Decoding healthcare teamwork: a typology of hospital teams

J Interprof Care. 2024 Jul-Aug;38(4):602-611. doi: 10.1080/13561820.2024.2343835. Epub 2024 Apr 26.

Abstract

The effectiveness of healthcare depends on successful teamwork. Current understanding of teamwork in healthcare is limited due to the complexity of the context, variety of team structures, and unique demands of healthcare work. This qualitative study aimed to identify different types of healthcare teams based on their structure, membership, and function. The study used an ethnographic approach to observe five teams in an English hospital. Data were analyzed using a combined inductive-deductive approach based on the Temporal Observational Analysis of Teamwork framework. A typology was developed, consisting of five team types: structural, hybrid, satellite, responsive, and coordinating. Teams were challenged to varying degrees with staffing, membership instability, equipment shortages, and other elements of the healthcare environment. Teams varied in their ability to respond to these challenges depending on their characteristics, such as their teamworking style, location, and membership. The typology developed in this study can help healthcare organizations to better understand and design effective teams for different healthcare contexts. It can also guide future research on healthcare teams and provide a framework for comparing teams across settings. To improve teamwork, healthcare organizations should consider the unique needs of different team types and design effective training programs accordingly.

Keywords: Adaptive teams; healthcare teamwork; interprofessional teamwork; team design; team typology.

MeSH terms

  • Anthropology, Cultural*
  • Cooperative Behavior*
  • England
  • Group Processes
  • Humans
  • Interprofessional Relations*
  • Patient Care Team* / organization & administration
  • Qualitative Research*

Grants and funding

This study was supported by the NIHR Imperial Patient Safety Translational Research Centre [PSTRC-2016-004]. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. Infrastructure support for this research was also provided by the NIHR Imperial Biomedical Research Centre (BRC).