Measuring Team Effectiveness in the Health Care Setting: An Inventory of Survey Tools

Health Services Insights
Bita A KashThomas R Miller

Abstract

Guidance for measuring team effectiveness in dynamic clinical settings is necessary; however, there are no consensus strategies to help health care organizations achieve optimal teamwork. This systematic review aims to identify validated survey instruments of team effectiveness by clinical settings. PubMed, MEDLINE, and ISI Web of Knowledge were searched for team effectiveness surveys deployed from 1990 to 2016. Validity and reliability were evaluated using 4 psychometric properties: interrater agreement, internal consistency, content validity, and structural integrity. Two conceptual frameworks, the Donabedian model and the Command Team Effectiveness model, assess conceptual dimensions most measured in each health care setting. The 22 articles focused on surgical, primary care, and other health care settings. Few instruments report the required psychometric properties or feature non-self-reported outcomes. The major conceptual dimensions measured in the survey instruments differed across settings. Team cohesion and overall perceived team effectiveness can be found in all the team effectiveness measurement tools regardless of the health care setting. We found that surgical settings have distinctive conditions for measuring team...Continue Reading

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Citations

Jun 19, 2019·Journal of Graduate Medical Education·Laura NimmonLara Varpio
Oct 17, 2020·Advances in Simulation·Boris Tolg, Juergen Lorenz
Feb 20, 2021·Risk Management and Healthcare Policy·Nadežda JankelováKatarína Procházková

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