Jean Emmanuelle, Perroux Mélanie, Pepin Jacinthe, Duhoux Arnaud
Département des Sciences Infirmières Université du Québec à Rimouski Rimouski Québec Canada.
Faculté des Sciences Infirmières Université de Montréal Québec Canada.
Learn Health Syst. 2019 Dec 13;4(3):e10213. doi: 10.1002/lrh2.10213. eCollection 2020 Jul.
The capacity for teams and organizations to evolve and to thrive in ever-shifting environments is attributed to their collective intelligence. Collectively, intelligent team could prevent repetition of past mistakes and can help organizations and people work more efficiently. Researchers aimed to find a framework or a tool that could help explain collective intelligence in primary healthcare organizations.
The framework was developed iteratively following a three-step process based on the Pragmatic utility concept analysis, each step fetching data from both literature and the team's expertise: (i) finding an existing framework, (ii) developing an initial framework, (iii) testing and refining the framework.
A broad literature search led researchers to focus more specifically on two interrelated frameworks, both concepts were created within the educational field. We first adapted these concepts to healthcare teams, then to the increasing interdisciplinarity of primary healthcare teams. We also subdivided the framework into clinical or organizational domain. Finally, we performed a secondary analysis from existing data of a larger project that aimed to evaluate seven primary care teams in Quebec.
This first attempt to conceptualize collective intelligence in a way that is specific to primary healthcare teams helps identify strengths and areas in which teams could potentially improve. From a theoretical perspective, the framework facilitates understanding of the concept of collective intelligence in primary healthcare teams. Our current results show a strong potential for this tool, but other tests and systematic validations are to be expected in order to better link collective intelligence and team performance.
团队和组织在不断变化的环境中发展和繁荣的能力归因于它们的集体智慧。集体而言，智慧团队能够避免重蹈覆辙，并有助于组织和人员更高效地工作。研究人员旨在找到一个能够帮助解释基层医疗组织中集体智慧的框架或工具。
该框架是根据实用效用概念分析，通过一个三步迭代过程开发的，每一步都从文献和团队专业知识中获取数据：（i）找到一个现有的框架，（ii）开发一个初始框架，（iii）测试和完善该框架。
广泛的文献检索使研究人员更具体地关注两个相互关联的框架，这两个概念都是在教育领域创建的。我们首先将这些概念应用于医疗团队，然后应用于基层医疗团队日益增加的跨学科性。我们还将该框架细分为临床或组织领域。最后，我们对一个旨在评估魁北克七个初级保健团队的更大项目的现有数据进行了二次分析。
这首次尝试以一种特定于基层医疗团队的方式将集体智慧概念化，有助于识别团队的优势和可能改进的领域。从理论角度来看，该框架有助于理解基层医疗团队中集体智慧的概念。我们目前的结果显示了这个工具的强大潜力，但为了更好地将集体智慧与团队绩效联系起来，还需要进行其他测试和系统验证。
