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Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
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Updated: May 9, 2025

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The Hospital Harmony program improves interdisciplinary healthcare team functioning and communication.

Matthew J Y Kang1, Ar Kar Aung2, Rob Selzer1

  • 1Alfred Mental and Addiction Health, Alfred Health, Vic, Australia.

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Summary

The Hospital Harmony program significantly enhanced teamwork in multidisciplinary hospital wards. This intervention improved communication, psychological safety, and overall team functioning for healthcare professionals.

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Area of Science:

  • Healthcare Management
  • Team Dynamics
  • Organizational Psychology

Background:

  • Hospital wards are complex environments requiring effective teamwork and communication.
  • Challenges like staffing changes and complex patient needs impact care delivery.
  • Limited research exists on interventions to foster team cohesion in healthcare settings.

Purpose of the Study:

  • To evaluate the impact of the Hospital Harmony program on team communication, psychological safety, and functioning.
  • To assess the effectiveness of a brief, daily group-based program for multidisciplinary hospital teams.
  • To identify specific areas of improvement in team dynamics within a hospital ward setting.

Main Methods:

  • A mixed-methods approach combining quantitative surveys and qualitative focus groups.
  • Implementation of the 6-week Hospital Harmony program in a multidisciplinary general medicine team.
  • Analysis of survey data using linear mixed models and thematic analysis of focus group data.

Main Results:

  • Significant improvements observed in perceived meeting effectiveness (P=0.004), team morale (P<0.0001), focus (P<0.0001), and psychological safety (P=0.014).
  • Qualitative data revealed themes of enhanced relationship building, improved psychological safety, behavioral changes, and mindful self-reflection.
  • Fifty-one participants from nursing, medicine, and allied health contributed to the study.

Conclusions:

  • The Hospital Harmony program effectively improved multidisciplinary healthcare team functioning.
  • The program facilitated better communication, stronger relationships, and increased psychological safety among staff.
  • Interventions like Hospital Harmony can positively impact team dynamics in complex hospital environments.