McGuier Elizabeth A, Kolko David J, Stadnick Nicole A, Brookman-Frazee Lauren, Wolk Courtney Benjamin, Yuan Christina T, Burke C Shawn, Aarons Gregory A
Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Department of Psychiatry, University of California San Diego, La Jolla, CA, USA.
Implement Res Pract. 2023 Jul 27;4:26334895231190855. doi: 10.1177/26334895231190855. eCollection 2023 Jan-Dec.
Effective teams are essential to high-quality healthcare. However, teams, team-level constructs, and team effectiveness strategies are poorly delineated in implementation science theories, models, and frameworks (TMFs), hindering our understanding of how teams may influence implementation. The Exploration, Preparation, Implementation, Sustainment (EPIS) framework is a flexible and accommodating framework that can facilitate the application of team effectiveness approaches in implementation science.
We define teams and provide an overview of key constructs in team effectiveness research. We describe ways to conceptualize different types of teams and team constructs relevant to implementation within the EPIS framework. Three case examples illustrate the application of EPIS to implementation studies involving teams. Within each study, we describe the structure of the team and how team constructs influenced implementation processes and outcomes.
Integrating teams and team constructs into the EPIS framework demonstrates how TMFs can be applied to advance our understanding of teams and implementation. Implementation strategies that target team effectiveness may improve implementation outcomes in team-based settings. Incorporation of teams into implementation TMFs is necessary to facilitate application of team effectiveness research in implementation science.
高效的团队对于高质量医疗保健至关重要。然而，在实施科学理论、模型和框架（TMFs）中，团队、团队层面的构念以及团队有效性策略的界定并不清晰，这阻碍了我们对团队如何影响实施的理解。探索、准备、实施、维持（EPIS）框架是一个灵活且适应性强的框架，能够促进团队有效性方法在实施科学中的应用。
我们对团队进行了定义，并概述了团队有效性研究中的关键构念。我们描述了在EPIS框架内将不同类型的团队及与实施相关的团队构念概念化的方法。三个案例说明了EPIS在涉及团队的实施研究中的应用。在每项研究中，我们描述了团队的结构以及团队构念如何影响实施过程和结果。
将团队和团队构念整合到EPIS框架中，展示了TMFs如何用于增进我们对团队和实施的理解。针对团队有效性的实施策略可能会改善基于团队环境中的实施结果。将团队纳入实施TMFs对于促进团队有效性研究在实施科学中的应用是必要的。
