While team formation contributes to team effectiveness, the practices of team formation are poorly described in health care settings. This single-center study explores current practices for team formation in pediatric hospital medicine (PHM) through semi-structured interviews with 10 PHM attendings from a tertiary children’s hospital. A basic inductive and comparative analysis strategy was used to code interview transcripts and identify themes. Six themes emerged: (1) Team formation practices relate to socialization, role clarity, goal formation, and expectation setting. (2) Initial practices aim toward establishing a psychologically safe learning environment. (3) Initial dedicated time is critical for team formation. (4) Team formation is an ongoing cycle of activity and feedback. (5) The attending-senior resident relationship is central. (6) Practices adjust for environmental issues. This study fills an existing literature gap by describing current practices of PHM team formation and reveals new concepts to refine these practices and ultimately improve team effectiveness.
McGrathJE.Social Psychology, a Brief Introduction. New York, NY: Holt, Rinehart and Winston; 1964.
3.
CohenSGBaileyDE.What makes teams work: group effectiveness research from the shop floor to the executive suite. J Manag. 1997;23(3):239-290. doi:10.1177/014920639702300303.
4.
HackmanJR. The design of work teams. In: LorschJ, ed. Handbook of Organizational Behavior. Hoboken, NJ: Prentice Hall; 1987:315-342.
5.
Lemieux-CharlesLMcGuireWL.What do we know about health care team effectiveness? A review of the literature. Med Care Res Rev. 2006;63(3):263-300. doi:10.1177/1077558706287003.
6.
MorelandRLLevineJM.Socialization in small groups: temporal changes in individual-group relations. Adv Exp Soc Psychol. 1982;15:137-183.
7.
MorelandRLLevineJM.Socialization and trust in work groups. Group Processes Interg Relat. 2002;5(3):185-201. doi:10.1177/1368430202005003001.
8.
LeviDJAskayDA.Group Dynamics for Teams. Thousand Oaks, CA: Sage; 2020.
9.
SalasERozellDMullenBDriskellJE.The effect of team building on performance: an integration. Small Group Res. 1999;30(3):309-329. doi:10.1177/104649649903000303.
10.
TannenbaumSSalasE.Teams That Work: The Seven Drivers of Team Effectiveness. Oxford: Oxford University Press; 2020.
11.
WeissDFTilinFJMorganMJ.The Interprofessional Health Care Team: Leadership and Development. Burlington, MA: Jones & Bartlett Publishers; 2014.
12.
LarsonCELaFastoFMJ. Teamwork: What Must Go Right/What Can Go Wrong. Thousand Oaks, CA: Sage; 1989.
13.
AubéCRousseauV.Team goal commitment and team effectiveness: the role of task interdependence and supportive behaviors. Group Dyn Theor Res Pract. 2005;9(3):189-204. doi:10.1037/1089-2699.9.3.189.
14.
LockeEALathamGP.Building a practically useful theory of goal setting and task motivation: a 35-year Odyssey. Am Psychol. 2002;57(9):705-717. doi:10.1037/0003-066X.57.9.705.
15.
WeldonEWeingartLR.Group goals and group performance. Br J Soc Psychol. 1993;32(4):307-334. doi:10.1111/j.2044-8309.1993.tb01003.x.
16.
FeldmanDC.The development and enforcement of group norms. Acad Manag Rev. 1984;9(1):47-53. doi:10.2307/258231.
17.
WeaverSJRosenMASalasEBaumKDKingHB.Integrating the science of team training: guidelines for continuing education. J Contin Educ Health Prof. 2010;30(4):208-220. doi:10.1002/chp.20085.
18.
KlimoskiRMohammedS.Team mental model: construct or metaphor?J Manag. 1994;20(2):403-437. doi:10.1177/014920639402000206.
19.
SalasEWilsonKAMurphyCEKingHSalisburyM.Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork. Jt Comm J Qual Patient Saf. 2008;34(6):333-341. doi:10.1016/S1553-7250(08)34042-2.
20.
GreenbergCCRegenbogenSEStuddertDM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204(4):533-540. doi:10.1016/j.jamcollsurg.2007.01.010.
21.
ReaderTWFlinRCuthbertsonBH.Communication skills and error in the intensive care unit. Curr Opin Crit Care. 2007;13(6):732-736. doi:10.1097/MCC.0b013e3282f1bb0e.
22.
BurtscherMJManserTKolbeM, et al. Adaptation in anaesthesia team coordination in response to a simulated critical event and its relationship to clinical performance. Br J Anaesth. 2011;106(6):801-806. doi:10.1093/bja/aer039.
23.
CatchpoleKRGiddingsAEWilkinsonMHirstGDaleTde LevalMR.Improving patient safety by identifying latent failures in successful operations. Surgery. 2007;142(1):102-110. doi:10.1016/j.surg.2007.01.033.
24.
WilliamsALLaskyREDannemillerJLAndreiAMThomasEJ.Teamwork behaviours and errors during neonatal resuscitation. Qual Saf Health Care. 2010;19(1):60-64. doi:10.1136/qshc.2007.025320.
25.
Fernandez CastelaoERussoSGRiethmüllerMBoosM.Effects of team coordination during cardiopulmonary resuscitation: a systematic review of the literature. J Crit Care. 2013;28(4):504-521. doi:10.1016/j.jcrc.2013.01.005.
26.
CreswellJWPothCN.Qualitative Inquiry and Research Design: Choosing among Five Approaches. 4th ed.Thousand Oaks, CA: Sage; 2018.
27.
HenninkMMKaiserBNMarconiVC.Code saturation versus meaning saturation: how many interviews are enough?Qual Health Res. 2017;27(4):591-608. doi:10.1177/1049732316665344.
28.
MerriamSBTisdellEJ.Qualitative Research: A Guide to Design and Implementation (The Jossey-Bass higher and adult education series). 4th ed.San Francisco, CA: Jossey-Bass; 2016.
NelsonDLQuickJC.Social support and newcomer adjustment in organizations: attachment theory at work?J Organ Behav. 1991;12(6):543-554.
31.
ChlupDCollinsT.Breaking the ice: using ice-breakers and re-energizers with adult learners. Adult Learn. 2010;21:34-39. doi:10.1177/104515951002100305.
32.
BalmerDFGiardinoAPRichardsBF.The dance between attending physicians and senior residents as teachers and supervisors. Pediatrics. 2012;129(5):910-915. doi:10.1542/peds.2011-2674.
