Teamwork Communication Research Articles

COMMUNICATION AND INTERDISCIPLINARY TEAM WORK IN PALLIATIVE CARE

Palliative care is a treatment modality that aims to improve the quality of life of patients and their families. Communication and interdisciplinary relationships are significant elements in the palliative care process. The present study aims to point out the importance of interdisciplinary communication, based on the approach of different authors, in the, care of patients in palliative care. This is an exploratory research, having as a tool the bibliographic review of authors who discuss the subject. In this study, the importance of communication in interdisciplinary teamwork in the team, patient and family relationship is verified.

Using chat bots when teaching a foreign language as an important condition for improving the quality of foreign language training of future specialists in the field of informatization of education

The problem and the aim of the study. Training of specialists in informatization of education involves formation of competences in development of software tools and automated systems and development of the foreign language communicative competence. Formation of appropriate qualities in the conditions of higher education is complicated by a number of problems. The authors propose to organize project activities to create dialogue programs (training bots) to improve foreign language training of future specialists. Research methods. The construction of a chat bot takes place during teamwork and foreign language communication. The authors' testing is carried out, which includes checking knowledge of syntax, vocabulary and grammar, skills of professionally oriented communication and digital skills. The experimental study was carried out at Vyatka State University during the study of the discipline "Foreign Language", "Development and Use of Computer Games in Education". 43 first- and second-year students of the training program 44.03.01 Pedagogical education (Master's degree programme) were involved in foreign language communication with the support of automated systems. The average age of the respondents was 25 (90% female and 10% male). When constructing chat bots, the BorisBot resource is used. Fisher's test was used to find out statistically significant differences. Results. The students studied services for creating chat bots, the didactic potential and functionality of the dialogue programs. The students of the experimental group used them to do professionally oriented and foreign language communication tasks. Statistically significant differences were revealed in the changes φCRIT=1.64<φEMP=2.514. Conclusion. The features of the presented version of using chat bots when teaching a foreign language are described: teamwork, using templates and scripts, choosing project topics. The problematic questions are formulated, the answers to which make it possible to determine the directions of work on designing chat bots: discussing the development goal and didactic goal, modeling scenarios of foreign language interaction, etc.

Implementation of a Virtual Simulation-based Teamwork Training Program for Emergency Events in the Perioperative Setting

Background InformationWorking in interprofessional teams in healthcare is listed as one of the four core competencies for interprofessional collaborative practice. Literature demonstrates that communication failures during emergencies are a large contributor to adverse clinical events that negatively impact patient outcomes. Additionally, The Joint Commission identifies poor communication as a key factor in sentinel events. A survey addressing teamwork and high-quality communication was distributed to the Perioperative Department, which revealed that the "communication openness" category received a score below AHRQ benchmark. The perioperative leadership team was tasked with developing strategic working groups in response to the poorly scored communication domain.Objectives of Project(1) Participants will be able to implement the communication tool represented within the TeamSTEPPS platform; (2) Participants will be able to discuss the importance of effective communication during emergency clinical events; (3) Participants will be able to optimize teamwork communication skills to improve patient outcomes during emergency clinical events.Process of ImplementationThe team discussed and leveraged the survey findings to develop innovative ways to improve communication for the Perioperative team, including physicians, nurses, and ancillary staff. As a part of the action plan, the team decided to use simulation education aimed toward effective communication during emergency clinical events. However, COVID-19 required social distancing-based learning. Therefore, the team developed an experiential-learning-rich presentation with pre-recorded clinical emergency videos of participatory, active simulation to demonstrate the main teamwork and communication tools represented within the TeamSTEPPS model. All disciplines participated in role-playing communication aids to demonstrate teamwork and handoff scenarios depicted within the observed simulation video clips.Statement of Successful PracticeOpen-ended anonymous surveys distributed after sessions demonstrated that individuals participating in the virtual simulation sessions has allowed for increased opportunities to effectively communicate based on shared goals, shared knowledge, and mutual respect during clinical emergency events and daily practice. Additionally, participants reported intentions to apply the TeamSTEPPS concepts, such as situational awareness, mutual support, and communication in their future practices.Implications for Advancing the Practice of Perianesthesia NursingUtilizing observed virtual simulation methods of team training allows for future opportunities of distributed learning for high fidelity team training sessions in efforts to improve communication between the perioperative team and optimize care of all Perianesthesia patient populations.

Evaluation of the Life Skills of Students in Adolescence: Scale Development and Analysis

Adolescents have been the leading group for life skills (LS) education in the last decade. The primary purpose of this study was to develop a valid and reliable instrument for assessing the general LS of students in adolescence. In addition, the relation of adolescents' LS to gender, grade level, science/physics course scores, GPA, and socio-economic status variables was examined. This descriptive survey study included two data sets, one for the development of the scale part, including 692 students, and the other for confirmatory analysis and inferential statistics, including 887 students. LS were assessed using the Life Skills Scale (LSS), which consisted of 83 items in 10 sub-dimensions, and evaluated critical thinking, creative thinking, decision making and problem-solving, coping with stress and emotion, social responsibility, teamwork, self-esteem, self-awareness, empathy, and interpersonal relationship and communication skills of the students. The results of the exploratory and confirmatory factor analysis and the reliability coefficient of the scale provided solid statistical evidence, which was coherent with the 10-subdimension model of the scale. The findings revealed that the LSS is a valid and reliable tool for adolescents to evaluate their LS. Students scored highest on empathy, self-awareness, and self-esteem, whereas they scored lowest on teamwork, coping with stress emotion, and critical thinking. There was a significant relationship between various sub-dimensions of LS and some variables such as GPA, grade level, gender, and science/physics course score. The results also indicated that the academically successful students were highly skilled in most LS sub-dimensions.

Pengaruh Teamwork dan Komunikasi Terhadap Kinerja Karyawan Pada Perumda BPR Majalengka

Employee performance is important for the company. Employee performance can be achieved with good teamwork and good communication. This study aims to determine how teamwork and communication influence the performance of employees at Perumda BPR Majalengka partially. This study used a survey method with a descriptive analysis approach and verification. The data collection technique used is using a questionnaire. The population in this study were employees of Perumda BPR Majalengka with a sample a 98 respondents using a saturated sampling technique (census). The measurement scale in this study uses the Likert scale. The data analysis used is the classical assumption test, multiple linear regression analysis, the coefficient of determination analysis and the feasibility test of the model. Hypothesis testing in this study uses a partial hypothesis test with the t test. Based on the results of the study, it shows that teamwork is included in the very good category, communication is in the very good category, and employee performance is in the very high category. This study shows that Teamwork and Communication have a positive and significant effect on employee performance.

Challenges during the second wave of COVID-19 in Brunei Darussalam: National Isolation Centre to National COVID-19 Hospital.

Soon after the start of the second wave of coronavirus disease 2019 (COVID-19) in Brunei Darussalam, which was confirmed to be due to the more infectious Delta strain of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), it became apparent that the National Isolation Centre (NIC) was not coping. The NIC was the only isolation and treatment centre for COVID-19 in Brunei Darussalam. During the first wave and the first 11 days of the second wave, all confirmed cases were admitted to the NIC for isolation and treatment in line with the management strategy to isolate all confirmed cases to control the outbreak. The Ministry of Health opened five community isolation centres and two quarantine centres to divert asymptomatic and mild cases from the NIC. The community isolation centres also functioned as triage centres for the NIC, and the quarantine centres accommodated recovered patients who did not have their own quarantine facilities. The community isolation and quarantine centres diverted cases from the NIC and enabled recovered cases to be transferred to these step-down facilities. This reduced the NIC's occupancy to a safe level and enabled the reorganization of the NIC to function as a treatment centre and a national COVID-19 hospital. During any disease outbreak, health facilities must be prepared to adapt to changing situations. Strong leadership, stakeholder commitments, teamwork and constant communication are important in this process.

A Study of the Relationship between Professional Communication and Professional Commitment in Operating Room Nurses.

Background Operating rooms are among the most complex clinical environments in hospitals where teamwork and professional communication play a very important part. Professional commitment is an influential factor in the personnel's professional communication and can affect the outcomes of healthcare services. Objective The present study aims to investigate the relationship between professional communication and professional commitment in the operating room nurses in teaching hospitals. Study Design. The present study used a descriptive-correlational design. Participants were selected via census sampling from hospitals in Shiraz over a period of three months. The participants were 350 operating room nurses who met the inclusion criteria. Data were collected using professional communication and a professional commitment questionnaire. The collected data were analyzed using the descriptive and inferential statistics in SPSS vv. 22. Findings. The operating room nurses' mean scores for professional communication (136.81 ± 13.77) and professional commitment (71.42 ± 11.62) were found to be high. The results of the Pearson correlation coefficient test showed that there was a statistically significant linear relationship between professional communication and professional commitment (p < 0.001, r = 0.235). The results also showed that there was a significant relationship between professional commitment on the one hand and gender (p=0.042), marital status (p=0.047), and interest in work (p=0/000) on the other hand. There was also a significant relationship between professional communication and interest in work (p=0/000). Conclusion Given the significance of professional communication and professional commitment in the operating rooms, it is recommended that healthcare administrators and policymakers take steps to improve these areas. It is suggested that measures should be taken to increase the personnel's awareness of the principles of professional communication and the significance of professional commitment through regular workshops.

Virtual team communication to improve employees’ financial well-being and task performance

The COVID-19 pandemic has forced almost all countries in the world to implement lockdowns. The impact of the COVID-19 pandemic is work from home. This study examines employee preferences and organizational support directly and indirectly through virtual teamwork communication on employee task performance and Financial Well-being. This study used the descriptive qualitative method. The study involved 156 employees working in education, telecommunications, transportation and health in South Kalimantan, Indonesia. Sampling was carried out randomly among employees in the research department. The reliability of the research tool is above the acceptable level with Cronbach’s alpha above 0.70. The data analysis used is path analysis. The results showed that employee preferences and organizational support had a direct effect on Financial Well-being and task performance. Virtual team communication can mediate influence in enhancing the relationship between employee preferences and organizational support. The research implication shows that well-functioning virtual team communication can contribute to improved work performance as well as Financial Well-being. Therefore, collaborative support is needed, both individual and organizational support.

Development of Transversal Competences: A Current Challenge in Teacher Education

This study responds to the growing demand to adapt the content and methods of teacher training programs to reflect the rapid emergence of new, nonpareil 21st century professions in the labour market, predominantly due to the information technology revolution. It is clear that future teachers will increasingly be expected to have a wider range of professional teaching skills, but also transversal skills and competences. For this purpose, a Slovak research team at Matej Bel University prepared an experiment by transforming a traditional foreign language CLIL course into a new course Global Encounters in Local Settings, aimed at developing not only pre-service teachers’ multilingual and intercultural competences, but also a variety of other transversal skills and competences (critical thinking, intercultural competence, time management, teamwork, plurilingual and interpersonal communication skills and others). The innovative components in the new course are student-centredness, service learning and the collaboration between domestic and foreign students. GELS pilot teaching was launched in February 2020 and has been repeated during four following semesters (up to December 2021), despite severe pandemic constraints. The author presents some results from the verification of this pedagogical innovation in the teachers’ university training curriculum. It has been tested by three quantitative-qualitative research methods: pre-term and post-term questionnaires, content analysis of students’ seminar work, reflective individual diaries and group reports. Although the results from all of them are briefly stated, this focused on the results from the last mentioned analysis – diaries and group reports. The results of the data analysis show that this innovation has proved to be feasible and effective in achieving an increase in students’ transversal skills, especially project management skills, interpersonal skills, communication skills, ICT skills, time and project management, tolerance and flexibility, critical and reflective thinking skills and open-mindedness.

How I Teach It: Minimally Invasive Esophagectomy

In this era of new and emerging technology, surgical procedures evolve at an astounding pace. The minimally invasive esophagectomy is no exception. This article, and accompanying video, focus on technical steps involved and the elements crucial for teaching residents and peers a minimally invasive esophagectomy. Teamwork and good communication play a major role in maintaining patient safety but also have significant impact on the teaching and learning experience. The aim of this article is to review the teaching steps of minimally invasive Ivor-Lewis esophagectomy. It is important to consider there are technical differences between surgeon and that we learn from each other.

Leadership for reducing medical errors via organizational culture: a literature review

PurposeMedical errors have become the third leading cause of death in the USA. Two million deaths from preventable medical errors will occur annually worldwide each year. The purpose of this paper is to find themes from the literature relating leadership styles – leadership approaches in practice – with success in reducing medical errors and patient safety.Design/methodology/approachThis review analyzed primary and secondary sources based on a search for the terms leadership OR leadership style AND medical errors OR patient safety using five high-quality health-care-specific databases: Healthcare Administration Database from Proquest, LLC, Emerald Insight from Emerald Publishing Limited, ScienceDirect from Elsevier, Ovid from Ovid Technologies and MEDLINE with Full-Text from Elton B. Stevens Company. After narrowing, the review considered 21 sources that met the criteria.FindingsThe review found three leadership approaches and four leadership actions connected to successfully reducing medical errors and improving patient safety. Transformational, authentic and shared leadership produced successful outcomes. The review also found four leadership actions – regular checks on the front line and promoting teamwork, psychological safety and open communication – associated with successful outcomes. The review concluded that leadership appeared to be the preeminent factor in reducing medical errors and improving patient safety. It also found that positive leadership approaches, regardless of the safety intervention, led to improving results and outcomes.Research limitations/implicationsThis review was limited in three ways. First, the review only included sources from the USA, the UK, Canada and Australia. While those countries have similar public-private health-care systems and similar socioeconomics, the problem of medical errors is global (Rodziewicz and Hipskind, 2019). Other leadership approaches or actions may have correlated to reducing medical errors by broadening the geographic selection parameters. Future research could remove geographic restrictions for selection. Second, the author has a bias toward leadership as distinctive from management. There may be additional insights gleaned from expanding the search terms to include management concepts. Third, the author is a management consultant to organizations seeking to improve health-care safety. The author’s bias against limited action as opposed to strategic leadership interventions is profound and significant. This bias may generalize the problem more than necessary.Practical implicationsThere are three direct practical implications from this review. The limitations of this review bound these implications. First, organizations might assess strategic and operational leaders to determine their competencies for positive leadership. Second, organizations just beginning to frame or reframe a safety strategy can perhaps combine safety and leadership interventions for better outcomes. Third, organizations could screen applicants to assess team membership and team leadership orientation and competencies.Originality/valueThis review is valuable to practitioners who are interested in conceptual relationships between leadership approaches, safety culture and reducing medical errors. The originality of this research is limited to that of any literature review. It summarizes the main themes in the selected literature. The review provides a basis for future considerations centered on dual organizational interventions for leadership and safety.

Acting to teach communication skills to nurses.

BackgroundInterpersonal and communication skills are core competencies for nursing students. Empathetic, patient‐centred communication improves patient outcomes and the care experience. Nursing trainees have reported a lack of preparation and confidence in communication and interpersonal skills with patients and members of the health care team. Acting‐based hands‐on training may provide a novel approach to develop communication in nursing students.ApproachThe corresponding author worked as a professional actor before pursuing a medical career. He created an acting‐based workshop, inspired by classic acting exercises taught in drama conservatories for decades, to develop core communication and interpersonal skills for health care professionals. The course creator and an instructor with no acting background each facilitated the workshops. The initiative was taught to over 200 preclinical baccalaureate freshmen and sophomore nursing students as part of their clinical skills courses at one institution.EvaluationParticipants were asked to rate their self‐efficacy for skills developed in the workshop using a 5‐point Likert scale. A 4 or 5 rating was considered agreement. Most participants agreed the workshop developed their skills of self‐awareness, observation, teamwork, flexibility, nonverbal and verbal communication, trust, mindfulness, body language awareness, active listening, and sensitivity to emotions expressed by others.ImplicationsAn acting‐based teaching intervention is efficacious in instilling core communication and interpersonal skills to preclinical nursing students based on participants' self‐efficacy ratings. This innovative way to teaching communication provides students with an experiential environment conducive to learning. Similar ratings between sessions suggest that health professions educators with no formal acting training can successfully teach this course.

The Perception of the Anesthesiologist Among the Medical, Paramedical and Administrative Staff.

IntroductionAnesthesia remains a young medical discipline still relatively unknown by the general public and probably by some health professionals. The objective of the study was to evaluate the perception of anesthesiologist by health professionals working with this specialty.MethodsWe distributed a computerized survey to physicians, residents, paramedical, midwives, and administrative staff in different hospitals between April and July 2018 in Normandy, France. The survey included 38 questions on 6 different topics: communicated image, skills and knowledge, communication, place in patient care, workload, and initial anesthesiologist formation. The survey was validated by a semi-directive interview methodology. A Likert scale from ×2 to +2 (“completely disagree” to “completely agree”) was used for each item.ResultsSix hundred and twenty five out of 2,000 surveys sent were analyzed. The anesthesiologist conveys an image of serenity (+0.94 ± 0.79), has a high degree of responsibility (+1.72 ± 0.59) with important decision-making power (+1.39 ± 0.82). He guarantees patient safety and comfort (+1.07 ± 0.88) with his/her dual competence in anesthesia and intensive care (+1.36 ± 0.82). Anesthesiology requires teamwork (+1.68 ± 0.58) and good communication skills (+1.48 ± 0.73). The anesthesiologist is not perceived as a service provider (−0.33 ± 1.15) but is the physician responsible for perioperative care (+1.69 ± 1.00). His/her workload is moderately perceived as high (+0.71 ± 1.17) but is confronted with potentially conflictual relationships with colleagues from other specialties (+1.40 ± 0.68) and stressful situations (+1.44 ± 0.80).ConclusionThe overall perception of the anesthesiologist in our study appears to be good.

Let's talk about it: Reframing communication in medical teams.

Communication is associated with a significant percentage of errors or omissions in secondary healthcare across specialities; it is also the core process in and through which medical teams manage tasks, establish a rhythm and relationship between themselves and the patient, all of which are critical components of clinical practice. Despite this, however, communication is framed in medical training and the literature in either narrow terms or in a broad and fuzzy way, and it is indicative of the issue that teamwork and team communication are perceived and treated separately. In this paper, we draw on completed and ongoing interdisciplinary work to show how teams interact through illustrative examples from a large project on the management of obstetric emergencies. We provide a brief overview of the limitations in current tools and approaches, and we show how research under disciplines that have a long tradition in the analysis of interaction, and particularly healthcare sociolinguistics, can be translated and make a solid contribution to medical research and training.

Risky Decision Making Due to Goal Conflicts in Firefighting—Debriefing as a Countermeasure to Enhance Safety Behavior

Firefighters act within extreme environments, work under threatening conditions and are often exposed to goal conflicts (e.g., self-protection vs. mission objective) during their missions. However, what are the consequences of these safety and task goal conflicts, and what countermeasures could help to reduce their occurrence? In an online survey, 340 firefighters were asked about goal conflicts, risky decision making, debriefings and the frequency of difficulties in teamwork during firefighting. Associations between the survey variables were determined by multivariate regression and mediation analyses. Data show that goal conflicts were associated with risky decision making and unsafe acts. Furthermore, debriefings were associated with fewer goal conflicts, as mediated by less-frequent difficulties with teamwork (communication, leadership and shared mental models). Though limited by the cross-sectional design of our study, the results provide evidence that debriefing is a valuable tool to reduce difficulties experienced with teamwork on missions and therefore reduce the occurrence of conflicting goals. Fewer goal conflicts are associated with a decrease in unsafe decisions and, thus, a safer working environment for firefighters. Accordingly, it is recommended to conduct debriefings, with an increased focus on team aspects.

Development of a national quality framework for palliative care in a mixed generalist and specialist care model: A whole-sector approach and a modified Delphi technique.

In a predominantly biomedical healthcare model focused on cure, providing optimal, person-centred palliative care is challenging. The general public, patients, and healthcare professionals are often unaware of palliative care's benefits. Poor interdisciplinary teamwork and limited communication combined with a lack of early identification of patients with palliative care needs contribute to sub-optimal palliative care provision. We aimed to develop a national quality framework to improve availability and access to high-quality palliative care in a mixed generalist-specialist palliative care model. We hypothesised that a whole-sector approach and a modified Delphi technique would be suitable to reach this aim. Analogous to the international AGREE guideline criteria and employing a whole-sector approach, an expert panel comprising mandated representatives for patients and their families, various healthcare associations, and health insurers answered the main question: 'What are the elements defining high-quality palliative care in the Netherlands?'. For constructing the quality framework, a bottleneck analysis of palliative care provision and a literature review were conducted. Six core documents were used in a modified Delphi technique to build the framework with the expert panel, while stakeholder organisations were involved and informed in round-table discussions. In the entire process, preparing and building relationships took one year and surveying, convening, discussing content, consulting peers, and obtaining final consent from all stakeholders took 18 months. A quality framework, including a glossary of terms, endorsed by organisations representing patients and their families, general practitioners, elderly care physicians, medical specialists, nurses, social workers, psychologists, spiritual caregivers, and health insurers was developed and annexed with a summary for patients and families. We successfully developed a national consensus-based patient-centred quality framework for high-quality palliative care in a mixed generalist-specialist palliative care model. A whole-sector approach and a modified Delphi technique are feasible structures to achieve this aim. The process we reported may guide other countries in their initiatives to enhance palliative care.

A Heuristic-Based Simulation for an Education Process to Learn about Optimization Applications in Logistics and Transportation

In the context of the DigiLab4U international project, this paper describes a simulation-based serious game that can be used as a virtual teaching lab in higher education courses, especially in Industrial and Systems Engineering, Data Science, Management Science and Operations Research, as well as Computer Science. The learning activity focuses on understanding distribution logistics problems related to transportation optimization using different techniques. These optimization challenges include the vehicle routing problem, the arc routing problem, and the team orienteering problem. As a result of the learning process in the virtual lab, it is expected that students acquire competencies and skills related to logistics and transportation challenges as well as problem-solving. These competencies and skills can be precious for students’ future careers, since they increase students’ analytical skills, capacity to understand heuristic-based algorithms, teamwork and interdisciplinary communication skills, programming skills, and statistical abilities. A preliminary version of this training activity has already been used in MSc and PhD courses held at universities in Spain, Italy, Ireland, and Portugal.

The effects of interprofessional education on teamwork, communication skills and quality of health care in advanced and developing countries: A systematic review and meta-analysis study

Background: Inter-professional education is a new approach in education in which professionals in various fields of health systems learn from each other based on educational events in a real environment, actively and interactively. This systematic review and metaanalysis aims to investigate inter-professional education in advanced and developing countries. Methods: Persian and English keywords were used to search these databases: ISI Web of Science, Scopus, ProQuest, PubMed/Medline, Embase, Google Scholar, ERIC, Magiran, Irandoc, and Barakat with an English language restriction and for the years 2000 to 2019, using these terms: Embase, Meshand and free. Two evaluators assessed the extracted articles using the Critical Appraisal Skills Program (CASP) checklist. CMA 3.1 software was used for the analysis with a fixed-effects model. Results: A total of 1425 articles formed the basis of this study. In all, nine articles were extracted that examined the effect of inter-professional education from the viewpoints of professors and students (three for professors and six for students). Heterogeneity among the nine studies was not significant. Teamwork scores, communication skills, and healing of the participants in the study increased by 0.339, 0.283, and 0.275 points after the intervention, respectively. Conclusion: Inter-professional education is one method of educational integration. Students become aware of how their role overlaps with other medical professions as well as the limitations of their role in treating patients. However, inter-professional education implementation requires infrastructure, such as training professors and preparing them and students to accept inter-professional education.

Generic skills of future built environment practitioners in South Africa: unexplored mechanism via students’ perception

PurposeResearchers and policymakers have given attention to generic skills development in higher institutions. One of the intentions is to broaden graduate employability with generic skills. In South Africa, there is a paucity of research concerning future built environment practitioners’ (FBEP) generic skills development from the students’ perspective. Thus, this paper aims to investigate South Africa’s FBEP generic skills and suggest feasible solutions to improve FBEP generic skills from the students’ perception.Design/methodology/approachThe researchers collated the views of FBEP via a phenomenology type of qualitative research design. It covered selected South African public universities and investigated the discourses that underpin “perceived hindrance” in developing generic skills for FBEP. Selected 30 FBEP were engaged in the virtual interviews across three public universities. Data saturation was achieved. Three themes emerged and were analysed through a thematic analysis.FindingsFindings show that FBEP generic skills development will enhance integrated productivity and higher value for money in construction project delivery. But developing these skills demands a holistic approach. Findings have raised concern with the perceived hindrances facing FBEP in developing generic skills. Findings suggest the need to revisit and revamp the curricula to develop these skills and strengthen policies that will “nip” possible hindrances.Research limitations/implicationsThis study was limited to South Africa’s FBEP generic skills from students’ perception. In line with the limited resources, three public universities were covered from the selected provinces in South Africa. Future research with a more diverse sample is needed to ensure a better representative and generalisation of findings.Practical implicationsFindings show that apart from academic knowledge system thinking skills, civic responsibility skills and critical thinking skills are germane for intending construction industry professionals. Others are integrated teamwork skills, good attitude and communication skills, entrepreneurship skills and resources management skills. Findings from this paper may stir up the education sector’s stakeholders to revamp the curricula in enhancing these skills among students from the basic to higher institutions. The outcome will improve productivity in the construction industry.Originality/valueAlthough few scholars have discussed generic skills in the built environment, there are limited studies from the students’ context in developing countries, a South Africa case study, a gap this research aims to fill. Also, it proffers ways to mitigate perceived hindrances facing FBEP in developing generic skills.

Governance for Patient Safety: A Framework of Strategy Domains for Risk Management.

Adverse events in healthcare are primarily due to system failures rather than individuals. Risk reduction strategies should therefore focus on strengthening systems, bringing about improvements in governance, and targeting individual practices or products. The purpose of this study was to conduct a scoping review to develop a global framework of management strategies for sustaining a safety-oriented culture in healthcare organizations, focusing on patient safety and the adoption of good safety-related practices. We conducted a search on safety-related strategies in 2 steps. The first involved a search in the PubMed database to identify effective, broadly framed, cross-sector domains relevant to clinical risk management strategies in healthcare systems. In the second step, we then examined the strategies adopted by running a scoping review for each domain. Our search identified 8 strategy domains relevant to patient safety: transformational leadership, patient engagement, human resources management quality, innovation technology, skills certification, education in patient safety, teamwork, and effective communication. This scoping review explores management strategies key to healthcare systems' efforts to create safety-oriented organizations. Improvement efforts should focus particularly on the domains identified: combined together, they would nurture an overall safety-oriented culture and have an impact on preventable adverse events.