Walker Katie, Filho Edson, Rudolph Jenny, Meguerdichian Michael, Yusaf Tricia, Campbell-Taylor Kimberly, Asoodar Maryam
School of Health Professions Education, Maastricht University, Maastricht, NLD.
Wheelock College of Education and Human Development, Boston University, Boston, USA.
Cureus. 2025 May 25;17(5):e84787. doi: 10.7759/cureus.84787. eCollection 2025 May.
When healthcare teams fail to communicate clearly and follow through on shared plans, patient outcomes and clinician well-being are compromised. Although substantial research has explored the factors that contribute to effective team performance, far less is known about what supports or hinders the performance of the foundational unit within teams: the dyad. The effectiveness of dyads, such as the emergency nurse/emergency physician or midwife/obstetrician pair, is a critical determinant of clinician well-being, patient safety, and quality of care. Drawing inspiration from the coordinated efforts of elite tennis doubles teams, this review examines the collaborative behaviors of high-performing sporting duos and considers how those insights may inform dyadic functioning in healthcare. What can the commitment to practice and the high-stakes mindset of athletic partnerships teach us about what is required of clinical dyads? Using the frameworks of distributed cognition and relational coordination, we analyze how these athletes effectively distribute cognitive workload across individuals and their environments to optimize performance. A scoping review was conducted using Maastricht University's LibSearch, which includes PsycINFO, MEDLINE, the Education Resources Information Center, and Web of Science. Searches were carried out between March 13, 2020, and July 4, 2021. Following the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines for scoping reviews, 14 studies met the inclusion criteria. From this review, five key categories of collaborative practices used by elite sports doubles teams to enhance teamwork emerged. These include performance evaluation, frequent and structured practice, ongoing feedback from coaches, developing a unique team culture that promotes a shared mindset, and recruitment strategies that prioritize prior experience and preexisting familiarity between partners. Based on these findings, the authors propose that adopting similar strategies in healthcare, particularly cultivating a distinct team culture grounded in shared cognitive frameworks, and prioritizing dyadic familiarity during recruitment, could meaningfully improve both dyadic and broader team performance in clinical environments.
当医疗团队未能清晰沟通并贯彻共同计划时，患者的治疗结果和临床医生的福祉就会受到损害。尽管大量研究探讨了有助于团队有效运作的因素，但对于团队中基础单元——二元组（如急诊护士/急诊医生或助产士/产科医生组合）的表现，哪些因素起到支持作用或造成阻碍，我们却知之甚少。二元组的有效性，如急诊护士/急诊医生组合或助产士/产科医生组合，是临床医生福祉、患者安全和护理质量的关键决定因素。本综述从精英网球双打团队的协同努力中汲取灵感，研究了表现出色的体育二人组的协作行为，并思考这些见解如何为医疗保健中的二元组功能提供参考。体育伙伴关系中对训练的投入和高风险心态能让我们了解临床二元组需要具备什么？我们运用分布式认知和关系协调框架，分析这些运动员如何在个人及其环境之间有效分配认知工作量以优化表现。我们使用马斯特里赫特大学的LibSearch进行了一项范围综述，该数据库包括PsycINFO、MEDLINE、教育资源信息中心和科学引文索引。检索在2020年3月13日至2021年7月4日之间进行。按照系统评价和元分析扩展综述的首选报告项目指南，有14项研究符合纳入标准。通过该综述，精英体育双打团队用于加强团队合作的五类关键协作实践浮现出来。这些包括绩效评估、频繁且有组织的训练、教练的持续反馈；培养独特的团队文化以促进共同心态；以及优先考虑合作伙伴先前经验和已有默契的招募策略。基于这些发现，作者建议在医疗保健中采用类似策略，特别是培育基于共享认知框架的独特团队文化，并在招募过程中优先考虑二元组的默契度，这可能会显著提高临床环境中二元组及更广泛团队的表现。
