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Title: The ABC of health care dynamics: Understanding complex affective, behavioural, and cognitive dynamics in interprofessional teams
Contributor(s): Mitchell, Rebecca (author); Parker, Vicki T  (author)orcid ; Giles, Michelle (author); Boyle, Brendan (author)
Publication Date: 2014
DOI: 10.1097/HCM.0b013e3182766504
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Abstract: Background: Interprofessional teams form the basis of many health care problem-solving and decision-making mechanisms. However, more than 70% of medical errors are attributable to dysfunctional team dynamics. The recent suggestion that health care teams are more complex than non medical teams suggests that we require more sophisticated knowledge of team dynamics and processes. Purposes: The mechanisms of dysfunctional interprofessional teams focusing on affective, behavioral, and cognitive effects are explored. We argue that interprofessional composition impacts team dynamics by increasing the likelihood of affective conflict, which mediates a decrease in elaborative behaviors and open-mindedness. Methodology: The hypotheses are investigated using a cross-sectional, correlational design. Survey data received from 218 members of 47 interprofessional teams employed in an acute care setting, representing a 39% response rate, is used to investigate two moderated mediation pathways. Findings: Analysis supports a significant relationship between interprofessional composition and affective conflict but only when team rate highly for professional identification. Results also support a dual moderated mediation pathway through which professional diversity has a dysfunctional effect on debate and open-mindedness. Practice Implications: A range of strategies emerge from the findings to minimize dysfunctional interprofessional team dynamics. These include the use of leadership strategies, such as transformational styles, reinforcement of shared values such as patient-centeredness, and development of a shared group identity.
Publication Type: Journal Article
Source of Publication: Health Care Management Review, 39(1), p. 1-9
Publisher: Lippincott Williams & Wilkins
Place of Publication: United States of America
ISSN: 1550-5030
Field of Research (FOR): 111799 Public Health and Health Services not elsewhere classified
111099 Nursing not elsewhere classified
Socio-Economic Objective (SEO): 929999 Health not elsewhere classified
920210 Nursing
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
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