Abstract：
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 (N = 40) with qualitative insights from a focus group (n = 6) and in-depth interviews (n = 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.
摘要：
这项研究的目的是通过确定阻碍和促进有效的跨专业团队合作的因素，来增强对神经康复团队中团队功能的理解。我们专注于团队识别，心理安全,和团队学习，并在荷兰的一个神经康复中心进行了这项研究，该中心治疗患有严重获得性脑损伤的年轻患者。采用了混合方法，将来自问卷（N=40）的定量数据与来自焦点小组（n=6）和深度访谈（n=5）的定性见解相结合，以提供关于团队动态的全面观点。研究结果表明，参与者之间具有很强的团队认同感，表示共同的归属感和承诺感。然而,观察到有限的心理安全性，这对建设性冲突和团队学习产生了负面影响。定性分析进一步发现了共享心智模型的缺陷，特别是在共同决策和综合护理方面。这些结果强调了心理安全在团队学习中的关键作用以及神经康复环境中共享心理模型的开发。虽然具体到神经康复，获得的见解可能适用于在各种医疗保健环境中增强团队协作。该研究为未来研究奠定了基础，以调查团队功能改善对相似环境下患者预后的影响。
