Team Integration Research Articles

Protocol for a randomised controlled unblinded feasibility trial of HD-DRUM: a rhythmic movement training application for cognitive and motor symptoms in people with Huntington’s disease

IntroductionHuntington’s disease (HD) is an inherited neurodegenerative disease causing progressive cognitive and motor decline, largely due to basal ganglia (BG) atrophy. Rhythmic training offers promise as therapy to counteract BG-regulated...

Speech-language therapy services for children with cleft palate: A scoping review on continuity of care.

Children with a cleft palate (with or without a cleft of the lip) often require speech-language therapy (SLT) services to achieve age-appropriate speech. For many children, this involves attending SLT services delivered by both specialised cleft team speech-language therapists (SLTs) and a local, community or school-based SLT. Given that these two different SLTs are typically involved in the child's care, it is important to ensure that effective communication, coordination and collaboration occur between them. This is known as continuity of care. While continuity of care in speech therapy has not generally been evaluated, in medicine it has been shown to improve health outcomes. To identify what is known from the existing literature about processes for continuity of care in cleft speech therapy services. A scoping review was conducted using Arksey and O'Malley's methodological framework. Seven databases were searched including MEDLINE via OVID, EMBASE via OVID, CINAHL via EBSCO, PsychINFO, Scopus, Web of Science and SpeechBITE. Covidence was used to screen 733 initial articles and five studies met the inclusion criteria. Thematic analysis was conducted to identify global and subthemes. Five papers were included for analysis. These identified two salient characteristics of cleft speech therapy continuity of care: (1) it is a continuous cycle and (2) it is complex. Although parents are integral team members, cleft and community SLTs must be responsible for initiating communication and collaborating. Furthermore, cleft SLTs have a crucial role in disseminating information and resources, as well as offering guidance and support. Given that only five studies were included, there is a need to gather more information from parents, community SLTs, and cleft SLTs to understand their experiences and perspectives. From what is known, there are breakdowns in the processes needed for continuity of care, including confusion regarding roles and responsibilities, and community SLTs lacking confidence, knowledge and support. Recommendations are provided to facilitate improvements in continuity of care. What is already known on the subject Children with CP±L often require SLT from two different clinicians including a specialised cleft SLT and a community or school-based SLT. As such, it is important that effective communication and collaboration occur between them to ensure continuity of care. What this study adds to the existing knowledge This study identified a breakdown in the processes necessary for continuity of care. According to community SLTs, there is a discrepancy between their expectations and current practices. This scoping review has identified two critical characteristics of effective continuity of care: (1) it operates as an ongoing cycle; and (2) it is a complex, multifaceted endeavour. What are the practical and clinical implications of this work? This study highlights the importance of cleft and community SLTs taking the initiative in communication and collaboration, rather than solely relying on parents as intermediaries. By offering practical recommendations, this research aims to improve continuity of care, potentially fostering greater awareness and advancements in service delivery.

A stakeholder-driven approach to designing a peer recovery coach role for implementation in community-oriented primary care teams in South Africa.

In South Africa (SA), community-oriented primary care (COPC) teams work to re-engage out-of-care people with HIV (PWH) in treatment, many of whom have substance use (SU) concerns. SU stigma is high among these teams, limiting care engagement efforts. Integrating peer recovery coaches (PRCs) into COPC teams could shift SU stigma and improve patients' engagement in care. The PRC role does not exist in SA and represents a workforce innovation. To enhance acceptability, feasibility, and appropriateness for the local context, we engaged multiple stakeholder groups to co-design a PRC role for COPC team integration. We used a five-step human-centered design process: (i) semi-structured interviews with healthcare worker (HCW, n = 25) and patient (n = 15) stakeholders to identify priorities for the role; (ii) development of an initial role overview; (iii) six ideation workshops with HCW (n = 12) and patient (n = 12) stakeholders to adapt this overview; (iv) refinement of the role prototype via four co-design workshops with HCW (n = 7) and patient (n = 9) stakeholders; and (v) consultation with HIV and SU service leaders to assess the acceptability and feasibility of integrating this prototype into COPC teams. Although all stakeholders viewed the PRC role as acceptable, patients and HCWs identified different priorities. Patients prioritized the care experience through sharing of lived experience and confidential SU support. HCWs prioritized clarification of the PRC role, working conditions, and processes to limit any impact on the COPC team. A personal history of SU, minimum 1 year in SU recovery, and strong community knowledge were considered role prerequisites by all stakeholders. Through the iterative process, stakeholders clarified their preferences for PRC session structure, location, and content and expanded proposed components of PRC training to include therapeutic and professional work practice competencies. Service leaders endorsed the prototype after the addition of PRC integration training for COPCs and PRC mentoring to address community and COPC dynamics. Stakeholder engagement in an iterative HCD process has been integral to co-designing a PRC role that multiple stakeholder groups consider acceptable and that COPC teams are willing to implement. This offers a methodological framework for other teams designing SU workforce innovations.

Ambidextrous Innovation in Project Management: A Systematic Literature Review

Projects work under constant pressure of resource and time constraints. In order to perform effectively and efficiently, innovation seems to be a significant factor. However, due to the different nature of projects as compared to the organization, projects have been finding it difficult to undertake such innovation. However, ambidextrous innovation, which seeks to balance exploratory and exploitative innovation, offers a possible solution. However, research on the relationship between ambidextrous innovation and project management is at an early stage. The purpose of the present research is to undertake a systematic review of the literature to build and synthesize the understanding of innovation ambidexterity at the project level. Following the Preferred Reporting Items for Systematic Reviews and Meta Analysis (PRISMA) guidelines, our research collected data from the Web of Science and SCOPUS databases. By adhering to the PRISMA approach, we ensured a rigorous and transparent approach to the systematic review study, allowing for comprehensive data collection and analysis. The results of the present review study suggest that interest is building rapidly to incorporate ambidextrous innovation into project management. Ambidextrous innovation seemed to positively impact both the performance and capability of projects to undertake the innovation. Further, important drivers such as organizational culture, knowledge management, innovation activities, and agility play key roles in undertaking ambidextrous innovation at the project level. Further, elements of the team such as team integration, alignment, and knowledge utilization also play key roles. Finally, the avenue of future research has also been highlighted.

Innovative strategic multicriteria decision-making selection model of infrastructures projects delivery systems using multiobjective optimization, case of Egypt

Purpose To help decision-makers choose appropriate infrastructure project delivery systems (IPDS) and keep up with the construction industry’s rapid growth, this study aims to develop a goal optimization technique.This looks into team integration, large production and optimum sustainability. The suggested approach for meeting several infrastructure project objectives is flexible and expandable. This research overcomes the significant discrepancy between the construction industry’s progress and the rate at which project delivery methods evolve. Design/methodology/approach This study examined pertinent literature to choose an appropriate project delivery method and gave information on several elements that affect that decision. After optimization using a genetic algorithm (GA), a Pareto front of solutions has been found. The three construction goals of sustainability, mass production and team integration are all met by the chosen best solution. The four most popular possibilities for studying the suggested approach are five primary categories, each of which has 22 variables, and the weight of each variable was established using Simo’s procedure. This is optimized, demonstrating the accuracy of the optimization model. Findings Sustainability, mass production and team integration are the major goals of selecting the finest IPDS. The Pareto-optimal solutions discovered through analysis demonstrated that the created GA is reliable and generates solid outcomes. In fact, it enables decisions that were based on a single criterion to be overturned. The process has therefore demonstrated its efficacy in identifying the ideal answer. First integrated project delivery (IPD), second design-build (DB), third design-bid-build (DBB) and last construction manager at risk (CMR) are the best options. The weight of the aims function has found these rankings to be satisfactory. Practical implications The findings demonstrate that the suggested strategy can lead to optimization, providing the government with a wide range of options for attaining certain project objectives. The ability of this study to evaluate the combined effects of three objectives in choosing the best IPDS, the production of optimal selection solutions (IPDS), which can help with better decision-making when many objectives are present, and the flexibility and extendibility of the suggested approach for achieving priorities in infrastructure projects are what make it unique. This approach was able to select IPDS to meet developments in the construction project. Originality/value To confirm the validity of the GA, the factor of error was calculated, which is equal to 1.7599e-08.

The integration of first-year women XV rugby scholars and the socialisation tactics used

Cohesion is an important element of team environments, as it provides the bedrock for trust and communication among team members to be established. This allows for a platform to be created where conflicts can be addressed, strategies are shared and collaboration is enhanced, ultimately leading to improved team performance. Research indicates that when a team allows time for the socialisation of newcomers, performance is directly facilitated (Schuth et al, 2023, J App Psych, 108, 1046–1059). Furthermore, transitioning into a university environment is a crucial phase in an individual’s life, which poses many challenges. Therefore, having support from teammates and a sense of community may ease this period of adjustment. There is a dearth of research that investigates the integration of new teams and the consequences or enhancements of the different tactics. The main purpose of this study was to assess the integration of first-year university rugby scholars into an existing team environment using the Sports Team Socialization Tactics Questionnaire (STSTQ; Benson & Eys, 2017, J Sport Ex Psych, 39, 13–28.) It was hypothesised that there would not be a significant difference (P < 0.05) in the perceived level of socialisation between the first-year rugby scholars and the other rugby scholars. Twenty female participants were recruited from the Brunel University London women’s rugby union 1XV team, using a convenience sampling method. With institutional ethics approval, the participants completed the STSTQ and demographics form. They were split into two groups; first-year rugby scholars and other rugby scholars. The participants completed the STSTQ. This measure evaluates three dimensions on a 9-point Likert scale: the serial tactics subscale (α = .85), the social inclusionary tactics subscale (α = .74), the coach-initiated role communication tactics subscale (α = .87). The multivariate tests revealed no effect of scholar status on the combined socialization tactics (F = 0.75, P = 0.539). The Univariate tests showed no differences for coach tactics (F = 1.67, p = 0.212, serial tactics (F = 0.03, P = 0.873), or social inclusionary tactics (F = 0.25, P = 0.625). In conclusion, there were no differences between the new and existing players' ratings of the effectiveness of the socialization tactics used. For practitioners and coaches, the results provide insights into players' perceptions of integration tactics that could inform adjustments for future seasons, especially as this top team aims for promotion where cohesion is critical. A limitation was collecting data mid-season after a break from games, rather than across multiple time points. Furthermore, additional testing is still needed to understand the specific processes that enabled this cohesive team environment despite integrating many new players.

Informing low back pain care from the ground up: Survey of national musculoskeletal triage physiotherapists in Ireland

BackgroundHealthcare is changing to meet the challenge of a rising musculoskeletal burden associated with the expanding, aging population. Clinicians, important stakeholders in healthcare provision, have crucial insights into service improvement, but clinician consultation is a shortcoming in healthcare development. In Ireland, specialist physiotherapist-led musculoskeletal (MSK) triage services operate at the primary-secondary care interface to expedite patient care. ObjectivesTo inform future development of low back pain (LBP) care in Ireland through profiling the operationalisation of the national MSK triage service for LBP, including access, referral management, clinical investigations, onward referral options, access to multidisciplinary team (MDT) services and integration with primary healthcare services. DesignCross-sectional observational study using a bespoke, anonymous electronic survey. ParticipantsThirty-eight clinical specialist physiotherapists working in national programme Irish MSK triage services. ResultsThirty-eight MSK Triage physiotherapists submitted responses (response rate 72%). There was considerable site-dependent variation in LBP service provision, with discrepancies in access to triage services, wait times, referral processing and prioritisation, access to clinical investigations and onward referral options. Most respondents (81%) reported wait times exceeding the three-month target; 75% reported that the level of clinical autonomy associated with their role limited service efficiency; 75% were dissatisfied with primary-secondary care service integration. Respondents identified insufficient availability of primary care multidisciplinary services. ConclusionLack of standardisation of LBP services exists in Ireland. Services would benefit from improved standardisation, reduced wait times, national accreditation and a defined scope of advanced physiotherapy practice and the development of nationwide community multidisciplinary infrastructure with enhanced interservice communication.

DevSecOps: Improving Software Development Life Cycle

In the rapidly evolving landscape of software development, the seamless integration of development, IT operations, and security teams is vital to ensuring the creation of secure and robust applications. Unfortunately, organizations currently face a significant challenge in effectively bridging the gap between these teams during the application development process. This disconnect results in critical security threats that pose substantial risks to the organization’s applications, data, and customers. This review paper examines existing literature to assist emerging researchers and students in revitalizing research papers.

CONfidence: Developing an app to promote bladder and bowel health.

The CONfidence app was developed to address an unmet need for access to self-help advice and information for bladder and bowel incontinence. The app was developed by the Bladder and Bowel CONfidence Health Integration Team and Expert Self Care and this paper describes the evolution of this innovation to empower patients and the public with bladder and bowel leakage. The app is intended to provide a proactive approach to continence promotion and not replace formal healthcare. Crucial steps were identified to ensuring this resource was accessible and understandable for the intended audience including: input from national clinical experts and individuals with lived experience to co-produce content, clear definition of scope, technical expertise in app development, clear language avoiding jargon or medical terms, credibility assurance and a strategic plan for dissemination. The app is free to download and will remain so to ensure evidence-based continence advice can be in the palm of all with a smartphone. The CONfidence app has been downloaded approaching 7000 times and is in use in 10 countries. A continual effort is required to share this resource as disclosure of these symptoms is shrouded in secrecy and many people could benefit from its content.

Integrated women's football teams can attract larger stadium crowds

ABSTRACT Research Question Women's sports have seen a trend of diversification recently, with women's and men's teams merging to form integrated football clubs. While such integrated clubs (e.g. Paris Saint-Germain), in particular, have determined the media headlines with record attendances, governing bodies have begun drafting policies to accelerate such strategic integrations. However, empirical evidence on whether integrated women's football teams (which may benefit from brand spillover effects, among other things) attract larger crowds to their stadiums is limited at best. Naturally, this raises the question of whether being an integrated football club matters for women's football stadium attendance demand. Research Method Using ordinary least squares regression with season-level fixed effects with a dataset of 1,506 games played over 11 seasons before and after the COVID pandemic in Germany, France, and Sweden, we are the first to present robust evidence on the association between being an integrated football clubs and stadium attendance demand for European women’s football across multiple markets. Results and Findings We find that integrated women's football teams can attract larger crowds. Intriguingly, such demand synergies, however, are not a given emerging from a strong brand effect, per se. Instead, women's football club executives must proactively unlock these synergies to avoid adverse effects. Implications Our findings suggest that women’s football may achieve a higher potential through integration, but only if the women’s team is managed as more than an ancillary second team. As such, despite being formulated with the best intentions, forced integration policies might backfire.

Towards Inclusive Education: Parental Perspectives on Autism Inclusion in Schools in Morocco

School inclusion for autistic children in Morocco is a crucial issue for ensuring educational equity. Despite the efforts made in recent years in the field of autism, many challenges remain. The aim of this study is to investigate the educational experiences of parents of children with autism in Moroccan schools. It focuses specifically on parents of autistic children attending school in the two regions: Casablanca-Settat and Rabat-salé-kenitra, with a view to adapting educational programs to promote better social integration in more inclusive school environments. This study adopts a mixed-methods research approach, combining qualitative and quantitative methods, including semi-structured interviews with parents of autistic children, questionnaires to assess their satisfaction, and direct observations of children in the school context, aiming to provide an in-depth understanding of school inclusion for autistic children in Morocco. The results indicate a significant demand for adapting teaching methods for autistic children, as well as increased communication with the teaching team and better social integration. In addition, the level of acceptance of autism in Moroccan society is generally considered to be average or low, underlining the need for better care for autistic children. It is recommended that autism awareness programs be strengthened in schools to promote better understanding and acceptance within the educational community.

Retraction: Randomized controlled trial of the effect of bilateral uterine artery ligation during cesarean among women at risk of uterine atony.

Retraction: A. Samy, M. K. Ali, A. M. Abbas, H. A. Wahab, A. A. Wali, A. H. Hussien, M. Mostafa, M. A. Taymour, A. I. Ogila, Y. Ahmad, A. Essam, M. Mahmoud, "Randomized controlled trial of the effect of bilateral uterine artery ligation during cesarean among women at risk of uterine atony," International Journal of Gynecology & Obstetrics, 148, no. 2 (2020): 219-224, https://doi.org/10.1002/ijgo.13064. The above article, published online on 22 November 2019 in Wiley Online Library (wileyonlinelibrary.com), has been retracted by agreement between the Editor-in Chief, Michael Geary, International Federation of Gynecology and Obstetrics and John Wiley & Sons Ltd. The retraction has been agreed following an investigation based on concerns raised by a third party. The investigation uncovered: Inconsistencies between the original data provided during the investigation and the published article; some P-values in Tables1, 2 and 3 could not be reproduced by the Research Integrity team. Discrepancies between planned and actual sample sizes, and between sample sizes stated in the trial registry and in the published paper Unusual dependencies between variables in the study data provided by the author; for instance there is no satisfactory explanation for the unusual relationship between anaemia and age. As a result, the article's conclusions can no longer be considered valid. The authors did not agree with the decision to retract their article.

Protocol for process evaluation of ARTEMIS cluster randomised controlled trial: an intervention for management of depression and suicide among adolescents living in slums in India

IntroductionThere are around 250 million adolescents (10–19 years) in India. The prevalence of mental health-related morbidity among adolescents in India is approximately 7.3%. Vulnerable subpopulations among adolescents such as those...

The integration of ortho-plastic limb salvage teams in the humanitarian response to violence-related open tibial fractures: evaluating outcomes in the Gaza Strip

BackgroundLimb salvage by ortho-plastic teams is the standard protocol for treating open tibial fractures in high-income countries, but there’s limited research on this in conflict settings like the Gaza Strip. This study assessed the clinical impact of gunshot-related open tibial fractures, compared patient management by orthopedic and ortho-plastic teams, and identified the risk factors for bone non-union in this context.MethodsA retrospective review of medical records was conducted on Gaza Strip patients with gunshot-induced-open tibial fractures from March 2018 to October 2020. Data included patient demographics, treatments, and outcomes, with at least one year of follow-up. Primary outcomes were union, non-union, infection, and amputation.ResultsThe study included 244 injured individuals, predominantly young adult males (99.2%) with nearly half (48.9%) having Gustilo-Anderson type IIIB fractures and more than half (66.8%) with over 1 cm of bone loss. Most patients required surgery, including rotational flaps and bone grafts with a median of 3 admissions and 9 surgeries. Ortho-plastic teams managed more severe muscle and skin injuries, cases with bone loss > 1 cm, and performed less debridement compared to other groups, though these differences were not statistically significant. Non-union occurred in 53% of the cases, with the ortho-plastic team having the highest rate at 63.6%. Infection rates were high (92.5%), but no significant differences in bone or infection outcomes were observed among the different groups. Logistic regression analysis identified bone loss > 1 cm, vascular injury, and the use of a definitive fixator at the first application as predictors of non-union.ConclusionsThis study highlights the severity and complexity of such injuries, emphasizing their significant impact on patients and the healthcare system. Ortho-plastic teams appeared to play a crucial role in managing severe cases. However, further research is still needed to enhance our understanding of how to effectively manage these injuries.

Feasibility of the interdisciplinary multimodal assessment-The team perspective

Secondary preventive outpatient diagnostic services for patients with pain and risk factors for chronification have not yet been sufficiently established. In the PAIN2020 project (Innovation Fund, 01NVF17049) an outpatient interdisciplinary multimodal assessment (IMA) was introduced for the first time early in the course of the disease. For the implementation of the IMA procedures for team cooperation and decision criteria were developed, which were implemented by ateam of medical, physiotherapeutic and psychological therapists. These procedures and decision criteria are to be discussed against the background of clinical experience and examined with respect to their feasibility (qualitative). In PAIN2020 aworkshop on IMA was held in September 2021 to jointly reflect on the findings and experiences gained in the process so far through monitoring and structuring documentation in the implementation with staff or teams of PAIN2020 centers on the feasibility of implementing astructured interdisciplinary multimodal assessment. In three work phases, occupational group-specific and cross-occupational group topics were addressed. In the decision-making processes of the occupational groups, in addition to profession-specific focal points within the framework of the assessment of findings (somatic, functional or psychosocial core criteria), overarching core criteria within the professions as well as complementary patient-related aspects are evident, which are included in the integrative team process. With respect to team collaboration, the implementation of the team meeting and the final discussion can be used to identify structural and process parameters that promote or inhibit implementation, which are also accompanied by interactional factors. For the implementation of the IMA, there were (1)adaptations of the IMA, which is currently implemented as A‑IMA in the selective agreement with BARMER and (2)new dimensions or task fields and ideas for evidence-based concepts for the content design of integrative diagnostics as well as for the feedback of the results to the patients, which should be discussed in the future.

How to be a good clerk on the clinical teaching team: a scoping review.

As medical institutions shift towards Competency Based Education, more effort is being directed towards understanding how healthcare teams' function competently. While many have studied the competencies required to be a successful clerk, few have examined this question within the context of team function and integration. Our primary objective is to identify how medical clerks successfully integrate and contribute to clinical teaching teams. We performed a scoping review of the literature using the Ovid MEDLINE database. Data was extracted and thematically analysed in accordance with Arksey and O'Malley's (2005) approach to descriptive analysis. Out of 1368 papers returned by our search, 12 studies were included in this review. Seven main themes were identified amongst the included studies: (1) Communication (2) Taking Responsibility and Appropriate Autonomy (3) Humility and Knowing When to Ask for Help (4) Identity as a Team Member, (5) Self-Efficacy (6) Rapport and Relationship Building (7) Patient Advocacy. Analysis of these themes revealed four major findings: (i) The importance of documentation skills and communication towards team contribution (ii) The important connection between professional identity development and self-efficacy (iii) The impact of rapport on the reciprocity of trust between team members (iv) The role of clerks as patient advocates is poorly understood. This review also illustrates that there is a relative dearth of literature in this area. Future studies are needed to develop clear guidance on how clerks should perform these competencies in the context of team function and integration.

The Influence of AI-CRM Adoption and Big Data Analytical Capability on Firm Performance of Large Enterprises in Thailand

Purpose: This research explores the impact of adopting AI-CRM on integration capability, team collaboration, and firm performance. Additionally, it investigates whether big data analytical capability significantly influences integration capability, team collaboration, and competitive advantage. The study delves into whether integration capability is a driver of team collaboration and assesses the influence of competitive advantage on firm performance. Design/methodology/approach: A quantitative approach was employed using a questionnaire as the primary tool. Online Google forms were distributed to 450 middle-high level management professionals across ten large enterprises in Thailand that have implemented AI-CRM and big data analytics. Sampling techniques included judgmental, convenience, and snowball sampling. Data analysis utilized Confirmatory Factor Analysis (CFA) and Structural Equation Modeling (SEM) to validate model fit and test hypotheses. Findings: The study revealed that the adoption of AI-CRM significantly impacts integration capability, team collaboration, and firm performance. Big data analytical capability has a significant influence on team collaboration and competitive advantage but lacks a significant effect on integration capability. Furthermore, integration capability is significantly associated with team collaboration. However, the study did not find support for the relationship between competitive advantage and firm performance. Research limitations/implications: Findings are specific to the 450 middle-high level managers in ten large Thai enterprises; caution is needed when applying results to a broader population. Furthermore, the study focused on key factors, but additional variables may influence relationships. Future research could explore a broader range of factors. The study did not deeply investigate potential mediating mechanisms between variables. Further research could explore detailed pathways connecting studied variables. Originality/value: The study provides actionable insights for businesses, particularly those in Thailand, that have implemented AI-CRM and big data analytics. Practical implications may guide strategic decisions to enhance integration, collaboration, and overall performance.

Addressing Differences in Knowledge and Experience in Trauma Care Capabilities Among an International Team of Military Medical Care Providers in a Deployed Setting.

Military medical personnel are crucial in providing life-saving care at the point of injury (POI) in challenging environments such as combat zones and disaster areas. This article examines the specialized training US Military medical personnel undergo before deployment and the increasing trend of deploying as part of multinational forces in operations like those in Afghanistan with NATO and non-NATO countries. Integrating medical teams from diverse backgrounds poses significant challenges in maintaining a cohesive and efficient team due to varying trauma management training standards and medical practices among the allied forces. Tactical Combat Casualty Care (TCCC) training and the development of clinical practice guidelines (CPG) by the US Joint Trauma Service have been key strategies by the US Military to standardize care. However, the variation in trauma management training among NATO allies and the differences in medical subspecialties and approaches can lead to inefficiencies and reduced effectiveness in a multinational trauma center setting. For instance, the approach to trauma care can significantly differ between the US and European countries, impacting the interoperability and teamwork in multinational medical teams. To address these challenges, the article highlights the importance of standardized medical training programs that include cultural awareness to enhance the effectiveness of multidisciplinary, multinational medical teams. It also underscores the necessity for standardized international trauma training in the face of increasing global conflicts and the potential for large-scale combat operations. The article discusses the "Trauma Tuesday" program implemented in Kabul, Afghanistan, as an example of how intensive training and simulation exercises can improve team dynamics, knowledge, and skills in trauma management among a diverse team from various nations. The need for ongoing education and developing a standard for managing trauma patients in international teams is emphasized to ensure effective communication and coordination. The article suggests that multinational trauma training can significantly improve team cohesion and critical life-saving skills, essential for future battlefields where access to definitive care may be delayed. Further research is recommended to explore the best methods for achieving effective multinational medical team integration and training standardization.

Key structure and processes in esports teams: a systematic review

Why are there numerous cases of esports teams with superstar rosters that have failed? This question highlights that having top professional players with extraordinary individual skills may not be enough to achieve success. Since winning is a primary goal, it is crucial to understand all the variables that positively influence performance. While individual performance is critical to success as part of an esports team, team dynamics, structures, and processes also foster group functioning and performance. Thus, this research aims to conduct a systematic review of the team variables involved in the performance of esports teams. For this purpose, we conducted a literature search following the PRISMA guidelines in Science Direct, Web of Science, and PsycInfo databases since 2023. This search resulted in 371 articles, and after applying the inclusion and exclusion criteria, a total of twenty-three scientific articles were analyzed. The results were grouped under seven main topics: 1) Organigram, 2) Stages of a team, 3) Team structure, 4) Team variables and processes, 5) Leadership, 6) Lack of experience in team integration, and 7) Holistic and integral perspective. To conclude, more research is needed to study the effect of team dynamics in esports, as well as to highlight the role of the psychologist in fostering group dynamics to improve team cohesion, coordination, motivation, performance, and synergy.

Novice Chinese Bariatric Nurses' Perceptions of Their Role as Bariatric Case Managers: A Qualitative Study.

Bariatric case managers (BCM) are integral healthcare team members for patients undergoing bariatric surgery in China. As the demand for bariatric surgery increases in China, the number of BCMs has also risen. However, more is needed to know about the perceptions of novice bariatric nurses toward their role as case managers. This study aims to investigate the perceptions of novice Chinese bariatric nurses toward their roles during the early stages of their careers. This qualitative study employed semi-structured individual interviews with 15 novice bariatric nurses who received training as BCMs. The interviews were audio-recorded, transcribed line-by-line, and analyzed thematically. The study was conducted in a bariatric surgery center of a public tertiary hospital in Southern China. Three themes emerged from the data related to the perceptions of being a BCM: "negotiating the ambiguity of the BCM role," "establishing a core set of behaviors for the BCM role," and "identifying areas of competence to develop a BCM role framework." The novice bariatric nurses expressed both positive and negative feelings toward their role. They highlighted the need for further training to improve their qualifications and the importance of support from colleagues, and hospital management. The findings illuminate the role of the BCM in China. Future research should investigate effective and acceptable job descriptions and cooperation modes between BCMs, colleagues and hospital management. We recommend using these findings to develop training programs for novice BCMs and improve their capacity to provide quality care to patients undergoing bariatric surgery.