Literature DB >> 22891905

What is happening under the surface? Power, conflict and the performance of medical teams.

Rozemarijn Janss1, Sonja Rispens, Mien Segers, Karen A Jehn.   

Abstract

CONTEXT: The effect of teamwork on team performance is broadly recognised in the medical field. This recognition is manifested in educational programmes in which attention to interpersonal behaviours during teamwork is growing. Conflict and power differences influence interpersonal behaviours and are marked topics in studies of group functioning in the social and organisational psychology literature. Insights from the domain of social sciences put the ongoing improvement of teamwork into broader perspective.
OBJECTIVES: This paper shows how knowledge from the domain of social and organisational psychology contributes to the understanding of teamwork in the medical environment. More specifically, this paper suggests that unfolding the underlying issues of power and conflict within medical teams can be of extra help in the development of educational interventions aimed at improving team performance.
METHODS: We review the key social psychology and organisational behaviour literature concerning power and conflict, and relate the insights derived from this to the team process of ad hoc medical action teams.
RESULTS: We present a theoretical framework in which insights into power and conflict are used to explain and predict team dynamics in ad hoc medical action teams.
CONCLUSIONS: Power and conflict strongly influence interpersonal behaviour. Characteristics of medical action teams give rise to all kinds of issues of disagreement and are accompanied by complex issues of intra-team power distribution. We argue that how team members coordinate, cooperate and communicate is steered by members' personal motivations, which, in turn, strongly depend on their perceptions of power and conflict. Given the importance of the performance of these teams, we suggest future directions for the development of training interventions building on knowledge and theories derived from social and organisational psychology. © Blackwell Publishing Ltd 2012.

Mesh:

Year:  2012        PMID: 22891905     DOI: 10.1111/j.1365-2923.2012.04322.x

Source DB:  PubMed          Journal:  Med Educ        ISSN: 0308-0110            Impact factor:   6.251


  19 in total

1.  [Role-specific targets and teamwork in the operating room].

Authors:  K Hoeper; M Kriependorf; C Felix; P Nyhuis; A Tecklenburg
Journal:  Anaesthesist       Date:  2017-12       Impact factor: 1.041

2.  Social Network Theory in Interprofessional Education: Revealing Hidden Power.

Authors:  Laura Nimmon; Anthony R Artino; Lara Varpio
Journal:  J Grad Med Educ       Date:  2019-06

3.  Pulling together and pulling apart: influences of convergence and divergence on distributed healthcare teams.

Authors:  L Lingard; C Sue-Chue-Lam; G R Tait; J Bates; J Shadd; V Schulz
Journal:  Adv Health Sci Educ Theory Pract       Date:  2017-01-23       Impact factor: 3.853

4.  Facilitators and barriers to ad hoc team performance.

Authors:  Bobbie Ann A White; Angela Eklund; Tresa McNeal; Angie Hochhalter; Alejandro C Arroliga
Journal:  Proc (Bayl Univ Med Cent)       Date:  2018-05-14

5.  Communication Strategies to Address Conflict about Dialysis Decision Making for Critically Ill Patients.

Authors:  Jane O Schell; Robert A Cohen
Journal:  Clin J Am Soc Nephrol       Date:  2018-04-16       Impact factor: 8.237

6.  Team conflict and the neurologist.

Authors:  Megan Richie; S Andrew Josephson
Journal:  Neurol Clin Pract       Date:  2020-04

7.  Analysis of the factors influencing teamwork among oncology nurses based on multigroup structural equation model.

Authors:  Xiaoxia Xu; Sansan Jia; Shaokai Zhang; Xuan Mai; Zhenxue Mao; Binbin Han
Journal:  Ann Transl Med       Date:  2022-09

8.  Interpersonal Conflict between Clinicians in the Delivery of Palliative and End-of-Life Care for Critically Ill Patients: A Secondary Qualitative Analysis.

Authors:  Wendy Tong; Komal P Murali; Laura D Fonseca; Craig D Blinderman; Rachel C Shelton; May Hua
Journal:  J Palliat Med       Date:  2022-04-01       Impact factor: 2.947

Review 9.  Conflict management: difficult conversations with difficult people.

Authors:  Amy R Overton; Ann C Lowry
Journal:  Clin Colon Rectal Surg       Date:  2013-12

10.  Interprofessional work in operating rooms: a qualitative study from Sri Lanka.

Authors:  Vathsala Jayasuriya-Illesinghe; Sepali Guruge; Bawantha Gamage; Sherry Espin
Journal:  BMC Surg       Date:  2016-09-05       Impact factor: 2.102

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