Ecological interchangeability: supporting team adaptive expertise in moments of disruption

Cristancho, Sayra; Field, Emily; Lingard, Lorelei; Taylor, Taryn; Hibbert, Kathryn; Thompson, Graham; Hibbert, William

doi:10.1007/s10459-022-10160-4

Cited by 6 publications

(3 citation statements)

References 42 publications

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“…Until the fruition of the project, however, innovation teams experience team composition change, like typical teams, but can leverage unstable membership and outside resources when unexpected problems arise that require specialized knowledge ( Huckman et al, 2009 ). Fluidity has been largely studied in aversive contexts like health care (e.g., Bedwell et al, 2012 ) and emergency teams ( Cristancho et al, 2022 ) but also in teams where problems are extremely complex and prone to failure. Fluid teams are drawn from a problem-centered approach in healthcare where multidisciplinary employees coordinate around the needs of the patient ( Bleakley, 2014 ).…”

Section: Conceptual Development Of Frameworkmentioning

confidence: 99%

Examining the fluidity of innovation teams: a conceptual framework

Linhardt,

Salas

2023

Front. Psychol.

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As innovative endeavors have become more complex and time-intensive, there has become an increasing reliance on expert teams in organizations. Expert innovation teams are comprised of team members with extensive experience and mastery in a particular discipline. These teams utilize fluid membership that expands the available knowledge of the team but creates challenges for effective teamwork. We argue that the mechanism for creating an enduring impact and developing a product to fruition requires the cognitive and social integration of fluid team members. This article focuses on how teams effectively integrate knowledge with diverse, and possibly fluid, team members and how teams can organize knowledge through planning and reflection to implement the idea successfully. Knowledge integration and team reflexivity are considered in tandem to emphasize the multi-faceted nature of generating and implementing innovative solutions and the conflicting teamwork processes that hinder innovative efforts. To understand how these competing teamwork processes required for successful innovation interact, we developed a framework that considers resilience as the factor that elicits team creative performance. In doing so, we discuss how innovation teams build resilience over time and how creative failure can lead to greater levels of innovation.

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Section: Conceptual Development Of Frameworkmentioning

confidence: 99%

Examining the fluidity of innovation teams: a conceptual framework

Linhardt,

Salas

2023

Front. Psychol.

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“…It is crucial that as part of our HPE focused lens on adaptive expertise that we consider ways to meaningfully advance the broader understanding of the construct in ways that build upon the research in the cognitive and learning sciences. While that research has largely focussed on individual adaptive expert performance, Cristancho et al, (2022) argued that understanding how adaptive expert teams develop and perform is also needed for adaptive expertise to meaningfully impact health care work. They explored how teams handle the inevitable disruptions of the workplace across diverse professional contexts and highlighted the importance of interchangeability in fluid teams.…”

Section: This Special Issuementioning

confidence: 99%

The imperative for (and opportunities of) research on adaptive expertise in health professions education

Mylopoulos

Dolmans

Woods

2022

Adv in Health Sci Educ

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In this editorial, three Advances in Health Sciences Education editors argue for the importance and impact of adaptive expertise on the future of health professions education and work. They present a sample of the broad range of theory-informed research currently contributing to understanding and applying adaptive expertise in health professions education. They reflect on the unique opportunities that interdisciplinarity offers this endeavour. Finally they offer potential ways forward for continued efforts to advance collective understanding of education, expert development and health professions practice.A few years ago, during a lively discussion about adaptive expertise, one exasperated colleague finally declared, "I just don't think we need to invent another term for expertise in the health professions". This comment reflects broader methodological debates in the field (e.g. Albert et al., 2019) and concerns that medical education is continuously (and unnecessarily) inventing new constructs and theories rather than harnessing existing theoretical frameworks. However, in this case, we didn't "invent another term" as the construct of adaptive expertise was not developed in the context of health professions education research (HPER). Rather, this robust theoretical framework evolved through decades of research in the learning sciences (

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“…Thus aviation as analogy might fall short in healthcare situations where disruptive situations may regularly prompt a departure from procedural norms. Using an ecological lens, as it has been already advocated in medical education [8,9], this is the context where the sociobiology analogy provides an opportunity to reconsider, complement and inspire new ways of training for resilience in healthcare teams.…”

Section: Introductionmentioning

confidence: 99%

Building Resilient Healthcare Teams: Insights from Analogy to the Social Biology of Ants, Honey Bees and Other Social Insects

Cristancho

Thompson

2023

Perspectives on Medical Education

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The resilience of a healthcare system hinges on the adaptability of its teams. Thus far, healthcare teams have relied on well-defined scopes of practice to fulfill their safety mandate. While this feature has proven effective when dealing with stable situations, when it comes to disruptive events, healthcare teams find themselves navigating a fine balance between safety and resilience. Therefore, a better understanding of how the safety vs resilience trade-off varies under different circumstances is necessary if we are to promote and better train for resilience in modern healthcare teams. In this paper, we aim to bring awareness to the sociobiology analogy that healthcare teams might find useful during moments when safety and adaptability have the potential to conflict. Three principles underpin the sociobiology analogy: communication, decentralization, and plasticity. Of particular interest in this paper is plasticity whereby swapping roles or tasks becomes an adaptive, rather than a maladaptive, response teams could embrace when facing disruptive situations. While plasticity has naturally evolved in social insects, infusing plasticity in healthcare teams requires intentional training. Inspired by the sociobiology analogy, such training must value the ability: a) to read each other's cues and miscues, b) to step aside when others had the necessary skills, even if outside their scope, c) to deviate from protocols, and d) to foster cross-training. If the goal is to increase a team's behavioural flexibility and boost their resilience, this training mindset should become second nature.

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Ecological interchangeability: supporting team adaptive expertise in moments of disruption

Cited by 6 publications

References 42 publications

Examining the fluidity of innovation teams: a conceptual framework

Examining the fluidity of innovation teams: a conceptual framework

The imperative for (and opportunities of) research on adaptive expertise in health professions education

Building Resilient Healthcare Teams: Insights from Analogy to the Social Biology of Ants, Honey Bees and Other Social Insects

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