Back to Search
Start Over
Interventions to improve team effectiveness within health care: a systematic review of the past decade
- Source :
- Human Resources for Health, 18(2):2, 1-42. BioMed Central Ltd., Human Resources for Health, Human Resources for Health, Vol 18, Iss 1, Pp 1-42 (2020)
- Publication Year :
- 2020
-
Abstract
- BackgroundA high variety of team interventions aims to improve team performance outcomes. In 2008, we conducted a systematic review to provide an overview of the scientific studies focused on these interventions. However, over the past decade, the literature on team interventions has rapidly evolved. An updated overview is therefore required, and it will focus on all possible team interventions without restrictions to a type of intervention, setting, or research design.ObjectivesTo review the literature from the past decade on interventions with the goal of improving team effectiveness within healthcare organizations and identify the “evidence base” levels of the research.MethodsSeven major databases were systematically searched for relevant articles published between 2008 and July 2018. Of the original search yield of 6025 studies, 297 studies met the inclusion criteria according to three independent authors and were subsequently included for analysis. The Grading of Recommendations, Assessment, Development, and Evaluation Scale was used to assess the level of empirical evidence.ResultsThree types of interventions were distinguished: (1)Training, which is sub-divided into training that is based on predefined principles (i.e. CRM: crew resource management and TeamSTEPPS: Team Strategies and Tools to Enhance Performance and Patient Safety), on a specific method (i.e. simulation), or on general team training. (2)Toolscovers tools that structure (i.e. SBAR: Situation, Background, Assessment, and Recommendation, (de)briefing checklists, and rounds), facilitate (through communication technology), or trigger (through monitoring and feedback) teamwork. (3)Organizational (re)designis about (re)designing structures to stimulate team processes and team functioning.(4) Aprogrammeis a combination of the previous types. The majority of studies evaluated a training focused on the (acute) hospital care setting. Most of the evaluated interventions focused on improving non-technical skills and provided evidence of improvements.ConclusionOver the last decade, the number of studies on team interventions has increased exponentially. At the same time, research tends to focus on certain interventions, settings, and/or outcomes. Principle-based training (i.e. CRM and TeamSTEPPS) and simulation-based training seem to provide the greatest opportunities for reaching the improvement goals in team functioning.
- Subjects :
- Team effectiveness
Public Administration
media_common.quotation_subject
Team tool
education
Psychological intervention
Crew resource management
Intervention
Review
Health administration
03 medical and health sciences
Patient safety
0302 clinical medicine
Health care
Humans
Team performance
030212 general & internal medicine
media_common
Patient Care Team
lcsh:R5-920
Medical education
Teamwork
business.industry
lcsh:Public aspects of medicine
Public Health, Environmental and Occupational Health
Health services research
lcsh:RA1-1270
Team training
030208 emergency & critical care medicine
Quality Improvement
Healthcare teams
Systematic review
lcsh:Medicine (General)
business
Psychology
Delivery of Health Care
Subjects
Details
- Language :
- English
- ISSN :
- 14784491
- Database :
- OpenAIRE
- Journal :
- Human Resources for Health, 18(2):2, 1-42. BioMed Central Ltd., Human Resources for Health, Human Resources for Health, Vol 18, Iss 1, Pp 1-42 (2020)
- Accession number :
- edsair.doi.dedup.....fad7125ce863fa8cc0e37f72a552a478