Adaptive coordination development in student anaesthesia teams: a longitudinal study

Riethmüller, Martin; Castelao, Ezequiel Fernandez; Eberhardt, I.; Timmermann, Arnd; Boos, Margarete

doi:10.1080/00140139.2011.636455

Cited by 33 publications

(28 citation statements)

References 50 publications

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“…35 Thus, rudeness exposure can adversely affect the cognitive functions required for effective diagnostic and medical procedural performance. However, results from the mediation analyses indicate that aside from any effects that rudeness may have on individual cognitive processing, rudeness exposure may also weaken the very collaborative processes (informationsharing and help-seeking) 36,37 that might otherwise allow teams to compensate for the diminished performance of 1 or more of their members. 4,34 Overall, we found rudeness explained 52% of the variance in diagnostic performance and 43% of the variance in procedural performance.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Rudeness on Medical Team Performance: A Randomized Trial

et al. 2015

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Section: Discussionmentioning

confidence: 99%

The Impact of Rudeness on Medical Team Performance: A Randomized Trial

et al. 2015

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“…Indeed, previous longitudinal studies investigating action teams (Manser et al, 2008;Riethmüller, Fernandez Castelao, Eberhardt, Timmermann, & Boos, 2012) have suggested that team processes in action teams vary over time. This finding also supports newer conceptualizations of team processes that change over time rather than remain static (Arrow, Poole, Henry, Wheelan, & Moreland, 2004;Cronin, Weingart, & Todorova, 2011;Kozlowski, 2015;Leenders, Contractor, & DeChurch, 2016).…”

Section: Antecedents Of In-action Trmentioning

confidence: 99%

Reflection in the heat of the moment: The role of in‐action team reflexivity in health care emergency teams

et al. 2018

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Team reflexivity (TR)-defined as a team's conscious reflection on their objectives, strategies, and processes-is an important team process that fosters adaptation and information processing. However, traditional conceptualizations frame TR as a process that occurs in periods of downtime to reflect on past, terminated performance, largely ignoring reflective team processes occurring during intense performance events of action teams. To address this gap, we conceptualize TR as a team process that occurs not only during periods of downtime after the action but also during performance events as brief TR moments. We elaborate on the concept of in-action TR and explore it by delineating its relationship to task type and timing during a performance event. Further, we test a team level contingency model of in-actionTR, namely, team size and performance. Using behavior observation, we test our hypothesis with 70 medical teams responding to simulated in-hospital emergencies. Task type is related to in-actionTR and reflection tends to increase as action progresses. Further, in-action TR is related to team performance and is especially important for larger teams. Our study is the first to investigate in-action TR and provides theoretical and practical implications on how in-action TR operates in extreme action teams.

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“…Although managing a pulseless ventricular tachycardia represents a highly standardised task, other tasks in healthcare have lower levels of standardisation. In this context, a study with teams of medical students indicates that coordination is influenced by task characteristics (ie, routine vs complication) 32. Moreover, teams in aviation show more implicit coordination in highly standardised work phases compared with work phases with low standardisation 19.…”

Section: Discussionmentioning

confidence: 99%

Differences in talking-to-the-room behaviour between novice and expert teams during simulated paediatric resuscitation: a quasi-experimental study

2018

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BackgroundTeam coordination represents an important factor for clinical performance. Research in this area suggests that not only behaviour frequencies but also patterns of team coordination constitute a central aspect of teamwork. However, little is known about potential differences in coordination patterns between novice teams (ie, teams of inexperienced members) and expert teams (ie, teams of experienced members). The current study addresses this gap by investigating the use of talking-to-the-room—an important implicit coordination behaviour—in novice teams versus expert teams.AimTo illustrate differences in coordination behaviour between novice and expert teams. This will provide important knowledge for simulation-based training.MethodsThe study was conducted in the context of two resuscitation training courses (introductory course and refresher course) for staff members at a children’s hospital. Volunteers from both courses participated in the study. They were randomly assigned to 16 teams each consisting of one physician and two nurses. The study used a quasi-experimental design with two conditions (novice vs expert). Participants of the introductory course were assigned to the novice condition (eight teams), and participants of the refresher course were assigned to the expert condition (eight teams). All teams completed the same standardised paediatric resuscitation scenario. They were videotaped during the simulation, and team coordination behaviour was coded using Co-ACT.ResultsLag-sequential analysis of 1902 distinct coordination acts revealed that novice teams and expert teams differed significantly in their coordination behaviour. Expert teams were characterised by patterns in which implicit coordination behaviour (ie, talking to the room) was followed by further implicit coordination behaviour and not followed by explicit coordination behaviour (ie, instructions), whereas the reverse was found for novice teams.ConclusionThe current study highlights role of coordination patterns for understanding teamwork in healthcare and provides important insights for team training.

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Adaptive coordination development in student anaesthesia teams: a longitudinal study

Cited by 33 publications

References 50 publications

The Impact of Rudeness on Medical Team Performance: A Randomized Trial

The Impact of Rudeness on Medical Team Performance: A Randomized Trial

Reflection in the heat of the moment: The role of in‐action team reflexivity in health care emergency teams

Differences in talking-to-the-room behaviour between novice and expert teams during simulated paediatric resuscitation: a quasi-experimental study

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