of procedures, nephrology obtained an adequate degree of agreement in 93.6% of the cases (kappa index: 0.886). The preoperative factors associated with greater discrepancies in assessments were age (P=.022) and arterial diameter (P =.032). The subgroup of non-matched assessments between nephrology and vascular surgery (39 cases) presented a similar PP (at 2 years: 59.2% vs 41.3%, P =.099) but worse PS (at 2 years: 76.6% vs 55.4%, P =.005). ConclusionsNo significant observer-dependent differences (nephrologist vs. vascular surgeon) were observed in decision-making regarding the surgical procedure to be performed (93.6% agreement), and discordant cases presented worse secondary patency. After specific training, the nephrology coordination team can make a proper optimisation of social and health resources by reserving referrals to vascular surgery for those cases of greater complexity.

Nursing managers' perceptions of teamwork and collaboration in mining primary healthcare clinics in Gauteng.

Teamwork and collaboration among nursing managers, nurses, doctors and peripheral hospitals treating mining patients is pivotal. A case study of specific mining primary healthcare clinics revealed a lack of teamwork among the doctors and nursing managers, even on decisions that show productivity. The aim of this study was to explore and describe nursing managers' perceptions of teamwork and collaboration in mining primary healthcare clinics in Gauteng. A qualitative, exploratory, descriptive and contextual research design was adopted to conduct this study. Data were collected by conducting semi-structured individual interviews with 10 participants and thematically analysed. Data saturation was reached by the seventh participant and confirmed with three more interviews. Trustworthiness measures and ethical considerations were preserved as protocols because of the nature of the study. Three themes emanated from the study: (1) team coordination and support improve teamwork and collaboration in primary healthcare clinics, (2) there is a lack of involvement from the nursing team, negatively influencing teamwork and collaboration and (3) collaboration can improve the quality of healthcare services rendered in mining primary healthcare clinics. All mining primary healthcare clinic team members should be involved in operational activities to foster teamwork and collaboration.Contribution:This study revealed that teamwork and collaboration should be facilitated to improve the quality of healthcare service in mining primary healthcare clinics.

Navigating challenges in anesthesia for robotic urological surgery: a comprehensive guide.

Robotic surgery has emerged as a cornerstone in urological interventions, offering effectiveness and safety for patients. For anesthesiologists, this technological advancement presents a myriad of new challenges, spanning from patient selection and assessment to intraoperative dynamics and post-surgical pain management. This article aims to elucidate these challenges and provide guidance for anesthesiologists in navigating the complexities of anesthesia administration in robotic urological procedures. Through a detailed exploration of patient optimization, team coordination, intraoperative adjustments, and post-surgical care, this article serves as a valuable resource for ensuring the success of such interventions.

Adaptive virtual team planning and coordination: a mathematical programming approach

Purpose The rise of remote work increasingly requires organizations to coordinate a single large, consolidated talent pool into ad-hoc, short-term project teams on demand. This problem involves many simultaneous considerations including project revenues and rejection costs, conflicting projects and roles, worker assignment costs, worker utilization preferences and limits, worker reassignment costs, and arbitrary role start and end times. Moreover, plans must be continuously updated in response to changing circumstances. This paper addresses the problem of dynamic virtual team planning and coordination. Design/methodology/approach We show this problem is NP-hard and provide a dynamic mixed integer linear programming (MILP) formulation for both optimal initial plan generation as well as continuous plan adjustment and re-optimization. We utilized a factorial experiment design to generate benchmark problems spanning a wide range of characteristics and conducted extensive computational experimentation using a common MILP solver. Findings Exactly optimal solutions to large, realistically sized problems were consistently obtained in short amounts of time. All observed solution times were sufficient to support the operational decision-making requirements of real-world virtual team coordination, demonstrating the viability of this approach. Practical implications The approach developed in this research can enable organizations to optimally coordinate virtual teams on a large scale and continually adjust plans in response to changing circumstances, all in an automated manner. Originality/value This paper addresses a new and complex problem of increasing importance to organizations due to the rise in remote work. We provide a problem formulation and exact approach for optimally solving both the planning and re-planning aspects of this problem.