Abstract:
We examined the impact of a team leader coaching intervention on episodic team processes (transition, action, interpersonal) and subsequent team performance outcomes within a surgical context. Specifically, we tested whether coaching team leaders (i.e., surgeons) on promoting effective teamwork facilitates team processes and two important outcomes-delays and distractions. Team processes were indexed using detailed observational protocols by subject-matter experts before and during surgeries. We employed an interrupted time series design whereby half of our participants received coaching midway through the longitudinal period and the remaining served as a quasi-control group. Team processes and outcomes were collected from multiple surgeries, per surgeon, both before and after the coaching intervention (N = 223 surgeries total). Results from a multilevel mixed-model (treatment vs. control, over time) structural equation model suggest that teams where the surgeon (team leader) received the coaching intervention exhibited higher-quality team transition processes. Transition processes related positively to subsequent action and interpersonal processes, which in turn yielded improvements in two different surgical team performance outcomes. Theoretical and applied implications are discussed. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
摘要:
我们研究了团队领导教练干预对偶发性团队过程的影响(过渡,行动,人际关系)和随后的团队绩效结果在手术背景下。具体来说,我们测试了教练团队领导是否(即,外科医生)促进有效的团队合作促进了团队流程和两个重要的结果-延迟和分心。在手术前和手术期间,主题专家使用详细的观察方案对团队过程进行索引。我们采用了中断的时间序列设计,其中一半的参与者在纵向期间中途接受了指导,其余的则作为准对照组。从多个手术中收集团队流程和结果,每个外科医生,教练干预前后(总共N=223例手术)。来自多级混合模型的结果(治疗与control,随着时间的推移)结构方程模型表明,外科医生(团队负责人)接受指导干预的团队表现出更高质量的团队过渡过程。过渡过程与后续行动和人际过程呈正相关,这反过来在两个不同的手术团队绩效结果中产生了改善。讨论了理论和应用意义。(PsycInfo数据库记录(c)2021年APA,保留所有权利)。