Literature DB >> 27529402

Do learning collaboratives strengthen communication? A comparison of organizational team communication networks over time.

Alicia C Bunger1, Rebecca Lengnick-Hall.   

Abstract

BACKGROUND: Collaborative learning models were designed to support quality improvements, such as innovation implementation by promoting communication within organizational teams. Yet the effect of collaborative learning approaches on organizational team communication during implementation is untested.
PURPOSE: The aim of this study was to explore change in communication patterns within teams from children's mental health organizations during a year-long learning collaborative focused on implementing a new treatment. We adopt a social network perspective to examine intraorganizational communication within each team and assess change in (a) the frequency of communication among team members, (b) communication across organizational hierarchies, and (c) the overall structure of team communication networks. METHODOLOGY/APPROACH: A pretest-posttest design compared communication among 135 participants from 21 organizational teams at the start and end of a learning collaborative. At both time points, participants were asked to list the members of their team and rate the frequency of communication with each along a 7-point Likert scale. Several individual, pair-wise, and team level communication network metrics were calculated and compared over time.
FINDINGS: At the individual level, participants reported communicating with more team members by the end of the learning collaborative. Cross-hierarchical communication did not change. At the team level, these changes manifested differently depending on team size. In large teams, communication frequency increased, and networks grew denser and slightly less centralized. In small teams, communication frequency declined, growing more sparse and centralized. PRACTICE IMPLICATIONS: Results suggest that team communication patterns change minimally but evolve differently depending on size. Learning collaboratives may be more helpful for enhancing communication among larger teams; thus, managers might consider selecting and sending larger staff teams to learning collaboratives. This study highlights key future research directions that can disentangle the relationship between learning collaboratives and team networks.

Entities:  

Mesh:

Year:  2018        PMID: 27529402      PMCID: PMC5311032          DOI: 10.1097/HMR.0000000000000120

Source DB:  PubMed          Journal:  Health Care Manage Rev        ISSN: 0361-6274


  22 in total

1.  "We decide, you carry it out": a social network analysis of multidisciplinary long-term care teams.

Authors:  C Cott
Journal:  Soc Sci Med       Date:  1997-11       Impact factor: 4.634

2.  It Takes a Village: A Mixed Method Analysis of Inner Setting Variables and Dialectical Behavior Therapy Implementation.

Authors:  Matthew S Ditty; Sara J Landes; Andrea Doyle; Rinad S Beidas
Journal:  Adm Policy Ment Health       Date:  2015-11

3.  Applying depression-specific change concepts in a collaborative breakthrough series.

Authors:  David J Katzelnick; Michael Von Korff; Henry Chung; Lloyd P Provost; Edward H Wagner
Journal:  Jt Comm J Qual Patient Saf       Date:  2005-07

4.  The evolution of knowledge exchanges enabling successful practice change in two intensive care units.

Authors:  Pavani Rangachari; Michael Madaio; R Karl Rethemeyer; Peggy Wagner; Lauren Hall; Siddharth Roy; Peter Rissing
Journal:  Health Care Manage Rev       Date:  2015 Jan-Mar

5.  Can Learning Collaboratives Support Implementation by Rewiring Professional Networks?

Authors:  Alicia C Bunger; Rochelle F Hanson; Nathan J Doogan; Byron J Powell; Yiwen Cao; Jerry Dunn
Journal:  Adm Policy Ment Health       Date:  2016-01

6.  All teach, all learn, all improve?: the role of interorganizational learning in quality improvement collaboratives.

Authors:  Ingrid M Nembhard
Journal:  Health Care Manage Rev       Date:  2012 Apr-Jun

7.  Learning and improving in quality improvement collaboratives: which collaborative features do participants value most?

Authors:  Ingrid M Nembhard
Journal:  Health Serv Res       Date:  2008-11-28       Impact factor: 3.402

Review 8.  Understanding the components of quality improvement collaboratives: a systematic literature review.

Authors:  Erum Nadeem; S Serene Olin; Laura Campbell Hill; Kimberly Eaton Hoagwood; Sarah McCue Horwitz
Journal:  Milbank Q       Date:  2013-06       Impact factor: 4.911

Review 9.  Social network analysis in healthcare settings: a systematic scoping review.

Authors:  Duncan Chambers; Paul Wilson; Carl Thompson; Melissa Harden
Journal:  PLoS One       Date:  2012-08-03       Impact factor: 3.240

Review 10.  Health professional networks as a vector for improving healthcare quality and safety: a systematic review.

Authors:  Frances C Cunningham; Geetha Ranmuthugala; Jennifer Plumb; Andrew Georgiou; Johanna I Westbrook; Jeffrey Braithwaite
Journal:  BMJ Qual Saf       Date:  2011-11-30       Impact factor: 7.035

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  6 in total

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Authors:  Rachel R Ouellette; Allison C Goodman; Frances Martinez-Pedraza; Jacqueline O Moses; Kelly Cromer; Xin Zhao; Jeffrey Pierre; Stacy L Frazier
Journal:  Adm Policy Ment Health       Date:  2020-09

2.  How Do Peers Shape Mental Health Clinicians' Attitudes Toward New Treatments?

Authors:  Alicia C Bunger; Elena I Navarro; Cara C Lewis
Journal:  Adm Policy Ment Health       Date:  2020-11-17

3.  Innovation Implementation in the Context of Hospital QI: Lessons Learned and Strategies for Success.

Authors:  Pavani Rangachari
Journal:  Innov Entrep Health       Date:  2018-02-21

4.  Advice-seeking during implementation: a network study of clinicians participating in a learning collaborative.

Authors:  Alicia C Bunger; Nathan Doogan; Rochelle F Hanson; Sarah A Birken
Journal:  Implement Sci       Date:  2018-07-28       Impact factor: 7.327

5.  Programme theory and linked intervention strategy for large-scale change to improve hospital care in a low and middle-income country - A Study Pre-Protocol.

Authors:  Mike English; Jacinta Nzinga; Grace Irimu; David Gathara; Jalemba Aluvaala; Jacob McKnight; Geoffrey Wong; Sassy Molyneux
Journal:  Wellcome Open Res       Date:  2020-11-05

6.  Improving the implementation and sustainment of evidence-based practices in community mental health organizations: a study protocol for a matched-pair cluster randomized pilot study of the Collaborative Organizational Approach to Selecting and Tailoring Implementation Strategies (COAST-IS).

Authors:  Byron J Powell; Amber D Haley; Sheila V Patel; Lisa Amaya-Jackson; Beverly Glienke; Mellicent Blythe; Rebecca Lengnick-Hall; Stacey McCrary; Rinad S Beidas; Cara C Lewis; Gregory A Aarons; Kenneth B Wells; Lisa Saldana; Mary M McKay; Morris Weinberger
Journal:  Implement Sci Commun       Date:  2020-02-25
  6 in total

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