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Team dynamics within quality improvement teams: a scoping review.

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Quality improvement (QI) teams require functional dynamics for success, but a positive team alone is insufficient for practice change. Research should explore team interactions with clinical systems and composition for better outcomes.

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Area of Science:

  • Healthcare Management
  • Team Effectiveness
  • Quality Improvement Science

Background:

  • Quality improvement (QI) initiatives are crucial for enhancing healthcare delivery.
  • Understanding the processes and impact of QI teams is essential for optimizing healthcare outcomes.
  • Existing literature lacks comprehensive synthesis on how QI team dynamics influence results.

Purpose of the Study:

  • To conduct a scoping review of the literature on quality improvement (QI) team processes.
  • To examine how QI teams impact healthcare outcomes.
  • To provide evidence-based guidance for QI leaders and identify future research directions.

Main Methods:

  • Searched multiple databases (MedLINE, EMBASE, CINAHL, Web of Science, SCOPUS) for relevant studies.
  • Included English-language primary research on healthcare QI team processes published between 1999 and 2016.
  • Synthesized findings using the Integrated (Health Care) Team Effectiveness Model, focusing on task design, team process, psychosocial traits, and organizational context.

Main Results:

  • 4813 citations were reviewed, with 48 full-text articles included in the synthesis.
  • QI teams can experience dysfunction, hindering their ability to influence practice.
  • A functional QI team dynamic is a necessary but not sufficient condition for successful QI strategy implementation.

Conclusions:

  • Further research is needed on the interactions between QI teams and clinical microsystems.
  • Investigating the role of interprofessional representation within QI teams is recommended.
  • Exploring the interplay between QI team tasks, composition, and processes is crucial for advancing QI effectiveness.