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The relationship between teamwork and sustainable quality culture in transitional care
Mid Sweden University, Faculty of Science, Technology and Media, Department of Communication, Quality Management, and Information Systems (2023-).ORCID iD: 0000-0003-1078-5676
Mid Sweden University, Faculty of Science, Technology and Media, Department of Communication, Quality Management, and Information Systems (2023-).ORCID iD: 0000-0001-5610-2944
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences (HOV).ORCID iD: 0000-0002-9936-8395
Mid Sweden University, Faculty of Science, Technology and Media, Department of Communication, Quality Management, and Information Systems (2023-).ORCID iD: 0000-0001-7621-2649
2023 (English)In: Proceedings of Excellence In Services International Conference (EISIC), Emerald Group Publishing Limited, 2023Conference paper, Published paper (Refereed)
Abstract [en]

Purpose: To explore how teamwork and sustainable quality culture relate to each other in transitional care from the perspective of intensive care personnel.

Methodology: The questionnaire ‘Assessing Quality Culture Health Care edition’ (Sten et al., 2021) was used to measure teamwork and sustainable quality culture within an ICU setting. This questionnaire consisted of 50 statements and 16 factors.The results were statistically analysed using SPSS. Initially, no significant differences in scores were found between the two ICUs. Consequently, the results were treated as one set of data. Pearson’s Product-Moment Correlation was used to compare the measured factors for team collaboration within and between hospital units (6 factors) and the measured factors for sustainable quality culture (10 factors) to determine whether the factors correlated with each other. Correlations with an R-value above 0.50 (significant level 0.01) were considered high and treated as a correlation.

Findings: All means for the factors measuring teamwork within hospital units were higher than the factors measuring teamwork between hospital units, which could indicate a lack of system view. The results also showed that it was only the factors measuring teamwork within hospital units that correlated to four of the sustainable quality culture factors, namely ‘AI’, ‘Pride’, ‘System view’ and ‘Continuous improvement’. The sustainable quality culture factors, ‘Leadership commitment’ and ‘Participation of everybody’, did not correlate with any of the factors concerning teamwork. This result suggest that these factors might need to be adjusted in the questionnaire to fit within the healthcare context.

Research limitations/implications: This research is limited to intensive care personnel’s perceptions of transitional care at two medium-sized hospitals located in rural areas of Sweden.

Originality/Value: No studies have been found that investigate the relationship between teamwork and sustainable quality culture within transitional care from the perspective of intensive care personnel. A sustainable quality culture can have an impact on teamwork and therefore also on patient safety. Insights from this study may have practical implications for the development of teamwork and sustainable quality culture within health care aimed at increasing care quality and patient safety.

Place, publisher, year, edition, pages
Emerald Group Publishing Limited, 2023.
Keywords [en]
ICU transitional care, Sustainable quality culture, Teamwork
National Category
Reliability and Maintenance
Identifiers
URN: urn:nbn:se:miun:diva-49657ISBN: 9791221039054 (electronic)OAI: oai:DiVA.org:miun-49657DiVA, id: diva2:1807176
Conference
26th Excellence In Services International Conference (EISIC), University of West Scotland, Paisley Campus, on 31st August and 1st September, 2023
Projects
Ökad kvalitet och effektivitet i vårdkedjor
Funder
The Kamprad Family Foundation, 20170084Available from: 2023-10-25 Created: 2023-10-25 Last updated: 2023-11-30Bibliographically approved
In thesis
1. A Deeper Understanding of Real Teamwork and Sustainable Quality Culture
Open this publication in new window or tab >>A Deeper Understanding of Real Teamwork and Sustainable Quality Culture
2023 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Today's organisations are faced with increasingly complicated and complex challenges. To master these challenges, organisations need to work more together, both within their own organisations and in collaboration with others. Working as a ‘real’ team, while also creating a sustainable quality culture, can be one way to address these challenges. The top management team within the organisation will play a crucial role in determining the organisation's success. 

The purpose of this thesis was to contribute to a deeper understanding of real teamwork and how real teamwork relates to a sustainable quality culture. The purpose was also to describe perceived success factors in creating real teamwork and sustainable quality culture, aiming at increasing an organisation’s performance. 

Conclusions drawn from this research can be summarised into seven overarching proposals or recommendations on how to increase the abilities for real teamwork alongside with creating a sustainable quality culture: 

  • Embrace the heart and develop ‘emotional commitment’: this involves ‘touching the hearts’ of individuals in the organisation, both when it comes to ‘real’ teamwork and in creating sustainable quality culture. 
  • Balance between structure and culture: structure and culture should go ‘hand in hand’ and harmoniously complement each other. 
  • Apply a systems view: this entails considering ‘real’ teamwork within the broader context and viewing core values as a system. 
  • Foster a culture of continuous improvement: improvement is achieved through reflexivity and the adoption of novel perspectives. Continuous improvement is fundamental for both ‘real’ teamwork and the development of sustainable quality culture. 
  • Apply a customer perspective on value creation: this is critical for practicing ‘real’ teamwork, as well as in developing a sustainable quality culture aiming to increase organisational performance.
  • Apply long-term and sustainable thinking: as a part of practicing ‘real’ teamwork and when creating a sustainable quality culture. Both the presence and the future should be built into the system.
  • Measuring and assessing ‘real’ teamwork and sustainable quality culture is valuable in establishing the prerequisites and abilities necessary for ‘real’ teamwork, as well as for advancing the development of a sustainable quality culture within an organisation.

The research has also led to practical suggestions on how the participating organisations can enhance their abilities for real teamwork and strengthen the culture of quality within their organisations.

Place, publisher, year, edition, pages
Sundsvall: Mid Sweden University, 2023. p. 165
Series
Mid Sweden University doctoral thesis, ISSN 1652-893X ; 398
Keywords
ICU transitional care, QM, quality management, real team, real teamwork, sustainable quality culture, TMT, team, teamwork, top management team
National Category
Reliability and Maintenance
Identifiers
urn:nbn:se:miun:diva-49650 (URN)978-91-89786-36-3 (ISBN)
Public defence
2023-11-29, Q221, Akademigatan 1, 831 40 Östersund, Östersund, 13:00 (Swedish)
Opponent
Supervisors
Note

Vid tidpunkten för disputationen var följande delarbete opublicerat: delarbete 7 inskickat.

At the time of the doctoral defence the following paper was unpublished: paper 7 submitted.

Available from: 2023-11-07 Created: 2023-10-24 Last updated: 2023-10-25Bibliographically approved

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Authority records

Sten, Lilly-MariIngelsson, PernillaHäggström, MarieBäckström, Ingela

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