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Measuring team development in clinical care settings.

Ronald Stock1, Eldon Mahoney, Patricia A Carney

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This summary is machine-generated.

The Team Development Measure (TDM) effectively assesses healthcare team functioning, revealing a developmental sequence from cohesion to team primacy. This tool aids in improving team performance.

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Area of Science:

  • Healthcare Management
  • Psychometrics
  • Team Dynamics

Background:

  • Effective team functioning is crucial in healthcare settings.
  • Assessing and guiding team development requires reliable measurement tools.
  • Existing measures may not fully capture the nuances of team development over time.

Purpose of the Study:

  • To describe the psychometric properties of the Team Development Measure (TDM).
  • To provide a tool for assessing and guiding team functioning in healthcare.
  • To characterize domains of teamness and their developmental sequence.

Main Methods:

  • The 31-item Team Development Measure (TDM) was constructed using the Rasch rating scale model.
  • Data from 1,194 individuals across 120 diverse healthcare teams were analyzed.
  • Mplus exploratory factor analysis was employed to examine team development domains.

Main Results:

  • The TDM demonstrated strong psychometric properties with high reliability (Rasch person reliability=0.95, Cronbach's alpha=0.97).
  • A developmental sequence was identified: cohesion, communication, roles and goals, and team primacy.
  • Mean item difficulty scores indicated cohesion as an initial element, followed by communication, roles/goals, and team primacy.

Conclusions:

  • The developed Team Development Measure (TDM) possesses robust psychometric properties.
  • The TDM can be utilized to investigate the impact of team functioning on clinical outcomes.
  • This measure serves as a valuable quality improvement tool for enhancing healthcare team performance.