Healthcare teams as complex adaptive systems: understanding team behaviour through team members' perception of interpersonal interaction

BMC Health Services Research
Peter PypeDemi Krystallidou

Abstract

Complexity science has been introduced in healthcare as a theoretical framework to better understand complex situations. Interdisciplinary healthcare teams can be viewed as Complex Adaptive Systems (CAS) by focusing more on the team members' interaction with each other than on the characteristics of individual team members. Viewing teams in this way can provide us with insights into the origins of team behaviour. The aim of this study is to describe the functioning of a healthcare team as it originates from the members' interactions using the CAS principles as a framework and to explore factors influencing workplace learning as emergent behaviour. An interview study was done with 21 palliative home-care nurses, 20 community nurses and 18 general practitioners in Flanders, Belgium. A two-step analysis consisted of a deductive approach, which uses the CAS principles as coding framework for interview transcripts, followed by an inductive approach, which identifies patterns in the codes for each CAS principle. All CAS principles were identified in the interview transcripts of the three groups. The most prevalent principles in our study were principles with a structuring effect on team functioning: team members act autonomously guid...Continue Reading

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Citations

Jul 23, 2019·Journal of Interprofessional Care·Noreen O'Leary, Pauline Boland
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Jan 7, 2022·Palliative Medicine·Sophie OpsomerPeter Pype
Jun 4, 2019··Amos HarrisCraig E. Kuziemsky

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Methods Mentioned

BETA
sedation

Software Mentioned

NVivo
TeamSTEPPS

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