White Bobbie Ann A, Eklund Angela, McNeal Tresa, Hochhalter Angie, Arroliga Alejandro C
Department of Medicine, Texas A&M Health Science Center College of Medicine, Temple, Texas.
Department of Medicine, Baylor Scott and White Health, Central Division, Temple, Texas.
Proc (Bayl Univ Med Cent). 2018 May 14;31(3):380-384. doi: 10.1080/08998280.2018.1457879. eCollection 2018 Jul.
Most teams in hospital medicine are ad hoc, meaning that the teams vary in participants. Ad hoc teams can be found in academic teaching hospitals where team members change across shifts and rotations. Due to varying team membership, these teams face significant hurdles, because they lack an opportunity to develop a team identity, shared mental models, and trust. This article discusses facilitators and barriers to effective functioning of ad hoc teams. Communication, conflict management, power, and leadership are areas that either serve as facilitators or barriers to positive team function. In addition to discussing these aspects, solutions and recommendations from practice are shared. Solutions include data about successful teams, communication in those teams, and data about how to improve education and team training. These practical applications can be applied in practice to improve team functioning. Finally, we recommend that additional research be conducted in the area of ad hoc teams, because this type of team is a large part of medicine with a gap in evidence.
大多数医院医学团队都是临时组建的,这意味着团队成员各不相同。临时团队在学术教学医院很常见,团队成员会随着轮班和轮岗而变动。由于团队成员各异,这些团队面临着重大障碍,因为他们缺乏形成团队认同感、共享心智模式和信任的机会。本文讨论了临时团队有效运作的促进因素和障碍。沟通、冲突管理、权力和领导力等方面,要么是积极团队功能的促进因素,要么是障碍。除了讨论这些方面,还分享了实践中的解决方案和建议。解决方案包括关于成功团队的数据、这些团队中的沟通情况,以及关于如何改进教育和团队培训的数据。这些实际应用可以在实践中用于改善团队运作。最后,我们建议在临时团队领域开展更多研究,因为这类团队在医学中占很大比例,但证据方面存在空白。