Unique Team Research Articles

Pediatric Traumatic Brain Injury: Families and Healthcare Team Interaction Trajectories During Acute Hospitalization

PurposeTo identify common or unique family-healthcare team interactions during acute hospitalization for pediatric patients with a traumatic brain injury (TBI) using a life course trajectory (LCT) theoretical approach. Design and MethodsA 3-year prospective observational study of 35 children, ages 5 days to 15 years who were admitted to an urban Level-1 trauma hospital for a TBI. We defined brain injury severity using the admission Glasgow Coma Scale score (mild 13-15, moderate 9-12, and severe 3-8). Using a life course trajectory theoretical approach, we extracted from the patient’s electronic health record the first eight-days of hospitalization and plotted the number and type of daily family-healthcare team interactions to visualize patterns or phases. ResultsA general trajectory for each severity group was determined. When individually compared, family trajectories were similar based on injury severity. Visual interpretations of family–healthcare interactions based on the brain injury severity yielded three phases. The interactions phases included: (1) information seeking, (2) watchful waiting and (3) decision making. ConclusionUsing a LCT approach, phases identified based on injury severity and family interactions support the need for proper timing of tailored communication and support. The findings also support the development of future best care practices that facilitate family’s needs, decrease caregiver burden to improve functional outcomes.

Performance indices of project companies virtual divisions in the construction in CAD conditions

At the present time we consider the construction operations development triggered by the modern technologies development. The electronics, robotics, artificial intelligence, wireless technologies and more became the present-day production attribute. The creation of virtual organizations has become the expected solution of business communities. Following in the footsteps of information boom, in this article we consider the problem of construction field virtualisation, in particular: characteristics of virtuality and virtual structures operation, in-virtual organization work peculiarities, difficulties faced by the company manager with such form of work and criteria for the assessment of organization efficiency. The virtual organization is deemed to be the voluntary cooperation form of partners, aimed at project work type. This is the unique team, the basic resources of which are time and technologies. In general such organization does not have any geographical origin and it works using the Internet. In the context given herein, the virtual structure is considered in CAD conditions that is based on the high degree of construction field IT. Specific relations between the employees make the impact on the work process, therefore a number of both subjective (social, individual, etc.) and objective (financial) indices are given.

Preface: the role of T.F. Gorbachev State Technical University as the Flagship of Kemerovo Region Innovative Development

Currently the Kemerovo Region is one of the most concentrated industrial agglomerations in Russia finds itself at the stage of investment modernization. This is due to the technological renovation of industries that form the core of its economy - coal, chemical, machine-building and metallurgical. The development of its human capital plays a crucial role in creating conditions for the successful innovative transformation of the regional economy. The flagship of this process is T.F. Gorbachev Kuzbass State Technical University. Alma Mater has a unique team in which creativity and experience are combined with high quality staff training for the basic branches of the regional economy and innovative activities of scientific schools, dissertation councils and the university expert community. This allows to use the existing mechanisms effectively and to create new ones for attracting external financing in all areas of activity due to the Kuzbass State Technical University scientific sector which has a significant potential for ensuring innovative development of the regional industry.

Orientation and experience in a system of integrated care in a European Region: Castilla y León

Introduction : Models and foundations to make possible the integrated care and socio-sanitary coordination In Europe (and in other Western countries: USA, Canada, Australia, etc.) There are different initiatives seeking an integrated health, and tangentially with social services care. This movement is associated with how to meet the chronicity and aging from a preventive perspective, focused on health care and improvement of care for activities of daily living. But only developing structural elements for the coordination is not enough to make possible an integrated care, defining processes of care tailored to specific situations of need for integrated care is needed. But as a first step, there are different situations and elements to manage: access to the services of each system, the territorial organization, the imbalance in relations between the health system and social services, the absence of common information about users, etc. Description of the policy : current approach of coordinating healthcare in Castilla y Leon The health and social care coordination strategy in Castilla y Leon seeks to organize integrated care based on situations of need and defining actions to provide professionals in each one of the systems, with simultaneous or sequential tasks, depending on the need: developing processes. Organizations must to start from a joint analysis of the situations of need and the search for user profiles. Organizations must to develop a proactive orientation of health and social services, adapting the attention to the real needs of the people. Organizations must to focus on the proximity care, with community-level professionals (teams) who manage each case (case handlers working together in health and social systems), and where appropriate, by specialized professionals (in both systems). Care will be provided with a person-centered approach. Processes and services must be able to provide and manage the continuum of care, trying to develop the care at the community level and promoting greater coordination between health and social professionals. For better results on integrated care, empowering the social system is needed. Key findings and discussion : from orientation by structures towards process orientation The route started in Castilla y Leon for the integrated is focused on developing processes that achieved the integration of systems within the final care. Some examples: Integrated processes: processes implemented Convalescence socio-sanitary units: persons in situations of dependency for the ABVD as a result of processes of chronic disease or diseases usually associated with aging, stabilized, but that due to an acute process or to a decompensation of chronic processes with lack of self-sufficiency, in need of health care and nursing during the convalescence period, as well as social care associated with their lack of autonomy. Integrated care to people with mental illness: continuity of health and social care to people disabled by mental illness through the coordination and development of specific resources by the health and social services systems working together. Early attention: coordination of health, social services and education systems focused on the needs of the child, their family and environment by a unique team of early intervention, the active participation of families, the derivation between systems and the evaluation of the quality of the services. Integrated processes: processes in development Technology platform for integrated care: is a technological solution (software), for integrating the information and data of health and social systems, enabling telehealth and social care to improve the health and social care processes for keeping the people in their homes. Integrated home care: set the mechanisms of access, coordination and follow-up for the improvement of users and their caregivers’ guidance. Conclusion : Despite the common elements for the approach of integrated care, each Region must organize themselves, taking into account their systems configuration and prior organizational development and the characteristics of its territory, in a flexible way to be able to generate a care system. The Castilla y Leon model can provide information relevant to other regions with a strong aging and low population density.

Water Polo Injuries and Training Methods.

Water polo is a unique team sport combining swimming sprints and eggbeater kicking, frequent overhead movements and throwing, and regular physical contact with minimal protective equipment. Accordingly, a wide variety of training methods attempt to enhance all of these skill sets. This usually includes some combination of aerobic/anaerobic fitness (via swimming), sport-specific skills, strengthening, and nutrition. In addition, injuries in water polo are somewhat diverse. Physical contact is responsible for the majority of acute injuries, most frequently being injuries to the head and face. The high prevalence of shoulder pain in water polo is likely related to increased shoulder mobility and subsequent instability and stress on shoulder structures, yet the underlying causation is not certain. The unique aspect of shoulder injuries occurring in water polo players is that they may be due to a combination of swimming-related overuse conditions, overhead throwing, and acute trauma-related conditions. Although there is generally minimal evidence-based information available, this article attempts to highlight the current knowledge that we have in regard to water polo injuries and training methods.

Diversity within unity: jazzing up sustainable information literacy teams

Purpose The purpose of this paper is to show how one medium-sized research library sustainably delivers large scale integrated library instruction via team efforts that allow for (and encourage) librarians diverse teaching approaches within a unified team. Design/methodology/approach This paper examines an individual case within the context of library and management research literature. Findings A self-managed library instruction team, using agreed upon learning outcomes and supported by good infrastructure, communication skills and tools, and within administration supportive of professional development and experimentation can sustainably delivery high volume, high-quality library instruction. Practical implications This paper may help other libraries learn how to develop their own self-managed teams to deliver sustainable high volume, high-quality library instruction. Originality/value This paper contributes to the literature on self-managed teams in librarianship and especially self-managed teams to deliver sustainable high volume information literacy. It also contributes to the small pool of literature using the jazz metaphor in library instruction.

Assessing Team Learning Practices in Project/Design Based Learning Approach

Team learning is considered as a constructive way for enhancing students learning in collaborative environment. It involves interaction between students through peer-to-peer learning, which makes students to be problem solver, an excellent communicator, a good reviewer and a manager. The School of Engineering at Xxx University practices project/design based learning as one of its learning and teaching approach. The project/design based learning process helps students to be self directed leaners which enhances the student learning outcomes towards attaining graduate career expected skills. An Overarching goal of this study is assessing the team learning experiences of cohort of students from third year civil undergraduate engineering in a project/design based learning approach at Xxx University. From the students’ experiences and views, this study will investigate and visualize the students choice of a unique team learning practice which enhances their learning outcomes in project/design based curriculum.

International Conference on Gravitation Cosmology and Continuum Mechanics (dedicated to the centenary of Kirill Petrovich Staniukovich)

International Conference on Gravitation Cosmology and Continuum Mechanics (dedicated to the centenary of Kirill Petrovich Staniukovich)

Building a Critical Limb Ischemia Program.

The need to develop highly qualified, multidisciplinary critical limb ischemia (CLI) programs has gained significant momentum. Due to the systemic nature of the disease, patients with CLI are inherently medically complex and often present with multiple comorbidities. Successful care for these patients depends on community screening, early referral, accurate diagnosis, risk stratification, risk factor modification, invasive and non-invasive treatment strategies, and appropriate surveillance. Patients with CLI are often treated by multiple subspecialists-often lacking a unified team which could lead to inefficiencies and redundancy. Establishing an effective critical limb ischemia program relies on the joint efforts of multiple physician specialists, nurses, technicians, wound care specialists, researchers, and administrators who together form an integrated network that is easily accessible to the patient. This article will focus on the various modalities needed to build an advanced critical limb ischemia program, while addressing the challenges facing the medical community in caring for this population.

Florida antivenin bank to Miami Dade venom response bureau: The history of a unique anti-venom bank and venom response team

Florida antivenin bank to Miami Dade venom response bureau: The history of a unique anti-venom bank and venom response team

Integrated staffing model for residential mental health rehabilitation

Purpose – A novel integrated staffing model for community-based residential rehabilitation services is described. The purpose of this paper is to achieve synergistic gains through meaningful integration of peer support and clinical workers within rehabilitation teams. Key features include the majority of roles within the team being held by persons with a lived experience of mental illness, the active collaboration between peer and clinical workers throughout all stages of a consumer’s rehabilitation journey, and an organizational structure that legitimizes and emphasizes the importance of peer work within public mental health service delivery. This staffing model is not anticipated to alter the core rehabilitation function and service models. Design/methodology/approach – The emergence of the integrated staffing model is described with reference to the policy and planning context, the evidence base for peer support, and the organizational setting. A conceptual and contextualized description of the staffing model in practice as compared to a traditional clinical staffing model is provided. Findings – There is a potential for synergistic benefits through the direct collaboration between horizontally integrated peer and clinical specialists within a unified team working toward a common goal. This staffing model is novel and untested, and will be subjected to ongoing evaluation. Originality/value – The integrated staffing model may provide a pathway to achieving valued and valuable roles for peer workers working alongside clinical staff in providing rehabilitation support to people affected by serious mental illness.

S.T.A.R.T.T. plus: addition of prehospital personnel to a national multidisciplinary crisis resource management trauma team training course.

The Simulated Trauma and Resuscitation Team Training (S.T.A.R.T.T.) course is a unique multidisciplinary trauma team training course deliberately designed to address the common crisis resource management (CRM) skills of trauma team members. Moreover, the curriculum has been updated to also target the specific learning needs of individual participating professionals: physicians, nurses and respiratory therapists. This commentary outlines further modifications to the course curriculum in order to address the needs of a relatively undertargeted group: prehospital personnel (i.e., emergency medical services). Maintenance of high participant satisfaction, regardless of profession, suggests that the S.T.A.R.T.T. course can be readily modified to incorporate prehospital personnel without losing its utility or popularity.

Improving Safety through Human Factors Engineering.

Human factors engineering (HFE) focuses on the design and analysis of interactive systems that involve people, technical equipment, and work environment. HFE is informed by knowledge of human characteristics. It complements existing patient safety efforts by specifically taking into consideration that, as humans, frontline staff will inevitably make mistakes. Therefore, the systems with which they interact should be designed for the anticipation and mitigation of human errors. The goal of HFE is to optimize the interaction of humans with their work environment and technical equipment to maximize safety and efficiency. Special safeguards include usability testing, standardization of processes, and use of checklists and forcing functions. However, the effectiveness of the safety program and resiliency of the organization depend on timely reporting of all safety events independent of patient harm, including perceived potential risks, bad outcomes that occur even when proper protocols have been followed, and episodes of "improvisation" when formal guidelines are found not to exist. Therefore, an institution must adopt a robust culture of safety, where the focus is shifted from blaming individuals for errors to preventing future errors, and where barriers to speaking up-including barriers introduced by steep authority gradients-are minimized. This requires creation of formal guidelines to address safety concerns, establishment of unified teams with open communication and shared responsibility for patient safety, and education of managers and senior physicians to perceive the reporting of safety concerns as a benefit rather than a threat.

Unspread wings

Purpose – The purpose of this paper is to show the potential of cultural projects which could become a source of inspiration in terms of refreshing and adjusting traditional project management to modern times and making it more flexible. However, as research indicates, this potential is limited by cultural policies forcing artists and cultural managers to implement project-related techniques which have been already identified as inefficient and faulty in the progressive discourses on project management, mainly in the for-profit area. Design/methodology/approach – The analysis is based on three case studies of Polish and Polish-German theatrical co-productions. The research was conducted in Poland and Germany in 2012-2014. It involved 21 individual in-depth interviews with artists, managers and administrative staff working on projects as well as an analysis of project documentation. Findings – It has been found that project management could draw a lot of inspiration from cultural projects in terms of, e.g. the processual nature of activities, motivating project teams and inclusive leadership. Based on the research, the authors also argue that it is worth considering spectators/other stakeholders as part of project teams, which will help build a non-oppressive social mechanism of control. Originality/value – Advantages of replacing the just-in-time approach to project management with the work-in-progress approach; increased motivation and commitment of project teams to their work; building a unique team spirit; inclusive leadership based on passion.

Stress, Sleep and Recovery in Elite Soccer: A Critical Review of the Literature.

In elite soccer, players are frequently exposed to various situations and conditions that can interfere with sleep, potentially leading to sleep deprivation. This article provides a comprehensive and critical review of the current available literature regarding the potential acute and chronic stressors (i.e., psychological, sociological and physiological stressors) placed on elite soccer players that may result in compromised sleep quantity and/or quality. Sleep is an essential part of the recovery process as it provides a number of important psychological and physiological functions. The effects of sleep disturbance on post-soccer match fatigue mechanisms and recovery time course are also described. Physiological and cognitive changes that occur when competing at night are often not conducive to sleep induction. Although the influence of high-intensity exercise performed during the night on subsequent sleep is still debated, environmental conditions (e.g., bright light in the stadium, light emanated from the screens) and behaviours related to evening soccer matches (e.g., napping, caffeine consumption, alcohol consumption) as well as engagement and arousal induced by the match may all potentially affect subsequent sleep. Apart from night soccer matches, soccer players are subjected to inconsistency in match schedules, unique team schedules and travel fatigue that may also contribute to the sleep debt. Sleep deprivation may be detrimental to the outcome of the recovery process after a match, resulting in impaired muscle glycogen repletion, impaired muscle damage repair, alterations in cognitive function and an increase in mental fatigue. The role of sleep in recovery is a complex issue, reinforcing the need for future research to estimate the quantitative and qualitative importance of sleep and to identify influencing factors. Efficient and individualised solutions are likely needed.

Multi‐Leader Teams in Review: A Contingent‐Configuration Perspective of Effectiveness

Multi‐leader teams are characterized by multiple leaders exhibiting mutual influence on each other while working towards a common team goal. An unexplored assumption in this literature is that increasing the number of leaders is related to heightened team effectiveness. The authors propose that this notion is oversimplified and suggest a contingency model of multi‐leader team effectiveness. The authors suggest that the context determines the effectiveness of a particular multi‐leader team configuration, because each formation has unique internal team mechanisms. To investigate this perspective, we review the multi‐leader team literature (175 articles) by categorizing the extant theory and research as falling within nine multi‐leader configurations along two key dimensions: (1) the proportion of leaders within a team; and (2) the dispersion of leadership through role co‐enactment of team leaders. This framework enables a more coherent understanding as to the benefits and the costs of each specific multi‐leader team configuration and a clearer evaluation of the contexts in which varying configurations are most effective. Four emerging themes related to configuration–contextualization are explained and theoretical implications for interpreting leadership effectiveness in multi‐leader team settings are discussed.

For a ‘United’ Kingdom and a ‘Greater’ Britain: the British Olympic Association and the limitations and contestations of ‘Britishness’

During the first two decades of the twentieth century, the Home-Nations of England, Scotland, Ireland and Wales joined forces in competing in the Olympic Games under the banner of ‘Great Britain’ (or deviations thereof). The Olympics served as an important symbolic site for fostering and promoting a broader ‘British’ national identity. In practice, however, the prevalence and persistence of competing national identities and allegiances roiled early attempts to create a unified British Olympic team. These counter-prevailing forces of nationalism further served to undermine the British Olympic Association's ambitious attempt to unite the British Empire in a ‘Greater Britain’ team for the 1916 Berlin Olympic Games. As this work will reveal, ‘Britishness’ was a layered, contested and racially homogenous term that was interpreted and applied differently across various parts of the British Isles and its Empire.

We're All in This Together: Moving Toward an Interdisciplinary Model of Practice Between Child Protection and Substance Abuse Treatment Professionals

Many studies have documented the deleterious effect of substance abuse on the child protection system. The lack of collaboration between child protection and substance abuse treatment professionals has been identified as a contributing factor related to poor outcomes among parents with histories of addiction. The purpose of this study was to identify key components and conflicts of interdisciplinary practice between 21 child protection and substance abuse treatment professionals. The interdisciplinary components and conflicts were: having a shared vision, presenting as a unified team, having different goals, taking sides, and limited information sharing and involvement. Moving toward an interdisciplinary model of practice is vital to providing families with histories of addiction with the optimal chance for success.

Piecing the puzzle together

Background: As a Centre for Evidence Informed Health Care Practice, Royal Perth Hospital is required to undertake a systematic review every two years. In 2012, the Director of Nursing encouraged senior nursing clinicians from the oncology and palliative care departments to participate in this process. Objective: The purpose of this presentation is to describe our experience as part of the systematic review team. Methods: Our unique team consisted of a librarian, two experienced researchers and four senior nursing clinicians. As this was our first involvement as systematic reviewers it was reassuring to work in collaboration with experienced researchers. Initially clinicians considered potential topics in consultation with the researchers who ascertained the availability of adequate primary research. The eventual topic was pertinent to both departments and aimed to identify strategies to promote coping and resilience in oncology and palliative care nurses caring for adult patients with malignancy. Later in the study, the researchers motivated and guided the clinicians through the critical appraisal of the final 19 articles, meeting fortnightly over a seven month period. Results: The researchers provided valuable discussion and enhanced the understanding of the research methods and results/findings. Within a mutually respectful environment we were encouraged to ask questions, express opinions, and discuss the clinical relevance and our personal experiences in relation to the findings. This assisted by giving a focus and clearer direction to the synthesis of the findings, ensuring the systematic review was meaningful to clinicians and relevant to practice. Discussion: The systematic review has provided an invaluable learning experience and one we would repeat. Conclusion: The outcome of this collaboration will provide a foundation upon which we will support the retention and sustainability of our current and future members of staff within oncology and palliative care.

Exploring Entrustment: Housestaff Autonomy and Patient Readmission

Exploring Entrustment: Housestaff Autonomy and Patient Readmission