Authors: Pearson, Alan; Porritt, Kylie A; Doran, Diane¹; Vincent, Leslie²; Craig, Dianna²; Tucker, Donna²; Long, Leslye³; Henstridge, Victoria

Source: International Journal of Evidence-based Healthcare, Volume 4, Number 2, June 2006 , pp. 118-159(42)

Publisher: Wiley-Blackwell

Abstract:

Objectives 

The overall aim of this comprehensive systematic review was to identify the best available evidence on the effect of team characteristics, processes, structure and composition within the context of collaborative practice among nursing teams that create a healthy work environment. Search strategy 

The search strategy sought to find both published and unpublished studies and papers written in the English language. An initial limited search of Medline and CINAHL databases was undertaken to identify optimal search terms. A second extensive search using all identified keywords and index terms was then undertaken. Methodological quality 

Two independent reviewers assessed the methodological quality of retrieved papers using the corresponding checklist from the System for the Unified Management, Assessment and Review of Information (SUMARI) package. Results 

The papers included in the review included nine experimental or quasi-experimental studies, 11 descriptive studies and four qualitative studies. A variety of different team structures such as interdisciplinary teams, primary nursing, team nursing, multidisciplinary models of care delivery and the use of a Partner in Patient Care model were investigated. Team characteristics should include accountability, commitment, enthusiasm and motivation. Social support within a team from a supervisor or colleague increased satisfaction levels of staff. Conclusion 

The results of the review lead to the development of a number of recommendations for practice that could assist with creating a health work environment.

Keywords: evidence-based practice; nursing; qualitative research

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1479-6988.2006.00039.x

Affiliations: 1: Faculty of Nursing, University of Toronto, 2: RNAO, Toronto, Ontario, Canada; and 3: Nursing and Patient Care Service, Royal Adelaide Hospital, Adelaide, South Australia, Australia

Publication date: 2006-06-01

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