Team functioning in Neurorehabilitation: a mixed methods study.

Journal: Journal of interprofessional care

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Affiliated Institutions:  Department of Pediatrics, Emma Children's Hospital, Follow-Me Program & Emma Neuroscience Group, Amsterdam Reproduction and Development Research Institute, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands. Teaching and Learning Center (TLC), Amsterdam UMC location University of Amsterdam, Amsterdam, the Netherlands.

Abstract summary 

The objective of this study was to enhance understanding of team functioning in a neurorehabilitation team by identifying the factors that impede and facilitate effective interprofessional team collaboration. We focused on team identification, psychological safety, and team learning, and conducted the research at a neurorehabilitation center treating young patients with severe acquired brain injury in the Netherlands. A mixed-methods approach was employed, integrating quantitative data from questionnaires ( = 40) with qualitative insights from a focus group ( = 6) and in-depth interviews ( = 5) to provide a comprehensive perspective on team dynamics. Findings revealed strong team identification among participants, denoting a shared sense of belonging and commitment. However, limited psychological safety was observed, which negatively affected constructive conflict and team learning. Qualitative analysis further identified deficiencies in shared mental models, especially in shared decision-making and integrated care. These results highlight the crucial role of psychological safety in team learning and the development of shared mental models in neurorehabilitation settings. Although specific to neurorehabilitation, the insights gained may be applicable to enhancing team collaboration in various healthcare environments. The study forms a basis for future research to investigate the impact of improvements in team functioning on patient outcomes in similar settings.

Authors & Co-authors:  van der Veen van der Burgt Königs Oosterlaan Peerdeman

Study Outcome 

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Statistics
Citations : 
Authors :  5
Identifiers
Doi : 10.1080/13561820.2024.2325694
SSN : 1469-9567
Study Population
Male,Female
Mesh Terms
Other Terms
Acquired brain injury;interprofessional teams;neurorehabilitation;team functioning
Study Design
Study Approach
Quantitative,Qualitative,Mixed-Methods
Country of Study
Publication Country
England