González F J, de Cabo A, Morán M J, Manzano J M
Centro de Salud Garrido Sur, Salamanca.
Aten Primaria. 1993 Apr;11(6):302-4.
To assess the view of a group of Primary care professionals on their level of perception of group cohesiveness in their teams' work dynamic.
A descriptive and sectional study.
Four urban health centres in Salamanca with a recognised teaching activity.
Both health professionals and those outside the Health Service, working in Primary Care, who had been members of their teams for more than a year (N = 90).
Descriptive statistics and "Chi squared" tests were employed.
72%. A high level of agreement on the need for team work (95.23%). They perceived their group cohesiveness as being very low (84.21% affirmed that they encounter problems of cohesiveness). The main statements concerning this lack of cohesiveness were: "lack of common objectives" (25.5%), "intolerance between workers" (20.13%), "work not shared" (19.46%) and "the taking of decisions individually" (19.44%). The main causes given were: lack of support from Management (23.74%) and too little training for team work (21.58%).
There is a high degree of conviction that the team work model is the most efficacious way of developing Primary Care. However in three of the four teams questioned, there were serious problems preventing the teams' reaching an adequate level of group cohesiveness.
