Aaberg Oddveig Reiersdal, Johannesen Dag Tomas Sagen, Moi Ellen Benestad, Frivold Gro, Jensen Fredrik, Haddeland Kristine
University of Agder, Campus Kristiansand, Universitetsveien 25, Kristiansand, 4630, Norway.
University of Agder, Campus Grimstad, Jon Lilletuns vei 9, Grimstad, 4879, Norway.
BMC Health Serv Res. 2025 Jun 2;25(1):780. doi: 10.1186/s12913-025-12887-3.
Ad hoc teams often work on acute medical problems in intense and unpredictable situations. Team leadership is important for effective teamwork, and communication in ad hoc teams is especially vulnerable to errors and may impact patient outcomes. Previous review studies have mainly focused on team leadership styles. However, little is known about team leader communication in ad hoc teams and whether it impacts team outcomes. Thus, the aim of this review was to investigate whether team leader communication in ad hoc teams impacts team outcomes.
A systematic review was conducted with database searches on CINAHL, Medline and Embase in May 2023, with an update in February 2024. Eight studies identified from the search were included in the review, and the results are presented as a narrative synthesis.
The eight studies that met our inclusion criteria had an observational quantitative design and all of them were conducted in the context of emergency departments or intensive care units (five from a simulation context and three from a real life context). Team leader communication was measured using validated instruments or behavioural indicators, such as call-outs and closed loops. The results revealed that team leader communication had a significant impact on team performance, measured as technical work performance and non-technical work performance, in all the included studies. The team leaders' use of communication strategies, such as situational awareness, callouts and closed loop communication, positively impacted team performance.
The results of this systematic review indicate that team leaders in ad hoc teams have a significant impact on overall team performance. These results underscore the importance of competence in team leadership and highlight the importance of incorporating team leader training into team training programmes. Further studies using more homogenous measuring methods for both team leader communication and outcome variables are needed to confirm the results of this review. The findings in this review may contribute to an enhanced emphasis on the training of team leaders in intense, unpredictable situations, such as in ad hoc teams.
PROSPERO: CRD42023430082.
临时团队经常在紧张且不可预测的情况下处理急性医疗问题。团队领导对于有效的团队合作至关重要，而临时团队中的沟通特别容易出错，可能会影响患者的治疗结果。以往的综述研究主要集中在团队领导风格上。然而，对于临时团队中团队领导的沟通以及它是否会影响团队结果，人们了解甚少。因此，本综述的目的是调查临时团队中团队领导的沟通是否会影响团队结果。
于2023年5月对CINAHL、Medline和Embase数据库进行了系统检索，并于2024年2月进行了更新。从检索中确定的八项研究被纳入综述，结果以叙述性综合的形式呈现。
符合我们纳入标准的八项研究采用了观察性定量设计，所有研究均在急诊科或重症监护病房的背景下进行（五项来自模拟情境，三项来自现实生活情境）。团队领导沟通通过经过验证的工具或行为指标进行测量，如大声提醒和闭环沟通。结果显示，在所有纳入的研究中，团队领导沟通对团队绩效有显著影响，团队绩效以技术工作绩效和非技术工作绩效来衡量。团队领导对沟通策略的运用，如态势感知、大声提醒和闭环沟通，对团队绩效产生了积极影响。
本系统综述的结果表明，临时团队中的团队领导对整体团队绩效有显著影响。这些结果强调了团队领导能力的重要性，并突出了将团队领导培训纳入团队培训计划的重要性。需要进一步开展研究，采用更统一的测量方法来衡量团队领导沟通和结果变量，以证实本综述的结果。本综述中的发现可能有助于在诸如临时团队等紧张、不可预测的情况下，更加重视团队领导的培训。
PROSPERO：CRD42023430082
