Team Building (3Q)

Ineffective communication was identified as the root cause of 66% of the sentinel events
True
Teamwork and Collaboration
Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care
Knowledge
○ Describe own strengths, limitations, and values in functioning as a member of a team
○ Describe scopes of practice and roles of health care team members
○ Describe strategies for identifying and managing overlaps in team member roles and accountabilities
○ Recognize contributions of other individuals and groups in helping patient/family achieve health goals
Skills
○ Demonstrate awareness of own strengths and limitations as a team member
○ Initiate plan for self-development as a team member
○ Act with integrity, consistency and respect for differing views
○ Function competently within own scope of practice as a member of the health care team
○ Assume role of team member or leader based on the situation
○ Initiate requests for help when appropriate to situation
○ Clarify roles and accountabilities under conditions of potential overlap in team member functioning
○ Integrate the contributions of others who play a role in helping patient/family achieve health goals
Attitudes
○ Acknowledge own potential to contribute to effective team functioning
○ Appreciate importance of intra- and inter-professional collaboration
○ Value the perspectives and expertise of all health team members
○ Respect the centrality of the patient/family as core members of any healthcare team
○ Respect the unique attributes that members bring to a team, including variations in professional orientations and accountabilities
Group
Number of individuals assembled together that have some unifying relationship
Primary Group (Informal)
-Consists of people who share a *common bond*
-Is informal and *evolves naturally* from social interactions
-Usually has no written rules for membership
-Can begin or end at any point
Secondary Group (Formal)
-Held together with *formal rules and regulations*
-Has procedures for maintenance of the group and association policies
-Meets for an *organized purpose*, for a specific project for a specific time frame
Key Points of a Group
-Aggregate of individuals
-Frequently interact and influence each other
-May be informal (primary) or formal (secondary) group
Team
Small number of people…
○ With complementary skills
○ Who are committed to a common purpose/goal
○ Have a set of performance goals and approaches for which they hold themselves mutually accountable
○ Membership is based on specific skills required to accomplish the task
○ People within a team have a high degree of interdependence and are geared toward the achievement of a goal or a task
○ Have defined goals, objectives, and ongoing relationships and are focused on accomplishing a task
What are 2 System Level Goals of a Team?
1. Safe Patient Care (CUSP)
2. Quality Patient Centered Care
Homogenous Team
similar backgrounds and abilities
Heterogeneous Team
variety of clinical backgrounds
Key Points of a Team
-Healthy interdependence
-Commitment
-Cooperation
-Common goal, purpose, or task
Committee
Work group with a specific task or goal to accomplish as defined by the organization; group formed to assist an organization with communication and decision making
3 Types of Committees
1. Ad Hoc Committee (Temporary): meet to develop a particular policy
2. Standing Committee (Organization): nursing policy and procedure committee
3. Advisory Committee (Advice/Feedback): advise the CNE/CNO
Stages of Group and Team Development
Forming
Storming
Norming
Performing
Adjourning (or reforming again)
Forming
Team acquaints and establishes ground rules; formalities are preserved and members are treated as strangers
○ Orientation
○ Expectations
○ Interactions
○ Boundary formation
Storming
Members start to communicate their feelings but still view themselves as individuals rather than part of the team; they resist control by group leaders and show hostility
○ Conflict
○ Tension
○ Confrontation
Norming
People feel part of the team and realize that they can achieve work if they accept other viewpoints
○ Cohesion
○ Positioning
○ Goal setting
Performing
Team works in an open and trusting atmosphere where flexibility is the key and hierarchy is of little importance
○ Working
○ Agreement
○ Relationships
○ Group Maturity
Adjourning
Team conducts an assessment of the year and implement a plan for transitioning roles and recognizing members’ contributions
○ Termination
○ Closure
○ Evaluation
○ Outcomes reviewed
Roles of Group Members
• Initiator-contributor
• Information seeker
• Opinion seeker
• Information giver
• Elaborator
• Opinion giver
• Coordinator
• Orienter
• Evaluation critic
• Energizer
• Procedure technician
• Recorder
Nurse Manager’s Role
• Leadership style of encouragement, creativity, & participation
• Provide appropriate resources
• Get support from administration
• Highlight progress and positive effects of project
• Involve administration and others early
• Successful Team Membership
○ Various abilities and personalities must be blended
○ Destructive behaviors must be avoided
○ A mixture of clinical abilities is needed
○ A variety of personalities is needed
Necessary Team Leader Skills
• Effective communication skills/style
• Cultural sensitivity
• Know your team members and their abilities
• Planning & coordination skills
• Flexibility
• Involve others
• Acknowledge contributions and accomplishments of team members
• Be a team leader and team member
Effective Team Meetings
1. Thorough preparation
○ Purpose
○ Agenda
○ Attendance
○ Assignments
○ Material
2. Time limited
3. Members are stake holders
Elements of a Good Team
1.Cohesiveness
○ Mutual understanding & support
○ Self-esteem
○ Successful completion of the goal(s)/mission
2.Morale
○ Motivation factor r/t productivity & quality indicators
3.Synergy
○ Combined thinking power of the team
○ Minimize groupthink
Six Rules to Sustain Synergy
1. Define a clear purpose
2. Active listening
3. Be compassionate
4. Maintain honesty
5. Demonstrate compassion
6. Commit to resolution of conflicts
Themes
• Effective inter-professional teams involved in direct patient care have a common goal…high-quality, safe patient care.
• Effective inter-professional teams are able to think reflectively about the situation at hand considering past experiences, contemplate options from all perspectives, and deliberate the options in an atmosphere of mutual respect.
• Willingness to assist colleagues is pivotal to inter-professional teamwork & collaboration.
• Teamwork requires that members can effectively delegate work to each other with clear communication.
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