Chapter 11: Effective Team Building

Team
consists of a small number of people who: 1) need contributions from each members to succeed, 2) share a common purpose and set of goals and approaches, 3) hold themselves accountable for accomplishments of goals
Interdisciplinary team
comprised of members with a variety of clinical expertise
Advantages of Interdisciplinary Team (3)
1)variety of clinical expertise and disciplines, 2)communicates frequently to optimize care, 3)more holistic management of patient’s complex health care needs.
Group
informal collection of people who interact with one another on a noted frequency
Committee
a team formed to ASSIST an organization with COMMUNICATION and DECISION MAKING.
Standing Committee
meets routinely to review, revise, and approve nursing-related policies and procedures. Other types of this committee may be created to help meet requirements of federal regulatory agencies (Ex. Nursing Policy and Procedure Committee, Dep of Health and Human Services
Ad Hoc Committee
will meet only until the policy and procedure is developed, approved, and adopted by the institution (Ex. Hypoglycemia Treatment Policy and Procedure Committee)
Advisory Committee
meet to discuss and advise on concerns pertaining to the professional nursing staff
Advantages of Teamwork (4)
1)Promotes safe and efficient care through effective communication and optimizes safe pt care outcomes through collaboration, 2)equalizes power through shared governance, 3)improves interpersonal relationships and job satisfaction, 4)decreases employee turnover rates (improved productivity and absenteeism
Disadvantages of Teamwork (5)
1)may take LONGER to achieve goal, 2) pt care situations may produce very DIFFERENT SOLUTIONS, 3)may have DISAGREEMENTS, 4)team process takes Time, Effort, and Resources (choosing the right members, organizing goals, collaborate as a team) 5)some team members may LACK interest, motivation, ability or skill to participate in the team process
Hawthorne Effect
demonstrates that an individual’s performance is determined by informal relationship patterns that emerge in the work group
Informal Teams (4)
1)may become overly exclusionary, 2)can undermine formal authority, 3)can assume change agent role, 4)can facilitate improvement in working conditions
Stages of Team Process (5)
1)forming stage – meet the first time (expectation and interaction), 2)storming phase – conflict, 3)norming stage – group cohesion, 4)performing phase – complete assigned tasks, 5)adjourning stage – team closure and evaluation of outcomes
Synergy
occurring where the needs and characteristics of a patient, clinical unit, or system are matched with a nurse’s competencies. (to achieve an effective teamwork)
Effective teams (6)
1)have clearly stated purpose of team, 2)assessment of team member composition, 3)effective COMMUNICATIONpattern and links, 4) promote active PARTICIPATION, 5)establish an ACTION plan to proceed, 6)provide ONGOING assessment and evaluation
Parts of an Effective Team
1)conducive environment, 2)effective team members, 3)effective leader
Qualities of Effective Team Members (6)
1)proactive, 2)motivated, 3)personal sense of purpose/mission, 4)communication skills, 5)time mgt skills, 6)know priorites
Groupthink
1)when desire for harmony and consensus overrides members’ efforts to appraise the situation; 2)when maintaining a PLEASANT ATMOSPHERE becomes more important than REACHING a good decision; 3)reduced willingness to disagree and challenge others’ views.
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