Healthcare professionals’ evaluation of interprofessional teamwork and job satisfaction / Evaluation der Teamarbeit und der Arbeitszufriedenheit von Gesundheitsfachberufen

  • 1 Medical Psychology and Medical Sociology, Medical Faculty, University of Freiburg, 79085, Freiburg, Germany
  • 2 Department of Occupational and Consumer Psychology, Institute of Psychology, University of Freiburg, 79085, Freiburg, Germany
  • 3 Department of Rehabilitation Psychology and Psychotherapy, Institute of Psychology, University of Freiburg, 79085, Freiburg, Germany

Abstract

Interprofessional teamwork among healthcare professionals in healthcare organizations is a key factor for both their job satisfaction and patients’ effective and efficient treatment. One precondition for successful interprofessional teamwork is a shared mental model (a common cognitive frame of reference and knowledge) of working together as a team. However, there often exist subcultures, and each of these has its own mental model of teamwork. Hence, it can be assumed that different healthcare professional groups do not share the evaluation of their interprofessional teamwork and job satisfaction (Hypothesis 1). Additionally, based on the input-process-output model of team effectiveness, it can be expected that interprofessional teamwork determines job satisfaction (Hypothesis 2). These hypotheses were tested in a survey of 272 employees in 15 rehabilitation clinics in Germany. Results showed that healthcare professionals’ evaluation of their interprofessional teamwork (F(3, 203) = 9.118, p < 0.001, η2 = 0.119) as well as their job satisfaction (F(3, 210) = 3.357, p = 0.02, η2 = 0.046) differed significantly. Physicians reported the highest level of interprofessional teamwork and job satisfaction compared with other groups. Perceptions of interprofessional teamwork explain approximately 20% of the variance in job satisfaction. Thus, both hypotheses were confirmed. Interprofessional interventions in education and practice are recommended to establish a shared mental model, which could improve teamwork and subsequently job satisfaction.

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  • Aiken, L. H., Sloane, D. M., Bruyneel, L., van den Heede, K., & Sermeus, W. (2013). Nurses’ reports of working conditions and hospital quality of care in 12 countries in Europe. International Journal of Nursing Studies, 50(2), 143-153.

  • Borg, I. (2003). Führungsinstrument Mitarbeiterbefragung: Theorien, Tools und Praxiserfahrungen. Göttingen: Hogrefe.

  • Bortz, J., & Döring, N. (2002). Forschungsmethoden und Evaluation für Humanund Sozialwissenschaftler. Berlin: Springer.

  • Braithwaite, J. (2010). Between-group behaviour in health care: gaps, edges, boundaries, disconnections, weak ties, spaces and holes. A systematic review. BMC Health Services Research, 10, 330. doi:10.1186/1472-6963-10-330

  • Bungard, W., & Jöns, I. (1997). Mitarbeiterbefragung: Ein Instrument des Innovations- und Qualitätsmanagements. Weinheim: Psychologie Verlags Union.

  • Burtscher, M. J., Kolbe, M., Wacker, J., & Manser, T. (2011). Interactions of team mental models and monitoring behaviors predict team performance in simulated anesthesia inductions. Journal of experimental psychology, 17(3), 257-269. doi:10.1037/a0025148

  • Burtscher, M. J., & Manser, T. (2012). Team mental models and their potential to improve teamwork and safety: A review and implications for future research in healthcare. Safety Science, 50(5), 1344-1354. doi:10.1016/j. ssci.2011.12.033

  • Büssing, A., & Barkhausen, M. (1997). Interdisziplinäre Zusammenarbeit und ganzheit-liche Pflege. Eine systemorientierte Schnittstellenanalyse. In A. Büssing (Ed.), Schriftenreihe Organisation und Medizin. Von der funktionalen zur ganzheitlichen Pflege. Reorganisation von Dienstleistungsprozessen im Krankenhaus (pp. 163-192). Göttingen, Seattle: Verlag für Angewandte Psychologie.

  • Büssing, A., & Glaser, J. (2002). Das Tätigkeits- und Arbeitsanalyseverfahren für das Krankenhaus - Selbstbeobachtungsversion (TAA-KH-S). Schriftenreihe Organisation und Medizin. Göttingen [u.a.]: Hogrefe.

  • Campion, M. A., Medsker, G. J., & Higgs, A. C. (1993). Relations between work group characteristics and effectiveness: Implications for designing effective work groups. Personnel Psychology, 46(4), 823-850. doi:10.1111/j.1744-6570.1993.tb01571.x

  • Campion, M. A., Papper, E. M., & Medsker, G. J. (1996). Relations between work team charakteristics and effectiveness: A replication and extension.Personnel Psychology, 49(2), 429-452. doi:10.1111/j.17446570.1996. tb01806.x

  • Canadian Interprofessional Health Collaborative. (2010). A national interprofessional competency framework. Retrieved from http://www.cihc.ca/files/CIHC_IPCompetencies_Feb1210.pdf

  • Cannon-Bowers, J. A., Salas, E., & Converse, S. (1993). Shared mental models in expert team decision making. In J. N. Castellan (Ed.), Individual and group decision making: current issues (pp. 221-266). Hillsdale: Lawrence Erlbaum Associates.

  • Chang, W.-Y., Ma, J.-C., Chiu, H.-T., Lin, K.-C., & Lee, P.-H. (2009). Job satisfaction and perceptions of quality of patient care, collaboration and teamwork in acute care hospitals. Journal of Advanced Nursing, 65(9), 1946-1955. doi:10.1111/j.1365-2648.2009.05085.x

  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences.Hillsdale, NJ: Erlbaum.

  • DeChurch, L. A., & Mesmer-Magnus, J. R. (2010a). The cognitive underpinnings of effective teamwork: A meta-analysis. Journal of Applied Psychology, 95(1), 32-53. doi:10.1037/a0017328

  • DeChurch, L. A., & Mesmer-Magnus, J. R. (2010b). Measuring shared team mental models: A meta-analysis. Group Dynamics: Theory, Research, and Practice, 14(1), 1-14. doi:10.1037/a0017455

  • Delva, D., Jamieson, M., & Lemieux, M. (2008). Team effectiveness in academic primary health care teams. Journal of Interprofessional Care, 22(6), 598-611. doi:10.1080/13561820802201819

  • Farin, E., Meixner, K., Follert, P., Jäckel, W. H., & Jacob, A. (2002). Job satisfaction in rehabilitation clinics - development of the „MiZu-Reha“ questionnaire and its use in quality assurance [German]. Rehabilitation, 41(4), 258-267.

  • Farin, E., Meixner, K., & Jäckel, W. (2013). Fragebogen zur Mitarbeiterzufriedenheit in Rehabilitationskliniken - Version 2.0. Retrieved from http://www.uniklinikfreiburg.de/aqms/live/DLInstrumente/MiZuRehaVersion.pdf

  • Farrell, M. P., Schmitt, M. H., & Heinemann, G. D. (2001). Informal roles and the stages of interdisciplinary team development. Journal of Interprofessional Care, 15(3), 281-295. doi:10.1080/13561820120068980

  • Gair, G., & Hartery, T. (2001). Medical dominance in multidisciplinary teamwork: a case study of discharge decision-making in a geriatric assessment unit. Journal of Nursing Management, 9(1), 3-11.

  • Gladstein, D. L. (1984). Groups in Context: A Model of Task Group Effectiveness. Administrative Science Quarterly, 29(4), 499-517.

  • Hackman, J. R., & Oldham, G. R. (1975). Development of the Job Diagnostic Survey. Journal of Applied Psychology, 60(2), 159-170. doi:10.1037/ h0076546

  • Hall, P. (2005). Interprofessional teamwork: Professional cultures as barriers. Journal of Interprofessional Care, 19(Supplement 1), 188-196. doi:10.1080/13561820500081745

  • Interprofessional Education Collaborative Expert Panel. (2011). Core competencies for interprofessional collaborative practice: Report of an expert panel. Retrieved from: <http://nnlm.gov/bhic/2011/05/26/corecompetencies-interprofessional/>

  • Kalisch, B. J., Hyunhwa L.,& Rochman, M. (2010). Nursing staff teamwork and job satisfaction. Journal of Nursing Management, 18(8), 938-947. doi:10.1111/j.1365-2834.2010.01153.x

  • Kazanjian, A., Green, C., Wong, J., & Reid, R. (2005). Effect of the hospital nursing environment on patient mortality: a systematic review. Journal of Health Services Research & Policy, 10(2), 111-117. doi:111-117.10.1097/01.NNA.0000312773.42352.d7

  • Körner, M. (2006). Teamanalyse und Teamentwicklung in der medizinischen Rehabilitation. Dissertation. Rehabilitationswissenschaften, Rehabilitationspsychologie, Rehabilitationsmedizin: Vol. 12. Regensburg: Roderer.

  • Körner, M. (2008). Analysis and development of multiprofessional teams in medical rehabilitation: Teamanalyse und Teamentwicklung in multiprofessionellen Teams in der medizinischen Rehabilitation. GMS Psycho-Social-Medicine, 5(Doc01).Retrieved from http://www.egms.de/static/de/journals/psm/2008-5/psm000046.shtml

  • Körner, M. (2010). Interprofessional teamwork in medical rehabilitation: a comparison of multidisciplinary and interdisciplinary team approach. Clinical Rehabilitation, 24(8), 745-755. doi:10.1177/0269215510367538

  • Körner, M., & Wirtz, M. A. (2013). Development and psychometric properties of a scale for measuring internal participation from a patient and health care professional perspective. BMC Health Services Research, 13(1), 374. doi:10.1186/1472-6963-13-374

  • Körner, M., Bütof, S., Müller, C., Zimmermann, L. & Bengel, J. (submitted). Interprofessional teamwork in medical treatment of chronic diseases - a systematic review. Disability and Rehabilitation.

  • Lemieux-Charles, L., & McGuire, W. L. (2006). What Do We Know about Health Care Team Effectiveness? A Review of the Literature. Medical Care Research and Review, 63(3), 263300. doi:10.1177/1077558706287003

  • Lim, B.-C., & Klein, K. J. (2006). Team Mental Models and Team Performance: A Field Study of the Effects of Team Mental Model Similarity and Accuracy. Journal of Organizational Behavior, 27(4), 403-418. doi:10.1002/job.387

  • Lloyd, J., Schneider, J., Scales, K., Bailey, S., & Jones, R. (2011). Ingroup identity as an obstacle to effective multiprofessional and interprofessional teamwork: findings from an ethnographic study of healthcare assistants in dementia care. Journal of Interprofessional Care, 25(5), 345-351. doi:10.3109/13561820.2011.567381

  • Locke, E. (1976). The nature and causes of job satisfaction. In M. Dunnette (Ed.), Handbook of industrial and organizational psychology (pp. 1297-1349). Chicago: Rand McNally.

  • Margalit, R., Thompson, S., Visovsky, C., Geske, J., Collier, D., Birk, T., & Paulman, P. (2009). From professional silos to interprofessional education: campuswide focus on quality of care. Quality Management in Health Care, 18(3), 165-173. doi:10.1097/QMH.0b013e3181aea20d

  • Mathieu, J. E., Heffner, T. S., Goodwin, G. F., Salas, E., & Cannon-Bowers, J. A. (2000). The influence of shared mental models on team process and performance. Journal of Applied Psychology, 85(2), 273-283. doi:10.1037/0021-9010.85.2.273

  • Mickan, S. M., & Rodger, S. A. (2005). Effective Health Care Teams: A model of six characteristics developed from shared perceptions. Journal of Interprofessional Care, 19(4), 358-370. doi:10.1080/13561820500165142

  • Milch, W., Ernst, R., & Laubach, W. (1999). Kooperation und Arbeitszufriedenheit im pflegerisch-ärztlichen Team: Eine Analyse pflegerischer Bewertungen in der Psychiatrie. Psychiatrische Praxis, (26), 122-127.

  • Mohammed, S., Klimoski, R., & Rentsch, J. R. (2000). The measurement of team mental models: We have no shared schema. Organizational Research Methods, 3(2), 123-165. doi:10.1177/109442810032001

  • O’Leary, K. J., Sehgal, N. L., Terrell, G., & Williams, M. V. (2012). Interdisciplinary teamwork in hospitals: A review and practical recommendations for improvement. Journal of Hospital Medicine, 7(1), 48-54. doi:10.1002/ jhm.970

  • Pecukonis, E., Doyle, O., & Bliss, D. L. (2008). Reducing barriers to interprofessional training: Promoting interprofessional cultural competence. Journal of Interprofessional Care, 22(4), 417-428. doi:10.1080/13561820802190442

  • Petrie, H. G. (1976). Do You See What I See? The Epistemology of Interdisciplinary Inquiry. Journal of Aesthetic Education, 10(1), 29-43. doi:10.2307/3332007

  • Reeves, S., Zwarenstein, M., Goldman, J., Barr, H., Freeth, D., Koppel, I., & Hammick, M. (2010). The effectiveness of interprofessional education: Key findings from a new systematic review. Journal of Interprofessional Care, 24(3), 230-241. doi:10.3109/13561820903163405

  • Reeves, S., Perrier, L., Goldman, J., Freeth, D. &Zwarenstein, M. (2013). Interprofessional education: effects on professional practice and healthcare outcomes (update). Cochrane Database of Systematic Reviews, Issue 3.Art. No.: CD002213. doi:10.1002/14651858.CD002213.pub3

  • Salas, E., Sims, D. E., & Burke, C. S. (2005). Is there a ’Big Five’ in Teamwork? Small Group Research, 36(5), 555-599. doi:10.1177/1046496405277134

  • Salas, E., Sims, D., & Klein, C. (2004). Cooperation and Teamwork at work. In C. D. Spielberger (Ed.), Encyclopedia of applied psychology (pp. 497-505). Oxford: Academic.

  • Schaefer, J., & Davis, C. (2004). Case management and the chronic care model: a multidisciplinary role. Lippincott’s case management : managing the process of patient care, 9(2), 96-103.

  • Sinclair, L. B., Lingard, L. A., & Mohabeer, R. N. (2009). What’s So Great About Rehabilitation Teams? An Ethnographic Study of Interprofessional Collaboration in a Rehabilitation Unit. Archives of Physical Medicine and Rehabilitation, 90(7), 1196-1201. doi:10.1016/j.apmr.2009.01.021

  • Stock, R. D., Reece, D., & Cesario, L. (2004). Developing a Comprehensive Interdisciplinary Senior Healthcare Practice. Journal of the American Geriatrics Society, 52(12), 2128-2133.

  • Valentine, M. A., Nembhard, I. M., & Edmondson, A. C. (2013). Measuring Teamwork in Health Care Settings: A Review of Survey Instruments. Medical Care, 20. [Epub ahead of print] doi:10.1097/MLR.0b013e31827feef6

  • Wagner, E. H. (1998). Chronic disease management: what will it take to improve care for chronic illness? Effective Clinical Practice, 1(1), 2-4.

  • Wagner, E. H., Austin, B. T., Davis, C., Hindmarsh, M., Schaefer, J., & Bonomi, A. (2001). Improving chronic illness care: translating evidence into action. Health Affairs, 20(6), 64-78. doi:10.1089/acm.2005.11.s-7.

  • West, M. A. (2004). Effective teamwork: Practical lessons from organizational research (2nd ed.). Malden, MA [u.a.]: BPS, British Psychological Society [u.a.].

  • World Health Organization. (2010). Framework for Action on Interprofessional Education & Collaborative Practice: Health Professions Networks Nursing & Midwifery, Human Resources for Health. Retrieved from http://whqlibdoc.who.int/hq/2010/WHO_HRH_HPN_10.3_eng.pdf

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