Teamwork Approach Research Articles

Stepwise Teamwork Approach Saves Patients Extensive Work-Up

Stepwise Teamwork Approach Saves Patients Extensive Work-Up

Self-efficacy of Data Literacy among Primary and Secondary School Teachers in Guangdong Province

The application of educational big data provides new basis for teachers to improve teaching and promote student development. However, there are still many challenges in using data to solve complex educational problems. Teacher data literacy has become the key to transforming educational data into effective teaching strategies. The study sought to gain a better understanding of the current state of primary and secondary school Teachers self-efficacy of data literacy and put forward some suggestions for teacher data literacy training. This study used a quantitative methodology. 813 primary and secondary school teachers from Guangdong Province, China, completed a questionnaire on self-efficacy of data literacy. (1) Primary and secondary school teachers reported significantly high levels of self-efficacy in data literacy (mean=3.624). Among the dimensions, the data awareness and ethics dimension had the highest self-efficacy (mean=3.738) and the data research dimension had a lower self-efficacy (mean=3.358). (2)There were significant differences in the primary and secondary school teachers’ self-efficacy of data literacy with different ages, educational backgrounds, and school locations. Primary and secondary school teachers generally recognized the importance of data literacy training. Older teachers who worked in rural schools and had low levels of education have the lowest level of self-efficacy for data literacy. For primary and secondary school teachers' low level of data analysis skills and weak data transformation strategy ability, teacher data literacy training adopts an embedded teamwork approach, integrating multiple resources to build a data team, integrating big data technology throughout the entire teaching process, and helping teachers to use new data and technologies to understand students' needs in a timely manner, to select teaching methods, and to solve real-world problems. It makes data literacy the foundation of teachers' teaching and promotes the development of all students.

The E-Team Project: A Teamwork Approach to Clinical Legal Education

The E-Team Project: A Teamwork Approach to Clinical Legal Education

Clinical simulation training for the adequate management of obstetrics emergencies: A narrative review.

Obstetric emergencies are critical situations that jeopardize the health of both the mother and the baby during pregnancy or childbirth. This study aimed to validate the effectiveness of clinical simulation training in managing these situations. We conducted a narrative review of studies published between 2008 and 2022, collected from databases including Scopus, Sciencedirect, PubMed, Springer, Scielo, and Google Scholar. Data from studies that met our inclusion criteria were meticulously gathered and summarized. Our findings strongly emphasize that clinical simulation emerges as a highly effective tool in the training of healthcare professionals. This training translates into substantial improvements in various aspects, including performance, knowledge, confidence, satisfaction, attitudes, self-efficacy, teamwork abilities, and the skills necessary to confront critical obstetric situations such as postpartum hemorrhage, eclampsia, shoulder dystocia, maternal cardiac arrest, umbilical cord prolapse, and cesarean sections. Importantly, this training reduces the inherent risks associated with learning on real patients and aligns with the highest ethical standards. Additionally, our results underscore that interdisciplinary collaboration in the management of obstetric emergencies proves to be an effective strategy for providing comprehensive patient care. However, it is crucial to highlight that, in order to ensure patient safety and promote a teamwork approach, it is imperative for healthcare professionals to receive adequate training and be duly qualified. Although we acknowledge that implementing clinical simulation training can entail significant costs and require substantial resources, we firmly believe that this strategy continues to hold immeasurable value in the education of professionals in this field. Ultimately, we anticipate that future high-quality research will further fortify the evidence base regarding best practices in clinical simulation training for obstetric emergencies, thus contributing to enhanced patient outcomes and the overall quality of healthcare in this critical domain.

State of the art and theoretical framework regarding student research in the regional and local context, with emphasis on health sciences and nursing students

Higher education in health has always emphasized the development of knowledge, skills and attitudes; when, in the modern world, we must not only educate our competitiveness, but also enhance our ability to adapt to change, generate new knowledge and constantly improve our performance. Scientific research is increasingly related to the experience of students in their work performance and their interaction with the environment, so that the acquisition of knowledge is not independent of their activity. The research groups contribute to the formation of students in teamwork and interdisciplinary approach to knowledge. Scientific research is rigorous, and universities should promote it, for which the research seedbeds are a good way to obtain diagnoses of our reality, and proposals in accordance with the needs of the environment to modify it. The seedbeds are spaces in which a tutor and his students are present in order to create a learning community, and constitute a training strategy to promote research in multiple fields of knowledge, and are potentially applicable and useful in the area of higher education in health. The work that is developed in the seedbeds from an individual or collective appearance confirms a mutual benefit, which includes the actors or members of the seedbed, the institution, the network and society

Interprofessional Collaboration: Use of Cardiac Risk Perception Tool by Personal Trainers

Background: Cardiovascular disease (CVD) remains a major cause of death in the United States. The Institute of Medicine and The American Association of College of Nursing recommend an interprofessional teamwork approach to improving cardiac health outcomes. Objective: The purpose of this study was to determine if individuals who participate in a Personal Trainer Program perceived themselves to be at risk for developing CVD. Methods: This was a descriptive psychometric study. An exploratory factor analysis was conducted using the Cardiovascular Risk Perception Survey (CRPS). The participants were volunteers in a Personal Trainer Program who answered the CRPS Questionnaire which addressed known cardiovascular risk factors. Results: Spearman correlations showed strong relationships were shared with high blood pressure (HBP) & high cholesterol (HC) (0.595), and HBP and age & gender (AG) (0.591). Moderate relationships were also seen between HBP with diabetes (DM) (0.465), ethnicity (ET) (0.359), and family history (FH) (0.398). Aside from HBP, HC shared moderate relationships with physical inactivity (PI) (0.351), DM (0.382), ET (0.351), FH (0.369), and stress level (ST) (0.358). Strong relationships were shared with Overweight (OW) & PI (0.686), as well as OW & DM (0.549). Moderate relationships were seen with OW and smoking (SM) (0.419), as well as with OW and AG (0.475), ET (0.432), and FH (0.427). Strong relationships were shared between PI and DM (0.669), while PI shared moderate to strong relationships with SM (0.443), AG (0.501), ET (0.395), FH (0.442), and ST (0.397). Moderate-to-strong relationships were shared between DM and the following: AG (0.469), ET (0.468), FH (0.681), and ST (0.673). Finally, AG, ET, FH, and ST shared strong relationships with each other. Conclusion: Personal trainers in collaboration with nurses have the opportunity to promote cardiovascular knowledge and prevent cardiac risk factors. Interprofessional education and collaboration among health sciences professionals could influence cardiovascular outcomes.

Striving to thrive or striving to survive: Professional identity constructions of medical trainees in clinical assessment activities.

Assessment plays a key role in competence development and the shaping of future professionals. Despite its presumed positive impacts on learning, unintended consequences of assessment have drawn increasing attention in the literature. Considering professional identities and how these can be dynamically constructed through social interactions, as in assessment contexts, our study sought to understand how assessment influences the construction of professional identities in medical trainees. Within social constructionism, we adopted a discursive, narrative approach to investigate the different positions trainees narrate for themselves and their assessors in clinical assessment contexts and the impact of these positions on their constructed identities. We purposively recruited 28 medical trainees (23 students and five postgraduate trainees), who took part in entry, follow-up and exit interviews of this study and submitted longitudinal audio/written diaries across nine-months of their training programs. Thematic framework and positioning analyses (focusing on how characters are linguistically positioned in narratives) were applied using an interdisciplinary teamwork approach. We identified two key narrative plotlines, striving to thrive and striving to survive, across trainees' assessment narratives from 60 interviews and 133 diaries. Elements of growth, development, and improvement were identified as trainees narrated striving to thrive in assessment. Neglect, oppression and perfunctory narratives were elaborated as trainees narrated striving to survive from assessment. Nine main character tropes adopted by trainees with six key assessor character tropes were identified. Bringing these together we present our analysis of two exemplary narratives with elaboration of their wider social implications. Adopting a discursive approach enabled us to better understand not only what identities are constructed by trainees in assessment contexts but also how they are constructed in relation to broader medical education discourses. The findings are informative for educators to reflect on, rectify and reconstruct assessment practices for better facilitating trainee identity construction.

Exploring Coping Strategies of Parents of Children With Autism Spectrum Disorder in Taiwan: A Qualitative Study.

Children with autism spectrum disorder (ASD) experience impairments in their social interactions, language communication, and stereotypical patterns of behavior. Parents of children with ASD experience higher levels of stress and more depression and anxiety than parents of children with other disabilities or typically developing children. Parents of children with disabilities develop coping strategies to counteract the stresses associated with raising a child with special needs. Understanding coping strategies to help counteract the stresses associated with parenting a child with ASD may enhance well-being in parents of children with ASD, improve the quality of care provided to these children, and foster better parent-child relationships. The purpose of this study was to explore the coping strategies used by parents in Taiwan parenting a child with ASD. In this descriptive qualitative study, thematic analysis was conducted on data collected during face-to-face interviews. Fourteen parents of children with ASD were recruited using purposive sampling. Researchers employed a teamwork approach for data analysis to increase the dependability and consistency of the transcribed interviews. Team members discussed coding and identified the themes collaboratively. Taiwanese parents of children with ASD coped with the psychological impacts of parenting by employing problem-focused and emotion-focused strategies. Problem-focused strategies included communication, support, and management, whereas emotion-focused strategies included acceptance and adaptation. Findings showed that both coping strategies were useful in addressing specific situations and circumstances. Social and clinical support improved parents' mental health and children's external behaviors. Healthcare providers should evaluate how parents are coping with the stresses related to raising a child with ASD and consider the cultural factors that might influence how they accept and adapt to parenting children with ASD. Understanding these variables may be used to tailor strategies appropriate to reducing stress and improving the well-being of parents and their children. Support and resource referrals should be considered, including parent support groups, books, web-based services, and recommendations for professional consultations with social workers or therapists.

Advocating for a patient- and family centered care approach to management of short bowel syndrome.

Patient- and family centered care (PFCC) is a model of providing healthcare that incorporates the preferences, needs, and values of the patient and their family and is built on a solid partnership between the healthcare team and patient/family. This partnership is critical in short bowel syndrome (SBS) management since the condition is rare, chronic, involves a heterogenous population, and calls for a personalized approach to care. Institutions can facilitate the practice of PFCC by supporting a teamwork approach to care, which, in the case of SBS, ideally involves a comprehensive intestinal rehabilitation program consisting of qualified healthcare practitioners who are supported with the necessary resources and budget. Clinicians can engage in a range of processes to center patients and families in the management of SBS, including fostering whole-person care, building partnerships with patients and families, cultivating communication, and providing information effectively. Empowering patients to self-manage important aspects of their condition is an important component of PFCC and can enhance coping to chronic disease. Therapy nonadherence represents a breakdown in the PFCC approach to care, especially when nonadherence is sustained, and the healthcare provider is intentionally misled. An individualized approach to care that incorporates patient/family priorities should ultimately enhance therapy adherence. Lastly, patients/families should play a central role in determining meaningful outcomes as it relates to PFCC and shaping the research that affects them. This review highlights needs and priorities of patients with SBS and their families and suggests ways to address gaps in existing care to improve outcomes.

The Role of The Family in The Success of Exclusive Breastfeeding

Support of others is a key factor for mothers who choose to breastfeed their infants, including those who balance work outside the home and breastfeeding. However, little research has been done to understand how maternal support during the postpartum period impacts mothers' ability to later balance work and breastfeeding, in particular full-time work and exclusive breastfeeding. The results of this qualitative study indicate that the timing of support plays a key role in mothers' ability to successfully overcome barriers during the early postpartum period, thus building maternal self-efficacy in addressing problems encountered when they return to work. Fathers’ support can influence mothers’ breastfeeding decisions and behavior. Potentially supportive behaviors have been reported in previous studies, but no studies have directly examined which, if any, of those actions are actually more likely to result in desired breastfeeding outcomes. The two studies reported in this paper address this gap by examining relationships between fathers’ reported breastfeeding support and mothers’ perceptions of received support and breastfeeding intentions, satisfaction, and duration. The Partner Breastfeeding Influence Scale (PBIS) was used in an online survey with 64 women and 41 men (34 couples) and a telephone survey with 80 mothers and 65 fathers (63 couples). Fathers’ and mothers’ reports of how often fathers engage in the types of support measured by the PBIS were used to predict breastfeeding intentions, satisfaction, and duration. In Study 1, responsiveness predicted breastfeeding success and satisfaction for men and satisfaction for women. However, mothers’ intended breastfeeding duration was shorter when fathers both wanted them to breastfeed for a long time and were more appreciative and savvy about breastfeeding. Study 2 showed that the best breastfeeding support is given when a considerate, well-organized teamwork approach is used that is sensitive to the requirements of the mother. Keyword: Breastfeeding, Family, Role, Support, Successfully

Valuing employee productivity through the participative teamwork approach of telecommunication firms

The study examined the influence of teamwork on employee productivity in selected telecommunication firms in Delta State. The specific objectives of the study are to; determine the effect of team trust on employee productivity in selected firms in Delta State; ascertain the effect of reward and recognition on employee productivity in selected firms in Delta State and examine the effect of competent leadership on employee productivity in selected firms in Delta State. The study adopted a cross-sectional research design method. A sample size of 62 was chosen out of the 273 population of the study. The simple random sampling technique was adopted for the study. The instrument that was used for data collection is a single set of structured questionnaires. In this study, statistical techniques of data analysis were used. The list includes descriptive statistics, correlation, and regression analysis. All analysis was done using the statistical package for social science (SPSS) software version 25. Findings showed that team trust (ß = 0.181, P<0.05), reward and recognition (ß = 0.602, P<0.05), and competent leadership (ß = 0.128, P<0.05) have a positive effect on employee productivity. Findings showed that 40% of the change in employee productivity was brought about by the dimensions of teamwork. The study concluded that teamwork has a significant positive effect on Employee productivity in telecommunication firms. The study recommended amongst others that Managers must plan and design an appropriate reward system for the employee and encourage their participation in team arrangements for effective performance to be achieved and also create a conducive and trustable environment for synergetic teamwork. The study demonstrated that trust is a very crucial aspect of the team values and way of life which brings about togetherness in achieving specific goals of an organization.

Outcomes of pregnant women hospitalized with unrepaired congenital heart disease: Insights from a multidisciplinary center in Vietnam

Background In developing countries, fewer women have access to multidisciplinary congenital heart disease and reproductive programs staffed by experts. We report pregnancy outcomes of a multidisciplinary healthcare strategy utilizing an in-hospital teamwork approach in Vietnam. Methods This retrospective cohort study included pregnant women with unrepaired congenital heart disease managed at a referral cardiovascular center. Results Undiagnosed congenital heart disease before pregnancy, a lack of pre-pregnancy cardiology counseling, and modified World Health Organization class III/IV were common. Under the multispecialty healthcare strategy, although the rate of maternal death was 8.2% in the modified World Health Organization class IV group, no deaths occurred in any other group. Fetal/neonatal complications occurred in 54% of pregnancies, and 49.4% of neonates survived. Poor pregnancy outcomes were associated with admission during the first/seconde trimester for fetus/neonates, third trimester for mother, modified World Health Organization class III/IV, cyanosis, and heart failure. Conclusion The outcomes of pregnant women with unrepaired congenital heart disease were poor but seemed to improve with a multidisciplinary in-hospital healthcare teamwork strategy.

Emergent In Situ Fenestration in the Ascending Aorta for the Endovascular Repair of a Large Pseudoaneurysm: A Technical Note

Purpose: The purpose of this article is to describe an emergent in situ fenestration (ISF) technique in the ascending aorta for the endovascular repair of a large pseudoaneurysm using a trans-septal needle device through direct right common carotid artery access, in a patient with left ventricular assist device (LVAD). Technique: We performed, in a multidisciplinary team-work approach, an emergent ISF to correct the displacement of a physician-modified thoracic endograft released in the ascending aorta to correct a large anastomotic pseudoaneurysm in a patient who underwent ascending aorta replacement and subsequent LVAD implantation. We used a trans-septal needle device inserted through a direct access to the right carotid artery and performed an ISF to restore the patency of the outflow ostium of the LVAD. Window was then completed and stabilized with a nitinol balloon expandable covered stent graft obtaining an effective exclusion of the anastomotic aortic aneurism and the regular patency of the LVAD outflow graft with no signs of leaks. Conclusions: Multidisciplinary teamwork approach can be crucial in challenging procedures where an alternative approach may lead to problem solving. The ISF technique may be a valid option to adopt in emergency cases in which no other technical solutions are suitable. Clinical Impact The endovascular approach has become more and more frequent for the treatment of vascular pathologies, getting increasingly refined and complex. Thereby the chance of incurring intraprocedural troubles has grown and bailout strategies should always be present. In situ fenestration is a technique to be aware of and that could help you recover from difficult situations. We report a possible rescue maneuver that can be applied also in arduous anatomies such as the ascending aorta. Moreover, we would like to highlight the importance of a multidisciplinary working environment that can enrich our everyday practice accomplishing effective and unexpected solutions.

Situating children in divorce mediation in South Africa and Australia: A comparative study

This study focuses on situating children in divorce mediation in South Africa and Australia. This study investigates how South Africa and Australia have domesticated and are implementing relevant international laws and policies that allows hearing the voices of children in divorce mediation. This study found that South Africa and Australia do not have specific legislation that provides hearing in the child's voice in divorce mediation. However, the Australian government funds on-going research to improve the hearing of a child's voice in divorce mediation. Aided by government funding, Australia has developed unique techniques to listen to the child's voice during divorce mediation. The special priority afforded to children’s rights in South Africa and Australia is justified under the Capabilities approach cost-effectiveness principle because it prevents a spiralling need for state intervention later in the lives of its citizens. Some of the techniques used by the Australian government go beyond the requirements of the UNCRC and ACRWC. For example, some FRCs employ technology to screen for child abuse before hearing a child's voice in divorce mediation. Like the Office of the Family Advocate in South Africa, FRCs use a teamwork approach where child consultants and mediators work together to listen to the child's voice during divorce mediation.

The Implementation Of a Mentoring Strategy For Teachers' Professional Development in Elementary School

<span lang="EN-US">This study aims to discuss two important variables in teachers’ role as educators in elementary school institutions, namely mentoring and professional development. Mentoring is believed to help teachers to enhance their teaching quality and students’ involvement. Professional development refers to teachers’ skills in implementing activities in their teaching-learning process. The method used in this study is literature review by identifying, selecting, analyzing and synthesizing relevant previous articles or data related to the topic. The result of the study confirms that there are five factors contribute to the implementations of a mentoring strategy for teachers’ professional development in elementary school, such as: (1) Teamwork approach; (2) Teachers’ attitude; (3) Exchange of information; (4) Continuous learning; and (5) Teaching skills improvement. The study concludes that a mentoring strategy plays significant role to improve teachers’ professional development during their educational services. The implementation of mentoring is not limited to novice teachers, but it should be applied for all teachers as a manifestation of lifelong learning.</span>

Ernest Weissmann’s Architectural and Planning Practices

Architect Ernest Weissmann (1903-1985) dedicated his career to improving the living conditions of the deprived population - before and immediately after World War II in Europe and the United States and, starting from the 1950s and owing to senior positions he held at the United Nations Department of Social Affairs [UN DESA], also in underdeveloped countries in Asia, Africa, and Latin America. The means by which he tried to achieve it were type projects flexible enough to respond to each individual case, education, teamwork, and self-help approach. The latter was thought to strengthen the local communities, their experts, resources, and production. Relying on the research on Weissmann’s pre-UN DESA career, this paper argues that Weissmann formulated most of his ideas, in particular self-help, and the above-mentioned methods, and put them into practice and an international perspective, before 1951 thanks, to his collaboration with Le Corbusier, the School of Public Health in Zagreb, the International Congress of Modern Architecture [CIAM], New York-based Structural Study Associates [SSA] group, Board of Warfare, and United Nations Relief and Rehabilitation Administration [UNRRA].

Police Dyads Within an Operational Simulation: an Empirical Test of the Research Propositions Made in the “Big Five” Teamwork Approach

Based on the impact of the theoretical big five of teamwork model proposed by Salas et al. (2005), the present study aimed at investigating the model within an operational police simulation. One hundred and sixty-seven frontline police officers participated in the study. Based on path analyses, a reduced model excluding trust and leadership obtained a good fit with the data.The results provided some support for the model by confirming six out of 10 proposed direct effects and four out of seven indirect pathways. Shared mental models directly affected team adaptability, and backup behavior affects adaptability and team effectiveness. Team orientation affects mutual performance monitoring and backup behavior, and finally, reciprocal monitoring affects backup behavior. Monitoring influenced both team effectiveness and adaptability through backup behavior. Two paths from team orientation towards effectiveness were found. One flowing through monitoring and another through back-up behavior. Our study expands former knowledge of the big five theory by empirically testing the totality of the model and identifying important pathways.

Teamwork Approach in Management of Zygomaticomaxillary Complex (ZMC) Fracture with Globe Rupture: A Case Report

Introduction : Zygomaticomaxillary complex (ZMC) fractures are one of the most common fractures of the facial skeleton. Zygomatic fractures can cause ocular and mandibular functional impairment, along with cosmetic defects. The characteristic clinical signs of zygomatic bone fracture include diplopia, infraorbital nerve paraesthesia, flattening of the cheek, and trismus, whereas maxillary fracture may typically cause flattening of the midface and malocclusion. Therefore, surgical reconstruction is required to restore the function and appearance.Case Report : A 31-year-old man with ZMC fracture and globe rupture underwent open reduction and internal fixation using plate and orbital mesh. We collaborated with an ophthalmologist who performed enucleation and tarsorrhaphy.Discussion : The reconstruction improved functional and physical aspects and therefore psychological wellbeing. The main goal of the ZMC fracture treatment is to reconstruct the face in terms of functions and aesthetic. Furthermore, reconstruction of the left orbit (orbital rims and walls) as a secondary objective despite the blind eye, improved his appearance enabling formation of a pocket into which an eye implant was inserted. Satisfying functional and aesthetic outcome was achieved in this patient.Conclusion: A teamwork approach in surgical reconstruction for this case with ZMC fracture which always has an orbital component, was recommended to obtain an effective and optimal result. Both plastic surgeon and ophthalmologist can elaborate patient needs for facial reconstruction especially orbital region with good result.

Strengths, Weaknesses, Threats, and Opportunities a Pediatric Home Care Program in Covid 19 Virus Pandemic: A Qualitative Study

Covid 19 has made a huge difference in all aspects of life, especially in care and treatment. Hospitalization is limited because of infected family members and fear of getting Covid 19 has limited. The purpose of this study is to analyze the existing conditions based on the SWOT analysis for the home care program for children in Coronavirus crisis. This study is a qualitative study with a conventional content analysis approach. Participants were 18 nurses, physicians, and faculty members, selected based on their willingness to participate in the study and through purposeful sampling. Two specialized panels and 10 presence and in-presence interview sessions were held to collect data. Then, the data were analyzed using SWOT analysis. Four main categories were emerged of the study including: (a) need for a legal protocol, (b) mutual fear of Covid-19, (c) self-responsibility in Corona, and (d) team working approach in the program development. In addition, solutions based on the SWOT analytical were suggested. The results of the study showed that it is necessary to develop a formal protocol, along with self-responsibility, and a program based on the needs of the community and the Covid crisis incorporating the team opinion.

Cross‐practice teamwork approach to interventional cardiology procedures

Cross‐practice teamwork approach to interventional cardiology procedures