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INTERPROFESSIONAL TEAMS IN HEALTHCARE: A MIXED-METHODS STUDY

Coidakis-Barss, Christina

Abstract Details

2015, Doctor of Philosophy, Case Western Reserve University, Management.
To address the unprecedented economic challenges faced by the healthcare industry, healthcare employees are expected to cross traditional, professional and disciplinary boundaries and innovate. Many healthcare organizations are shifting focus from a profession-centered strategy (surgery, orthopedics, neurology, etc.) to patient-centered care; a move that requires a modification from singular professional expertise to interprofessional teams. There is little extant research about how physical work environment impacts interprofessional healthcare teams and the management interventions used to assist in the integration of interprofessional teams to improve the quality of patient-centered care. This dissertation employs a sequential mixed methods approach to explore the lived experiences of interprofessional teams collocated in a large Midwestern urban academic healthcare setting. Phase 1 utilizes a grounded theory study to investigate a high functioning interprofessional team to better understand the drivers for successful outcomes. Findings revealed that physical work environment (PWE) fostered access to xiv collaboration and showed evidence of reflexivity caused by trust in team structure. Phase 1 study findings informed the Phase 2 quantitative inquiry model investigating the possible mediating effect of PWE between Attitudes Value Teamwork (AVT) and Patient Centeredness (PC) and Attitudes Team Efficacy (AET) and PC. Responses from physicians (n=144) in this study indicated that AVT has a positive impact on patient centeredness (ß=.280; p<.000; indirect ß=380; p<.000). An unexpected finding was that there appeared to be no significant relationship between physician AET and PC. Phase 3 was conducted using a blended study employing latent- and manifest coded analysis of the historical artifacts generated from three interprofessional management design intervention projects. Findings from this phase indicate that successful integration of disparately located interprofessional work teams is dependent upon a balance of community and complexity and that team size, acuity level, time, and space also impact actualization. In sum, these studies offer insight into the lived experiences of interprofessional team integration. Practical application of these findings may impact the choice of managerial design interventions and the sociotechnical tools employed therein.
Tony Lingham, PhD (Committee Chair)
Bonnie Richley, PhD (Committee Member)
J.B. Silvers, PhD (Committee Member)
James Young, MD (Committee Member)
266 p.

Recommended Citations

Citations

  • Coidakis-Barss, C. (2015). INTERPROFESSIONAL TEAMS IN HEALTHCARE: A MIXED-METHODS STUDY [Doctoral dissertation, Case Western Reserve University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=case1428068372

    APA Style (7th edition)

  • Coidakis-Barss, Christina. INTERPROFESSIONAL TEAMS IN HEALTHCARE: A MIXED-METHODS STUDY. 2015. Case Western Reserve University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=case1428068372.

    MLA Style (8th edition)

  • Coidakis-Barss, Christina. "INTERPROFESSIONAL TEAMS IN HEALTHCARE: A MIXED-METHODS STUDY." Doctoral dissertation, Case Western Reserve University, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=case1428068372

    Chicago Manual of Style (17th edition)