{"id":243,"date":"2024-10-30T19:47:14","date_gmt":"2024-10-30T19:47:14","guid":{"rendered":"https:\/\/iims.uthscsa.edu\/isrn\/?page_id=243"},"modified":"2024-11-07T16:06:45","modified_gmt":"2024-11-07T16:06:45","slug":"do-physician-relationships-matter-an-analysis-of-inpatient-medical-teams-abstract","status":"publish","type":"page","link":"https:\/\/iims.uthscsa.edu\/isrn\/resources\/ereading-room\/abstracts\/do-physician-relationships-matter-an-analysis-of-inpatient-medical-teams-abstract\/","title":{"rendered":"Do Physician Relationships Matter – An analysis of inpatient medical teams"},"content":{"rendered":"

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Primary Author:<\/td>\n\u00a0Caitlin L. McAllister, BS<\/td>\n<\/tr>\n
Organization<\/td>\n\u00a0School of Medicine, University of Texas Health Science Center at San Antonio<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Abstract<\/h2>\n

Purpose<\/h3>\n

The purpose of this study was to determine whether inpatient medical teams could be distinguished based on the relationships among team members.<\/p>\n

Background<\/h3>\n

How inpatient physician teams function is often thought of in terms of the skill sets of individuals on the team, e.g., having a \u201cstrong\u201d resident or \u201cgood\u201d intern. While individual skills are important, an increasing literature suggests that team performance is more than just the sum of individual performance, and that the relationships among team members are critical to team function. Seven important characteristics of relationships have been identified in healthcare settings: trust, diversity, respect, heedfulness, mindfulness, social and task relatedness, and rich and lean communication.<\/p>\n

Materials & Methods<\/h3>\n

Nine inpatient teams were observed daily during rounds for approximately four weeks. Rounds were audiotaped, and detailed field notes were taken and reviewed for this analysis. Relationship characteristics were operationalized in terms of team behaviors observed during rounds. Table 1 summarizes behaviors felt to reflect each of the relationship characteristics (see attachment).<\/p>\n

Team profiles were created based on multiple reviews of field notes. Team behaviors were stratified using the following categorization:
\n+ = team consistently exhibited positive behavior
\n– = team consistently exhibited negative behavior
\n0 = no relevant behaviors were observed for the team<\/p>\n

Results<\/h3>\n

We observed behaviors reflecting relationship characteristics on all teams. Teams varied greatly in the pattern of relationship behaviors, with three teams exhibiting behaviors reflective of positive relationships across all characteristics, and two teams for whom no positive behaviors were noted. Table 2 summarizes each team with regard to relationship behaviors (see attachment).<\/p>\n

Conclusion<\/h3>\n

Physician teams can be distinguished based on behaviors that reflect relationships among team members. Physician team relationships may be important to team function, particularly how team members make sense of what is happening with their patients. They may also influence patient outcomes. We are currently examining the association between team relationships and patient outcomes.<\/p>\n

\u00a9 Improvement Science Research Network, 2012<\/p>\n

The ISRN\u00a0published this as received and with permission from the author(s).<\/p>\n<\/div>\n<\/div>\n<\/div>\n

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