Team Well-being Research Articles

Agile Practices and IT Development Team Well-Being: Unveiling the Path to Successful Project Delivery

Agile methods have become popular in the field of software development, offering improved efficiency and product quality. Despite this widespread use, fewer studies have explored in one model their effect on job stress, psychological safety, job engagement, and enhanced job and career satisfaction, which are all the factors that can impact project success delivery. Our study surveyed software development teams with extensive agile experiences. The findings showed that agile practices have a positive influence on job and career satisfaction, better job engagement, improved psychological safety, and project success delivery. However, there are high levels of job stress reported that negatively affect job satisfaction and project results. Therefore, successfully implementing agile methods depends on maintaining sustainable development practices and improving the level of motivation in the agile teams.

Managing "socially admitted" patients in hospital: a qualitative study of health care providers' perceptions.

Emergency departments are a last resort for some socially vulnerable patients without an acute medical illness (colloquially known as "socially admitted" patients), resulting in their occupation of hospital beds typically designated for patients requiring acute medical care. In this study, we aimed to explore the perceptions of health care providers regarding patients admitted as "social admissions." This qualitative study was informed by grounded theory and involved semistructured interviews at a Nova Scotia tertiary care centre. From October 2022 to July 2023, we interviewed eligible participants, including any health care clinician or administrator who worked directly with "socially admitted" patients. Virtual or in-person individual interviews were audio-recorded and transcribed, then independently and iteratively coded. We mapped themes on the 5 domains of the Quintuple Aim conceptual framework. We interviewed 20 nurses, physicians, administrators, and social workers. Most identified as female (n = 11) and White (n = 13), and were in their mid to late career (n = 13). We categorized 9 themes into 5 domains: patient experience (patient description, provision of care); care team well-being (moral distress, hierarchy of care); health equity (stigma and missed opportunities, prejudices); cost of care (wait-lists and scarcity of alternatives); and population health (factors leading to vulnerability, system changes). Participants described experiences caring for "socially admitted" patients, perceptions and assumptions underlying "social" presentations, system barriers to care delivery, and suggestions of potential solutions. Health care providers viewed "socially admitted" patients as needing enhanced care but identified individual, institutional, and system challenges that impeded its realization. Examining perceptions of the people who care for "socially admitted" patients offers insights to guide clinicians and policy-makers in caring for socially vulnerable patients.

Te Pā: A wellbeing initiative on a major roading construction project.

Purpose. Due to the significant challenges to employee wellbeing in the construction industry, a major roading project in New Zealand implemented a wellbeing programme based on holistic health frameworks. A description, rationale and outline of the wellbeing programme are presented. An independent evaluation of the wellbeing programme took place in 2023. Design. Data from interviews, a focus group, surveys, and the OnLocation app were analysed to examine participants’ perspectives on the programme, and to establish whether the programme was effective and how it could be improved. Findings. The majority of staff reported that they had experienced enhanced wellbeing since joining the project, and spoke positively about the programme. A small number of participants felt the project still had elements of the ‘old’ construction culture including a focus on productivity over people, but most felt the wellbeing programme had made substantial progress toward changing the construction culture. Suggested improvements included a perceived need for more resources, for members of the wellbeing team to be present onsite more often, and more training for onsite managers in workplace wellbeing. Originality. A holistic approach to wellbeing has rarely been taken in the construction industry. This project was based on indigenous New Zealand Māori perspectives on wellbeing. Evaluation showed that it was positively valued by both Māori and non-Māori participants. This indicates that, although some details are specific to New Zealand, the model itself, its supporting framework and approach can be generalised to other contexts.

A Model for Providing Psychological Support to Healthcare Leaders and Teams in Times of Crisis.

Pre-pandemic, the healthcare workforce was already at risk for higher burnout than the general population and, in some roles (e.g., physicians, nurses), at higher risk for clinical distress and suicide. Studies of healthcare workforce well-being during and after past pandemics reflect that distress can persist after a pandemic subsides, if adequate support within the workplace is not forthcoming and accessible. The current report presents the rationale for and development of a wellness consult service to provide support to leaders and teams in an academic medical center during the COVID-19 pandemic and now as teams work to recover and rebuild after years of significant pandemic and other stressors. Healthcare workers who participated in supportive Listening Sessions or Interactive Workshops facilitated by the wellness consult service were invited to complete an anonymous post-session survey. Between March 2020 and November 2022, 185 leaders and teams participated in 342 supportive Listening Sessions and Interactive Workshops. Of the respondents to the post-session survey (N = 701), 89% rated the intervention as "good to excellent" and 84% were likely or very likely to recommend this service. Leaders rated the experience more highly than non-leaders (F (1,307) = 13.99, p < 0.001) and were more likely to report feeling emotionally supported (F (1,304) = 19.836, p < 0.001). Supporting leader and team well-being may be critical to post-pandemic recovery of the healthcare workforce. The current report presents a feasible, theory-driven model for doing so, which was rated as highly satisfactory by participants.

Predicting Individual Well-Being in Teamwork Contexts Based on Speech Features

Current methods for assessing individual well-being in team collaboration at the workplace often rely on manually collected surveys. This limits continuous real-world data collection and proactive measures to improve team member workplace satisfaction. We propose a method to automatically derive social signals related to individual well-being in team collaboration from raw audio and video data collected in teamwork contexts. The goal was to develop computational methods and measurements to facilitate the mirroring of individuals’ well-being to themselves. We focus on how speech behavior is perceived by team members to improve their well-being. Our main contribution is the assembly of an integrated toolchain to perform multi-modal extraction of robust speech features in noisy field settings and to explore which features are predictors of self-reported satisfaction scores. We applied the toolchain to a case study, where we collected videos of 20 teams with 56 participants collaborating over a four-day period in a team project in an educational environment. Our audiovisual speaker diarization extracted individual speech features from a noisy environment. As the dependent variable, team members filled out a daily PERMA (positive emotion, engagement, relationships, meaning, and accomplishment) survey. These well-being scores were predicted using speech features extracted from the videos using machine learning. The results suggest that the proposed toolchain was able to automatically predict individual well-being in teams, leading to better teamwork and happier team members.

Understanding and resolving conflict to create cultures of well-being in diverse teams

The 2022 American Hospital Association (AHA) Study, published by the Task Force on Workforce, reported that 75–93 per cent of healthcare workers reported stress, anxiety, frustration, exhaustion and burnout.1 The AHA Task Force recommendations included an immediate focus on creating a culture of well-being and an ongoing focus on leadership development. Team well-being is a broadly defined term related to team happiness and success. Various teamwork and leadership interventions are used to achieve team well-being, and this has been a high priority for organisations in the last few years as the COVID-19 pandemic resulted in massive rates of burnout and exodus from healthcare. We specifically focus here on diverse teams and the effect of negative conflict resolution on team well-being, specifically through its damaging effect on the formation of a culture of safety and belonging. Belonging and safety are created through subtle cues and messages as well as through the outcomes of threshold moments, such as a conflict. Belonging is particularly important for diverse teams because it is not automatically assumed by team members in the way that homogeneous teams do more easily. Studies have shown that diverse teams are more prone to conflict and that the process of conflict resolution can lead to either an increase in team belonging and connection (and well-being) or further distancing, which is then linked to burnout, disengagement and exodus from the workplace. Therefore, how conflict is managed in diverse teams is of crucial importance for team leaders in order to achieve team belonging and well-being.

Predicting Team Well-Being through Face Video Analysis with AI

Well-being is one of the pillars of positive psychology, which is known to have positive effects not only on the personal and professional lives of individuals but also on teams and organizations. Understanding and promoting individual well-being is essential for staff health and long-term success, but current tools for assessing subjective well-being rely on time-consuming surveys and questionnaires, which limit the possibility of providing the real-time feedback needed to raise awareness and change individual behavior. This paper proposes a framework for understanding the process of non-verbal communication in teamwork, using video data to identify significant predictors of individual well-being in teamwork. It relies on video acquisition technologies and state-of-the-art artificial intelligence tools to extract individual, relative, and environmental characteristics from panoramic video. Statistical analysis is applied to each time series, leading to the generation of a dataset of 125 features, which are then linked to PERMA (Positive Emotion, Engagement, Relationships, Meaning, and Accomplishments) surveys developed in the context of positive psychology. Each pillar of the PERMA model is evaluated as a regression or classification problem using machine learning algorithms. Our approach was applied to a case study, where 80 students collaborated in 20 teams for a week on a team task in a face-to-face setting. This enabled us to formulate several hypotheses identifying factors influencing individual well-being in teamwork. These promising results point to interesting avenues for research, for instance fusing different media for the analysis of individual well-being in teamwork.

Interventions for Preventing and Resolving Bullying in Nursing: A Scoping Review.

Bullying in the workplace is a serious problem in nursing and has an impact on the well-being of teams, patients, and organisations. This study's aim is to map possible interventions designed to prevent or resolve bullying in nursing. A scoping review of primary research published in English and Italian between 2011 and 2021 was undertaken from four databases (Cochrane Collaboration, PubMed, CINAHL Complete, and PsycInfo). The data were analysed using Arksey and O'Malley's framework, and the Preferred Reporting Items for Systematic reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) Checklist was followed to report the study. Fourteen papers met the review eligibility criteria. The analysis revealed four main themes: educational interventions, cognitive rehearsal, team building, and nursing leaders' experiences. Interventions enabled nurses to recognise bullying and address it with assertive communication. Further research is needed to demonstrate these interventions' effectiveness and if they lead to a significant decrease in the short-/long-term frequency of these issues. This review increases the available knowledge and guides nurse leaders in choosing effective interventions. Eradicating this phenomenon from healthcare settings involves active engagement of nurses, regardless of their role, in addition to support from the nurse leaders, the organisations, and professional and health policies.

Towards planetary health systems: a manifesto for a revised quadruple aim for healthcare improvement

Abstract Non-technical summary Healthcare systems significantly impact the environment, which in turn affects human health. To address this, we propose to revise a popular framework for healthcare improvement, by introducing the advancement of planetary health (the health of both humans and the natural systems) among the aims that health systems should pursue. This approach suggests reducing medical service needs through disease prevention, minimizing environmental impacts, and supporting global efforts to protect planetary health. Practical applications to bring about these pathways are documented in the literature. Technical summary Restoring the health of the planet, with concurrent benefits for human civilization, is paramount. Healthcare systems play a crucial role in this regard, considering the environmental impact of health services. Widely recognized approaches to designing healthcare systems for the optimization of their performance are based on the pursuit of multiple aims, such as the Triple Aim and Quadruple Aim frameworks. The objective of this work is to revise the latter by substituting ‘Advance Planetary Health’ for ‘Improve Population Health’. The objective of advancing planetary health supports all other pre-existing objectives: lowering costs, enhancing patient experience, team wellbeing, and population health, which directly relates to planetary health. Health systems promoting planetary health reduce the need for medical services through disease prevention and health promotion, pursue the provision of appropriate care, minimize the overall environmental impact of medical services, and support planetary health initiatives across all sectors and society. Multiple interconnected pathways exist to operationalize the above components. A revised quadruple aim for healthcare improvement, aligned with social and economic goals of sustainable prosperity and wellbeing, may be a desirable step toward constructing planetary health systems capable of maximizing the health of humans and natural systems. Social media summary It's time for new ‘planetary health systems’: focusing on planetary health to enhance healthcare performance. #PlanetaryHealth #ClimateCrisis #HealthcareImprovement.

'Not a panacea' - Expert perspectives on the concept of resilience and its potential for palliative care.

Resilience is an increasingly used term in medicine and subject to various definitions, often not easy to grasp. There are established core concepts for patients receiving palliative care, for example, meaning in life, that have already been researched a lot. Resilience, relative to these concepts, is a new object of research in palliative care, where it has so far been used predominantly with regard to the well-being of teams. To explore how experts in palliative care define the concept of resilience and its suitability for patients, significant others, and professionals. Qualitative study using summarizing content analysis according to Mayring. Twenty-one health and social care professionals with expertise caring for persons with life-threatening/limiting illnesses and their relatives were interviewed in three individual interviews and four focus groups. All conversations were recorded, transcribed, coded via MAXQDA, and validated by another researcher. Resilience has been described as something procedural, dynamic, individual, and flexible. In connection with well-known concepts such as posttraumatic growth or terms from the field of mindfulness, social environment or personal factors have also been linked to resilience. Resources such as spirituality can contribute to resilience, and resilience itself can function as a resource, for example, by contributing to quality of life. An active use of the term in practical work with patients or relatives is rare, but it is used in education or team measures. Limited lifespan can pose a challenge to an active use of the concept of resilience. Resilience as a very individual approach provides added value to other core concepts of palliative care. Within the palliative context, the normative dimension of resilience must be well reflected. A broader definition of resilience is recommended, leaving room for everyone to find their own form of resilience. The concept of resilience in palliative care includes opportunities as well as risks and should, therefore, be implemented carefully, requiring specific training.

User-centered Design and Formative Evaluation of a Web Application to Collect and Visualize Real-time Clinician Well-being Levels

Abstract Background Clinician burnout is increasingly prevalent in the health care workplace. Hospital leadership needs an informatics tool to measure clinicians' well-being levels and provide empirical evidence to improve their work environment. Objectives This study aimed to (1) design and implement a web-based application to collect and visualize clinicians' well-being levels and (2) conduct formative usability evaluation. Methods Clinician and staff well-being champions guided the development of the Well-being Check application. User-centered design and Agile principles were used for incremental development of the app. The app included a customizable survey and an interactive visualization. The survey consisted of six standard, two optional, and three additional questions. The interactive visualization included various charts and word clouds with filters for drill-down analysis. The evaluation was done primarily with the rehabilitation (REHAB) team using data-centered approaches through historical survey data and qualitative coding of the free-text explanations and user-centered approaches through the System Usability Scale (SUS). Results The evaluation showed that the app appropriately accommodated historical survey data from the REHAB team, enabling the comparison between self-assessed and perceived team well-being levels, and summarized key drivers based on the qualitative coding of the free-text explanations. Responses from the 23 REHAB team members showed an above-average score (SUS: 80.22), indicating high usability of the app. Conclusion The Well-being Check app was developed in a user-centered manner and evaluated to demonstrate its effectiveness and usability. Future work includes iterative refinement of the app and designing a pre-poststudy using the app to measure the change in clinicians' well-being levels for quality improvement intervention.

An Active Approach to Health: Increasing physical activity amongst individuals with sedentary lifestyles through person-centred motivational support.

Introduction: The Active Health Project assists sedentary patients to increase physical activity levels using Link Workers (LWs) employed by a social enterprise and embedded in primary care centres in the Scottish Highlands. By delivering person-centred motivational support, the LWs help people to address long-standing personal barriers to being physically active and develop the self-motivation to change habitual inactive lifestyles. The University of the Highlands and Islands (UHI) evaluated the programme by gauging the intervention’s impact on activity levels and participants’ attitudes to exercise.&#x0D; Intervention: Non-clinical based health interventions such as exercise groups, outdoor activities, art therapies and peer support are all proving popular in ‘treating’ both mental health conditions and addressing sedentary lifestyles. However, GPs and other primary care health professionals do not have capacity to undertake the required person-centred assessment and support required. Nor do they necessarily have the local knowledge of community assets for ‘signposting’ activities. Health professionals refer patients to the LWs, who help to develop an activity plan with targets tailored to individual needs, preferences and self-confidence. These are not necessarily structured group activities but can be personalised goals such as walking to a local shop or being more active at home. Goal setting is patient-led to ensure targets are in reach which builds self-confidence. LWs support participants to make these changes over three months. The project offers more than activity signposting and differs from generic health advice participants may have received previously. The project is funded through the Smarter Choices, Smarter Places (SCSP) Open Fund, which focusses on behaviour change, aiming to encourage everyday walking or cycling and sustainable travel methods for longer journeys.&#x0D; Methods: The pilot programme was evaluated in two stages by the Rural Health and Well-being team at the University of the Highland and Islands (UHI). The evaluation used questionnaire data on participants’ activity levels gathered before and after the programme. Semi-structured interviews were undertaken with participants and staff and then analysed thematically. UHI worked closely with the social enterprise when developing the research design.&#x0D; Findings: In stage 1 (2019/20) data analysis indicated the experience had helped some participants make lifestyle changes. Even small progress towards increasing physical activity appeared to yield significant results in terms of generating the self-motivation and confidence required for longer term behavioural change. In stage 2 (2021/22), the research further investigated the transformative process underlying the impact of person-centred motivational support, challenges of embedding non-NHS LWs in primary care settings and the impact of the LW/patient relationship on the sustainability of lifestyle change. &#x0D; Conclusions: Data analysis shows the importance of person-centred support and individually tailored exercise targets in changing attitudes to increasing physical activity. The LWs have time to develop a relationship with the patient which engenders trust and a sense of accountability, which is key to developing self-motivation and adopting lifestyle changes. This research adds to the social prescribing evidence base by examining key factors such as the accessibility of ‘prescribed’ activities, barriers to lifestyle change, building self-motivation and the dynamics of the patient/LW relationship.&#x0D;

The VALUECARE Model for value-based, integrated health and social care services delivery supported by ICT for older adults: participatory research in 6 European countries

Introduction: In 2006, Michael Porter and Elizabeth Teisberg introduced the concept of value-based health care delivery by presenting a new framework for health system design. They proposed a fundamental unifying goal for health care: maximizing value for patients. Value is defined as the health outcomes achieved in response to the needs of a patient relative to the costs of delivering these outcomes. Consequently, understanding patient goals and values is integral to delivering high value. Participatory approaches are a key element in defining the care delivery model according to the patients’ needs and contribute to the sustainability of the care delivery. This study presents the VALUECARE model co-designed with older adults, care team members, health and social service managers and ICT experts to adapt the ValueCare concept supported by technology to the community context and end-users needs.&#x0D; Target group: Older people 65 years and older with comorbidity from 6 European countries (Croatia, Ireland, Portugal, Italy, Spain &amp; The Netherlands) facing different health challenges (cardiovascular disease, cognitive decline, frailty, and stroke).&#x0D; Participants engaged in the co-design of the value based integrated care: A total of 369 participants were involved in participatory activities with the purpose of co-designing the VALUECARE care model and supportive digital solution (n= 127 older adults, n=86 caregivers, n=109 health and social care practitioners, n=7 ICT experts, n=34 service managers, n=3 policy makers, n=3 municipality providers).&#x0D; Co-design activities implemented: Qualitative data was collected using focus groups and interviews, combining face-to-face and online means with the participants trying to adapt the methodology foreseen in the project to the pandemic situation. The eHealth Enhanced Chronic Care Model was used as a heuristic tool to integrate the discourses of the different stakeholders including older adults and those involved in the delivery of health and social care for them and featuring the guiding principles and the core elements for value-based, integrated health and social care for this group supported by ICT solutions. &#x0D; Results: VALUECARE model highlights best practice value-based, integrated care delivery through the application of a set of 6 guiding principles for the model (i.e. quality and safety, technology as supportive tool) across 7 different key core elements (i.e. health and care decision support, comprehensive support and monitoring). Applying these principles and elements, better health outcomes and care experience for older adults are expected and an improvement in the care team wellbeing. &#x0D; Next steps: Based on the co-design sessions, the co-designed VALUECARE model is being implemented and tested in 6 pilot sites. Continuous and periodic feedback is being collected from participants (older people and care team members) to refine the model and ensure quality care delivery, at the end of the project, a validated model of value-based and integrated care supported by technology.&#x0D;

Evaluating a social and emotional well-being model of service piloted in Aboriginal Community Controlled Health Services in Western Australia: an Aboriginal Participatory Action Research approach

IntroductionThe delivery of services to improve Aboriginal health and well-being must centre culture and integrate a social and emotional well-being understanding and approaches. These approaches are essential in increasing access...

Temporal dynamics of shared leadership, team workload, and collective team member well-being: a daily diary study

ABSTRACT In this diary study, we consider shared leadership and team workload as antecedents of team mental health. We draw on conservation of resources theory to theorize how linear change trajectories of shared leadership are related to change trajectories in team members’ shared well-being and emotional exhaustion. Furthermore, we investigate the interaction between change trajectories of shared leadership and team workload, predicting that change in shared leadership will be more strongly related to change in team mental health when team workload increases. 265 team members nested in 77 teams completed a daily diary survey over five consecutive workdays. As hypothesized, an increase in shared leadership was associated with an increase in team well-being and a decrease in emotional exhaustion over time. Further, shared leadership interacted with team workload, such that an increase in shared leadership was more strongly associated with a decrease in shared emotional exhaustion when team workload increased. However, team member well-being was not affected by such an interaction. These findings address the missing link between shared leadership and team well-being and exhaustion, establish shared leadership as an important team resource, and contribute a temporal perspective on shared leadership as a dynamic team phenomenon.

Safety and efficacy of delaying lung transplant surgery to a morning start

ObjectiveWe aimed to evaluate the safety and efficacy of delaying lung transplantation until morning for donors with cross-clamp times occurring after 1:30 am. MethodsAll consented adult lung transplant recipients between March 2018 and May 2022 with donor cross-clamp times between 1:30 am and 5 am were enrolled prospectively in this study. Skin incision for enrolled recipients was delayed until 6:30 am (Night group). The control group was identified using a 1:2 logistic propensity score method and included recipients of donors with cross-clamp times occurring at any other time of day (Day group). Short- and medium-term outcomes were examined between groups. The primary endpoint was early mortality (30-day and in-hospital). ResultsThirty-four patients were enrolled in the Night group, along with 68 well-matched patients in the Day group. As expected, donors in the Night group had longer cold ischemia times compared to the Day group (344 minutes vs 285 minutes; P < .01). Thirty-day mortality (3% vs 3%; P = .99), grade 3 primary graft dysfunction at 72 hours (8% vs 4%; P = .40), postoperative complications (26% vs 38%; P = .28), and hospital length of stay (15 days vs 14 days; P = .91) were similar in the 2 groups. No significant differences were noted between groups in 3-year survival (70% vs 77%; P = .30) or freedom from chronic lung allograft dysfunction (91% vs 95%; P = .75) at 3 years post-transplantation. The median follow-up was 752.5 days (interquartile range, 487-1048 days). ConclusionsLung transplant recipients with donor cross-clamp times scheduled after 1:30 am may safely have their operations delayed until 6:30 am with acceptable outcomes. Adoption of such a policy in clinically appropriate settings may lead to an alternative workflow and improved team well-being.

The role of digital transformation in addressing health inequalities in coastal communities: barriers and enablers.

Healthcare systems worldwide are striving for the "quadruple aim" of better population health and well-being, improved experience of care, healthcare team well-being (including that of carers) and lower system costs. By shifting the balance of care from reactive to preventive by facilitating the integration of data between patients and clinicians to support prevention, early diagnosis and care at home, many technological solutions exist to support this ambition. Yet few have been mainstreamed in the NHS. This is particularly the case in English coastal areas which, despite having a substantially higher burden of physical and mental health conditions and poorer health outcomes, also experience inequalities with respect to digital maturity. In this paper, we suggest ways in which digital health technologies (DHTs) can support a greater shift towards prevention; discuss barriers to digital transformation in coastal communities; and highlight ways in which central, regional and local bodes can enable transformation. Given a real risk that variations in digital maturity may be exacerbating coastal health inequalities, we call on health and care policy leaders and service managers to understands the potential benefits of a digital future and the risks of failing to address the digital divide.

Clinical Integration of Digital Patient-Reported Outcome Measures in Primary Health Care for Chronic Disease Management: Protocol for a Systematic Review.

Health measurement guides policies and health care decisions are necessary to describe and attain the quintuple aim of improving patient experience, population health, care team well-being, health care costs, and equity. In the primary care setting, patient-reported outcome measurement allows outcome comparisons within and across settings and helps improve the clinical management of patients. However, these digital patient-reported outcome measures (PROMs) are still not adapted to the clinical context of primary health care, which is an indication of the complexity of integrating these tools in this context. We must then gather evidence of their impact on chronic disease management in primary health care and understand the characteristics of effective implementation. We will conduct a systematic review to identify and assess the impact of electronic PROMs (ePROMs) implementation in primary health care for chronic disease management. Our specific objectives are to (1) determine the impact of ePROMs in primary health care for chronic disease management and (2) compare and contrast characteristics of effective ePROMs' implementation strategies. We will conduct a systematic review of the literature in accordance with the guidelines of the Cochrane Methods Group and in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for its reporting. A specific search strategy was developed for relevant databases to identify studies. Two reviewers will independently apply the inclusion criteria using full texts and will extract the data. We will use a 2-phase sequential mixed methods synthesis design by conducting a qualitative synthesis first, and use its results to perform a quantitative synthesis. This study was initiated in June 2022 by assembling the research team and the knowledge transfer committee. The preliminary search strategy will be developed and completed in September 2022. The main search strategy, data collection, study selection, and application of inclusion criteria were completed between October and December 2022. Results from this review will help support implementation efforts to accelerate innovations and digital adoption for primary health care and will be relevant for improving clinical management of chronic diseases and health care services and policies. PROSPERO International Prospective Register of Systematic Reviews CRD42022333513; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=333513. DERR1-10.2196/48155.

How Emotional Contagion among Teachers Affects the Relationship between Transformational Leadership and Team Cohesion.

Teachers and educators are experiencing turmoil under the drastic changes in educational practices caused by the COVID-19 pandemic. According to research, transformational leaders effectively facilitate organizational change by fostering teachers' sense of belonging and boosting social identity in their team members, which can result in better team well-being via higher team cohesion. Recently, research has increasingly explored the role of emotional contagion and its relationship with leadership. Accordingly, the current study aims to delve deeper into the role of emotional contagion in linking transformational leadership to cohesion among teachers in the school setting. To this purpose, 581 teachers from northern Italy filled out a self-report questionnaire (72.1% female, Mage = 47.06, and SDage = 11.42). A moderated mediation model was tested to assess the mediating role of organizational identification in the relationship between transformational leadership and team cohesion and how emotional contagion may moderate this association. The obtained results provided support to the hypothesized model. Overall, the present study corroborates the critical role of school principals' behavior in fostering greater organizational identification among teachers, which is associated with better team cohesion. This study constitutes an early attempt to gain more insight into the role of emotional variables in explaining the influence of leadership behavior.

Recognising workplaces prioritising team wellbeing.

Recognising workplaces prioritising team wellbeing.