Department of Nursing, Umeå University, Umeå, Sweden
Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
BMJ Open. 2024 Oct 23;14(10):e081878. doi: 10.1136/bmjopen-2023-081878.
Increased globalisation and technological advancements have led to the emergence of distributed teams in various sectors, including healthcare. However, our understanding of how leadership, communication and collaboration influence distributed healthcare teams remains limited.
This study aimed to map knowledge on leadership, communication and collaboration in short-term distributed teams across various fields to gain insights that could benefit healthcare.
Scoping review.
A database search of PubMed, CINAHL, Scopus and PsycINFO was conducted in May 2021 and updated in February 2023 and May 2024.
Articles were eligible if they involved leadership, communication or collaboration in distributed short-term teams supported by synchronised audio-visual communication technology. Two researchers independently screened titles, abstracts and full texts for inclusion.
Extracted data on leadership, communication and collaboration were synthesised narratively and reported in terms of patterns, advances, gaps, evidence for practice and research recommendations.
Among 6591 articles, 55 met the eligibility criteria, spanning military, engineering, business, industrial and healthcare contexts. The research focus has shifted over time from adverse effects to solutions for overcoming challenges in distributed teams. Inclusive leadership is vital for engaging all team members. 'Team opacity', the absence of non-verbal cues and reduced awareness of team members' actions, can occur in distributed teams relying on technology. Clear communication is crucial for avoiding misunderstandings and fostering collaboration and adaptability. Developing shared mental models and trust is more challenging, leading to uncertainty and reduced information sharing. There is a lack of studies examining how to apply this knowledge to health professionals' education.
Our findings highlight the importance of implementing strategies in healthcare to enhance inclusive leadership and improve communication in distributed healthcare settings. More empirical research is needed to understand the intricacy of distributed healthcare settings and identify effective ways to train distributed healthcare teams.
全球化和技术进步的增加导致了各个领域(包括医疗保健)分布式团队的出现。然而,我们对领导力、沟通和协作如何影响分布式医疗保健团队的理解仍然有限。
本研究旨在绘制各个领域中短期分布式团队中领导力、沟通和协作方面的知识图谱,以获得可能有益于医疗保健的见解。
范围综述。
2021 年 5 月在 PubMed、CINAHL、Scopus 和 PsycINFO 数据库中进行了数据库搜索,并于 2023 年 2 月和 2024 年 5 月进行了更新。
如果文章涉及由同步视听通信技术支持的分布式短期团队中的领导力、沟通或协作,则符合入选标准。两名研究人员独立筛选标题、摘要和全文以确定是否符合入选标准。
对领导力、沟通和协作方面提取的数据进行了叙述性综合,并根据模式、进展、差距、实践证据和研究建议进行了报告。
在 6591 篇文章中,有 55 篇符合入选标准,涵盖了军事、工程、商业、工业和医疗保健等领域。随着时间的推移,研究重点已从关注分布式团队的负面问题转移到解决这些团队面临的挑战。包容性领导力对于吸引所有团队成员至关重要。在依赖技术的分布式团队中,可能会出现“团队不透明”现象,即缺乏非言语线索和对团队成员行为的认知不足。清晰的沟通对于避免误解、促进协作和适应性至关重要。发展共享心智模型和信任更加具有挑战性,导致不确定性和信息共享减少。目前缺乏研究来检验如何将这些知识应用于卫生专业人员的教育。
我们的研究结果强调了在医疗保健中实施策略以增强包容性领导力和改善分布式医疗环境中的沟通的重要性。需要更多的实证研究来理解分布式医疗保健环境的复杂性,并确定培训分布式医疗保健团队的有效方法。