Teams Deal Research Articles

The long and winding road: A team idea implementation model

Creative teams are expected to produce novel and useful outcomes in each stage of the idea journey. However, during the stage of idea implementation, where ideas are transformed into tangible outputs, creative teams encounter the tension between creativity and restriction. In other words, they need to remain flexible and open to new initiatives to increase the creativity of the outputs, while they need to follow the blueprint drawn by the ideas that are to be implemented. To explore how teams deal with such tensions in the idea implementation stage, we conducted a case study using The Beatles' Get Back project in 1969. To uncover the nonlinear, dynamic and interactive process underlying the implementation stage of team creativity, we analysed the documentaries and books about the project and the band. This led to a process model of team idea implementation. This model includes screening, initiating, trialling and evaluating stages, illuminating the iterative process within which team members implement ideas. This research provides novel insights into our understanding of team creativity.

Participant recruitment among vulnerable populations: An experience from a qualitative study among refugee adolescents in Germany.

When it comes to actual practice, comparing to theoretical plans, the study progress is much more complicated due to both predicted and unpredicted challenges in the study participant recruitment. The situation is even more difficult if the research team deal with a vulnerable population. The current article represents and discusses the recruitment process for a currently unpublished qualitative study, conducted in Germany in 2021, as the first phase of our project: SC-SD4ASA: A self-care/self-development guidebook for asylum-seeking adolescents. First a brief of the study methodology is outlined and then, the strategies used to reach the potential participants including major/government organizations for refugees, private organizations and local centers, social media, youth's favorite public places, and participatory strategy are discussed. Finally, our experience of participant recruitment challenges in this study is reviewed. We hope that the points raised from our experience can be helpful to other researchers in the same field. Overall, the experience of recruiting our participants emphasized the necessity for a dedicated point of contact for consultation and the provision of resources to connect with potential participants for researchers in the field of refugee and migrant health. Furthermore, the influence of trustworthy individuals, particularly within the community, should not be underestimated. Their assistance can significantly benefit the advancement of a research project.

Beyond one-sided expectations of integration: Rethinking international nurse migration to Germany

Abstract Background Like most countries, Germany is currently recruiting international nurses due to staff shortages. While these are mostly academic, the academisation of nursing in Germany has only just begun. This allows for a broader look at the participation of migrant nurses: How do care teams deal with the fact that immigrant colleagues are theoretically more highly qualified than long-established colleagues? Methods Case studies were conducted in four inpatient care teams of two hospitals in 2022. Qualitative data include 26 observation protocols, 4 group discussions and 17 guided interviews. These were analysed using the documentary method and validated intersubjectively. Results Due to current academisation efforts in Germany and the immigration of academised nursing staff from abroad, the areas of activity and responsibility of nursing in Germany are under negotiating pressure. This concerns basic care for example, which in Germany is provided by skilled workers, but in other countries is mostly provided by assistants or relatives. The question of who should provide basic care, whether all nurses or only nursing assistants, documents the struggle between an established and a new understanding of care. In this context, the knowledge and skills of migrant and academicised care workers become a crucial aspect in the struggle for a new professional identity for care in Germany. Conclusions The specific situation in Germany makes it possible to show the potential for change that international care migration can constitute for destination countries. The far-reaching process of change of German nursing is given a further dimension not only by its academization, but by the immigration of international and academically trained nursing staff, where inclusive or exclusive effects can already be observed. Key messages • The increasing proportion of migrant nurses accelerates the current discussion on nursing in Germany. • Conflict areas show up in everyday work of care teams and must be addressed there.

Team resilience building in response to co-founder exits

Founding teams often experience the exit of co-founders. To develop theory about how founding teams deal with adversity emerging from the exit of one of their members, we take a team-resilience perspective and study the development of six founding teams. Our inductive model highlights how founding teams take different trajectories following team member exits, leading to different types of psychological closure, which impact the teams' resilience building. Our model also suggests how teams not engaging in distancing from the exit-related adversity experience additional adversity within the continuing team, eventually leading to team failure. Our findings challenge and extend extant studies on exits in founding teams and team resilience.

Actors constructing accountability in hybrid organisations: The case of a Swedish municipal corporation

Coping with accountability challenges is an essential part of how actors in hybrid organisations make sense of their responsibility to distinctive groups of stakeholders. Drawing on institutional theory and a logics perspective, we explore how the strategic apex in a Swedish municipal housing corporation constructs accountability in relation to the tensions that arise therein. Our case study highlights that the strategic apex deals with the challenges associated with multiple accountability logics via the process of evoking the principals. Given the invisibility of the legal owner, the strategic apex evokes the principal(s) through the additional processes of negotiating resource allocation, compromising and interest alignment, and creating team structures. Our findings contribute to the emergent literature on how hybrid organisations construct accountability and manage related challenges. Furthermore, our analysis of how individual actors and teams deal with the tension between individual and collective actions in the accountability domain advances current knowledge of the processes through which these actors cope with accountability challenges in hybrid organisations.

Knowledge sharing in temporary teams: Exploring the use of 3D printing in orthopaedic surgery

This study explores knowledge sharing in temporary teams which use 3D printing technology to support surgical interventions. We focus on the planning phase of orthopaedic surgeries when senior surgeons organise a temporary team to create personalised treatment using 3D printing technology. We conduct in-depth interviews with 25 surgeons and their teams in one of the leading orthopaedic research hospitals in Italy. Based on our qualitative evidence, we find that when the technology provides a basis for the surgical planning, knowledge sharing in teams mostly occurs through two-way – dyadic – relationships between team participants. Our findings also demonstrate that hierarchy within teams is important to support the formation of dyads thereby facilitating knowledge sharing practices within temporary teams. This study is novel in highlighting how temporary teams deal with knowledge sharing challenges due to the continuous changes in team composition in healthcare.

Temporal Structuring in Sensemaking – How an Entrepreneurial Team Deals with Radical Uncertainty

Understanding ways in which teams and organizations manage, negotiate and navigate uncertain futures is paramount, as high uncertainty can significantly harm employee and volunteer engagement. Recently, scholars have taken a keen interest in exploring collective sensemaking in uncertain contexts. Previous studies have examined how teams restore action after disruptive events and retrospectively make sense of the disruptions. However, the strategies teams utilize to deal with dynamic uncertainty “on the ground” have been largely missing. In this study, we examined team-level sensemaking during high uncertainty. We identified three strategies of temporal structuring that helped the team cope with and tame the uncertainty that could cripple their organizing efforts: (1) freezing the future (2) bracketing the future and (3) abstracting the future. Our study contributes to the literature on sensemaking and uncertainty by demonstrating the significance of temporal structuring as a way of moving forward and dealing with uncertainty as well as mitigating the potentially paralyzing effect of radical uncertainty. In addition, our study contributes to the literature on prospective and temporal sensemaking by focusing on the present-future connection and showing how a team constructs sensemaking anchors in the future rather than retrospectively in the past.

Participant recruitment among vulnerable populations: An experience from a qualitative study among refugee adolescents in Germany

When it comes to actual practice, comparing to theoretical plans, the study progress is much more complicated due to both predicted and unpredicted challenges in the study participant recruitment. The situation is even more difficult if the research team deal with a vulnerable population. The current article represents and discusses the recruitment process for a currently unpublished qualitative study, conducted in Germany in 2021, as the first phase of our project: SC-SD4ASA: A self-care/self-development guidebook for asylum-seeking adolescents. First a brief of the study methodology is outlined and then, the strategies used to reach the potential participants including major/government organizations for refugees, private organizations and local centers, social media, youth’s favorite public places, and participatory strategy are discussed. Finally, our experience of participant recruitment challenges in this study is reviewed. We hope that the points raised from our experience can be helpful to other researchers in the same field.

The application of deep learning algorithms to classify subsurface drilling lost circulation severity in large oil field datasets

In this paper, we present how precise deep learning algorithms can distinguish loss circulation severities in oil drilling operations. Lost circulation is one of the costliest downhole problem encountered during oil and gas well construction. Applying artificial intelligence can help drilling teams to be forewarned of pending lost circulation events and thereby mitigate their consequences. Data-driven methods are traditionally employed for fluid loss complexity quantification but are not able to achieve reliable predictions for field cases with large quantities of data. This paper attempts to investigate the performance of deep learning (DL) approach in classification the types of fluid loss from a very large field dataset. Three DL classification models are evaluated: Convolutional Neural Network (CNN), Gated Recurrent Unit (GRU) and Long-Short Term Memory (LSTM). Five fluid-loss classes are considered: No Loss, Seepage, Partial, Severe, and Complete Loss. 20 wells drilled into the giant Azadegan oil field (Iran) provide 65,376 data records are used to predict the fluid loss classes. The results obtained, based on multiple statistical performance measures, identify the CNN model as achieving superior performance (98% accuracy) compared to the LSTM and GRU models (94% accuracy). Confusion matrices provide further insight to the prediction accuracies achieved. The three DL models evaluated were all able to classify different types of lost circulation events with reasonable prediction accuracy. Future work is required to evaluate the performance of the DL approach proposed with additional large datasets. The proposed method helps drilling teams deal with lost circulation events efficiently.Article HighlightsThree deep learning models classify fluid loss severity in an oil field carbonate reservoir.Deep learning algorithms advance machine learning a large resource dataset with 65,376 data records.Convolution neural network outperformed other deep learning methods.

Dealing with Not-Knowing in Inbound Open Innovation: A High-Tech Innovation Case

AbstractKnowledge and innovation are two inseparable topics in the literature on knowledge management or innovation. Most often, when scholars write about knowledge management, they refer to innovation as the key objective. Some argue that using the knowledge available beyond a firm’s boundaries (open innovation) leads to increased innovativeness, while others talk of the knowledge-creating firm. However, current literature provides us with limited insights on how the innovation team deals with externally developed knowledge or how it comes into the innovation creation process. Managing teamwork innovation endeavours in technology development is challenging since the outcome is often uncertain as well as inputs along that path. This paper attempts to open the backbox of open innovation and suggests that innovating teams entwine externally developed knowledge through the process of dealing with not-knowing.

CIED guided HF management : a prospective cohort study

Abstract Funding Acknowledgements Type of funding sources: Public hospital(s). Main funding source(s): Liverpool Clinical Commissioning Group Background Heart failure (HF) is associated with significant morbidity and mortality. (1) Cardiac Implantable Electronic Devices (CIED) generated Heart Failure Risk Score (HFRS) alerts may guide management in this complex cohort and help direct resources to appropriate patients. (2) Aim To develop and evaluate an integrated, multidisciplinary approach to HF management for patients with CIED by sharing HFRS alerts directly with the HF teams. Methods We undertook a prospective, single centre cohort study of patients who generated high risk HFRS alerts. These alerts were shared with community HF teams responsible for routine care of patient, prompting patient contact and appropriate intervention by the team. Impact of the pathway was evaluated by review of outcomes including hospitalisation and clinical intervention within 4- 6 weeks of the alert and mortality during the follow up period. Ongoing education was provided to help teams deal with alerts. A validated user questionnaire was completed by the stake holders to obtain user feedback. Results 365 "High risk" alerts were noted in 188 patients in a 2 year period (November 2018 - November 2020). The mean number of alerts per patients was 1.9 and 44 (23%) of patients had >3 "high risk" alerts in the follow up period. Having three or more alerts significantly increased the risk of hospitalisation for heart failure (HR 2.5, CI 1.1–5.6 p = 0.03) but not mortality (HR 2.1 CI 0.6-7.2 p = 0.23). Overall 75 (39%) of patients were hospitalised in the 4-6 week period of the alert – 53 (28%) of these were unplanned of which 24(13%) were for decompensated HF. A further 24(13%) had planned admissions for care to improve therapy (AV node ablation, device and lead replacement) and reduce morbidity (LA appendage occlude, IV Iron therapy). 33(18%) of patients died in the follow up period. 15(8%) received therapy from the device. 18(10%) of patient underwent deactivation of ICD therapy. Contact was established in 176 (94%) of patients, and alerts actioned appropriately. 55 patients reported being asymptomatic, and in 45 the trends were improving so no further clinical action was taken. 76 patients had an onward referral made for further management including; 32 to a Cardiologist, 20 to primary care, 13 referrals to community HF teams and 11 referrals to palliative care. 23 patients had medications changes instituted. The feedback on the pathway was positive. Conclusions An integrated approach to HF for patients with CIEDs in situ can facilitate timely risk stratification and intervention in this cohort of patients and potentially reduce unplanned health care utilisation. Intervention in these patients is not limited to HF alone and provides the opportunity for holistic management of this complex cohort Abstract Figure.

A mesterséges koponyatorzítás hatásának vizsgálata a koponya metrikus adataira vonatkozóan

Kutatócsoportunk északkelet-magyarországi régészeti ásatások során előkerült mesterségesen torzított koponyák több szempontú antropológiai vizsgálatával foglalkozik. A koponyák hun-germán korúnak datált (5–6. század) sírokból származnak. A mesterséges torzítás, mint szokás, koponyára tett hatásának minél részletesebb megismeréséhez szükséges, hogy a koponyák morfológiai és metrikus adatainak leírása és dokumentálása megtörténjen, de a viszonylagos kevés esetszám és a nemi differencia miatt, eddig nem volt mindig lehetőség a további elemzésekre. Jelen munkánkban ennek megoldására szeretnénk javasolni egy egyszerűen alkalmazható úgynevezett torzítási differenciaszámot (RD) a mesterséges torzítás koponyaméretekre tett hatásának kvantitatív megítélése céljából, melyet eddig még ilyen formában nem használtak kutatók.

From one new law to (many) new practices? Multidisciplinary teams re-constructing the meaning of a new disability law.

This paper explores how a new French law incorporating a new conceptualization of disability formulated at the international level by the WHO is appropriated at the local level by multidisciplinary teams of professionals in charge of the assessment of disability. Drawing on social representations theory, its concept of cognitive polyphasia and its conceptualization of legal innovation, the paper specifically examines how the teams deal with the tensions between the old and the new models of disability and how the group dynamic is associated with how they do this: by hybridization of old and new models, by selective prevalence according to context, or by displacement of one model. Focus groups with the teams (n=65 from 10 groups), analysed with indicators of interaction, bring evidence of the three forms. They show how different groups, by drawing differently, depending on their relational dynamics, from a variety of meaning systems circulating at the cultural level, reach different decisions that may lead to different practices in the local implementation of the same laws. We finish by discussing how social representations theory, linking the cultural/global and the interactional/local levels, can enhance our understanding of how socio-psychological processes intervening in the appropriation of legal innovations may produce different practical implementations of the same new laws.

Ambidexterity & Collective Cognitive Dissonance: How Team Characteristics Promote Innovation

We examine how employees and teams deal with the conflicting goals of innovation and productivity inherent in the concept of ambidexterity. Despite the fact that much of the innovative work in today’s organizations is carried out by employees in teams, very little empirical research has been done on organizational ambidexterity at a more micro-level. Our grounded model, based on a qualitative data collection in an IT multinational organization, reveals how individuals collectively shared an uncomfortable state of cognitive dissonance related to the perceived mismatch between i) the pressure from top managers towards becoming more innovative and ii) their everyday work oriented towards productivity and driven by standard processes. Collective cognitive dissonance was solved by individuals in different ways. Some employees worked to become more innovative, thus contributing to organizational ambidexterity. Others, however, enacted conservative responses, either rationalizing the inconsistency by re-interpreting what they were doing as innovative or changing their attitudes by seeing the company as not innovative. Different responses were contingent on the characteristics of the teams individuals were part of, i.e. managerial support, psychological safety, and boundary permeability. Our findings have implications for the study of microfoundations of ambidexterity and collective cognitive dissonance processes.

Women’s Football in Brazil: Memories of the National Team’s Athletes

Women’s football has historically faced difficulties and lacked effective management in Brazil. Oral histories of leading Brazilian female footballers reveal their perspectives on these issues. How do athletes who have played for the Brazil women’s national football team deal with this sport’s problematic organization in Brazil? This investigation stemmed from the collection of oral history narratives from six athletes who played on the Brazilian women’s national team in the 2000s. Their experiences reveal that their participation on the Brazil national team represents moments of pride and that the structure offered by the Brazilian Football Confederation seems to be an exception to the generally chaotic universe of women’s football in Brazil. Nevertheless, their narratives divulge a completely distinct situation has emerged in Brazil as compared to the European scene in regards to women’s football.

Ethical challenges of adult ECMO.

The use of extracorporeal membrane oxygenation (ECMO) is expanding rapidly, and as more centres streamline their management policies, the bioethics literature on ECMO has been highlighting the ethical challenges of using an expensive, resource-intensive technology including its eligibility, duration of support, cost-effectiveness and societal repercussions. The absence of high-quality studies on long-term outcomes of ECMO survivors leads to multiple ethical problems involving patient autonomy, beneficence and clinical wisdom pertaining to its initiation, maintenance and termination. This article reviews some of the ethical challenges that affect decision-making during ECMO therapy and suggests an ethical framework that may help the treating team deal with such conundrums, when the patient does not recover despite being on ECMO.

M&A integration: in search of a mega-project lens

Through a multi-case study investigating mergers and acquisitions at three leading aerospace and defence firms, I propose adopting a mega-project delivery model for navigating large-scale post-merger integration activity and introduce an empirically based conceptual framework identifying five synergistic success factors that support the integration team and capture deal value. In alignment with a mega-project management approach, these factors include an integration strategy aligned with the deal rationale and organisational context; adaptive, engaged leadership that remains accountable through progress metrics; a comprehensive communications plan addressing all stakeholders; successful management of cultural integration; and identification of an appropriate speed for the specific integration activities.

Diagnosis of Skin Lesions Using Photographs Taken With a Mobile Phone: An Online Survey of Primary Care Physicians.

Skin conditions are one of the most frequent reasons for visiting a primary health care facility, making it of vital importance that general practitioners (GPs) have the right knowledge and tools to diagnose the most frequent dermatological conditions. Methods: This study evaluates the accuracy of dermatological diagnoses made by 120 GPs based on photographs taken with a smartphone by an anonymous online cross-sectional survey. Results: The study was carried out between August and October 2018. The results show that the majority of the participants are in favor of using mobile phones to communicate with other professionals and use them to consult medical images. The majority (69%) took dermatological photographs and the preferred device was a smartphone (70%). From 22 different images evaluated, in 69% of responses, participants expressed a high degree of confidence in their ability to diagnose the lesion shown and in 72% of the cases, the diagnosis chosen was correct. Conclusions: The study confirms that the use of smartphone to send medical images is growing rapidly and its potential for taking medical images is an opportunity to help primary care teams deal with dermatological problems. The results suggest that GPs need further training in interpreting dermatological images, to increase their diagnostic confidence and to avoid the need for referrals to face-to-face visits.

How clinical teaching teams deal with educational change: \u2018we just do it\u2019

BackgroundIn postgraduate medical education, program directors are in the lead of educational change within clinical teaching teams. As change is part of a social process, it is important to not only focus on the program director but take their other team members into account. The purpose of this study is to provide an in-depth insight into how clinical teaching teams manage and organize curriculum change processes, and implement curriculum change in daily practice.MethodsAn explorative qualitative semi-structured interview study was conducted between October 2016 and March 2017. A total of six clinical teaching teams (n = 6) participated in this study, i.e. one program director, one clinical staff member, and one trainee from each clinical teaching team (n = 18). Data were analysed and structured by means of thematic analysis.ResultsThe analysis yielded to five factors that positively impact change: shared commitment, reinvention, ownership, supportive structure and open culture. Factors that negatively impact change were: resistance, behaviour change, balance between different tasks, lack of involvement, lack of consensus, and unsafe culture and hierarchy. Overall, no clear change strategy could be recognized.ConclusionsInsight was gathered in factors facilitating and hindering the implementation of change. It seems particularly important for clinical teaching teams to be able to create a sense of ownership among all team members by making a proposed change valuable for their local context as well as to be capable of working together as a team. Cultural factors seem to be particularly relevant in a team’s ability to accomplish this.

SUN-PO209: How Nutrition Support Teams Deal with Ethical Issues?

SUN-PO209: How Nutrition Support Teams Deal with Ethical Issues?