Department of Obstetrics and Gynecology, University hospital Sealand, Roskilde Hospital. Sygehusvej 10, 4000, Roskilde, Denmark.
Copenhagen Academy for Medical Education and Simulation (CAMES), Capital Region of Denmark Centre for Human Resource, Blegdamsvej 9, 2100 København Ø, Copenhagen, Denmark.
BMC Med Educ. 2020 Mar 4;20(1):63. doi: 10.1186/s12909-020-1953-8.
Our current understanding of medical team competence is traditionally influenced by an individualistic perspective focusing on individual team members' knowledge, skills as well as on effective communication within the team. However, team dynamics may influence team performance more than previously anticipated. In particular, recent studies in other academic disciplines suggest that social ties between team members may impact team dynamics but this has not been explored for medical teams. We aimed to explore intensive care staff's perceptions about teamwork and performance in clinical emergencies focusing particularly on the teams' social ties.
Semi-structured interviews were conducted with a purposive sample of intensive care staff. We used a thematic analysis approach to data interpretation.
Thematic saturation was achieved after three group interviews and eight individual interviews. Findings demonstrated that social ties influenced teamwork by affecting the teams' ability to co-construct knowledge, coordinate tasks, the need for hierarchy, the degree to which they relied on explicit or implicit communication, as well as their ability to promote adaptive behavior.
Social ties may be an important factor to consider and acknowledge in the design of future team training, as well as for work planning and scheduling of team activities during clinical practice. More research is needed into the causal effect of social ties on team performance and outcome.
我们目前对医疗团队能力的理解传统上受到个人主义观点的影响，该观点侧重于团队成员的个人知识、技能以及团队内部的有效沟通。然而，团队动态可能比预期更能影响团队绩效。特别是，其他学术学科的最近研究表明，团队成员之间的社会关系可能会影响团队动态，但这一点尚未在医疗团队中得到探讨。我们旨在探讨重症监护人员对临床急救中团队合作和绩效的看法，特别关注团队的社会关系。
对重症监护人员进行了有针对性的小组访谈。我们使用主题分析方法来解释数据。
在进行了三次小组访谈和八次个人访谈后达到了主题饱和。研究结果表明，社会关系通过影响团队共同构建知识、协调任务、对等级制度的需求、他们对明确或隐含沟通的依赖程度以及促进适应性行为的能力来影响团队合作。
在未来的团队培训设计中，以及在临床实践中进行团队活动的工作计划和安排时，社会关系可能是一个需要考虑和承认的重要因素。需要进一步研究社会关系对团队绩效和结果的因果影响。
