Biomedical subjects

E Sprainer

Publications and source records attributed to E Sprainer.

4 recordsLinked to original sources

PubMed2000

Workforce diversity: implications for the effectiveness of health care delivery teams.

This paper examines the implications of racial diversity for the self-perceived communication effectiveness of nursing care teams. An RN leads the nursing care team (NCT) and delivers care in collaboration with two or more nonlicensed caregivers. Overlap is intentionally designed into the roles of NCT members and the range of duties the team performs is generally expanded to include functions previously performed by personnel from centralized departments. NCTs are highly reliant on mutual respect and effective communication among team members. Team conflict and miscommunication can be exacerbated by the strong correlation between role on the nursing care team (NCT) and race. Verbatim transcripts of fourteen focus groups from two study hospitals were used to develop a grounded theory of the role that race plays in the self-perceived communication effectiveness of nursing care teams. Two themes that emerged from the focus group discussions constitute the overarching framework within which racially diverse team members evaluate team communication effectiveness: different perspectives and alternative realities. Three additional themes, social isolation, selective perception and stereotypes, that serve as reinforcing factors were also identified, i.e., these factors deepen the conflict and dissatisfaction with team communication that occurs as a natural consequence of the overarching framework of different perspectives and alternative realities. Leadership emerged as a powerful mitigating factor in the model of how race influences the self-perceived communication effectiveness of nursing care teams. Leaders who can transcend racial identity as evidenced by the ability to validate alternative realities and appreciate different perspectives appear to moderate the potential negative effects of racial diversity on team communication processes and strengthen the positive aspects of diversity.

Communication Barriers↗

PubMed1999

Key indicators of nursing care team performance: insights from the front line.

Self-directed nursing care teams (NCTs), comprised of a registered nurse (RN) team leader and two or more non-licensed caregivers, are a key feature of patient-focused care reengineering. In well-functioning teams: (1) role overlap routinely occurs; (2) team members express satisfaction with interpersonal communication; and (3) team members express the belief that their shared purpose--and that of the health care organization--is the patient. Focus groups of team members in two case study hospitals expressed generalized dissatisfaction with performance on all three key imperatives of well-functioning teams, but also generally agreed that team delivery of bedside nursing care can work if properly managed. Based on study findings, recommendations for process improvement are made.

Attitude of Health Personnel↗

PubMedDate not supplied

Communication patterns and group composition: implications for patient-centered care team effectiveness.

To assess how diversity affects team communication and to identify strategies to improve communication and patient care, focus groups of care production team members were held in two case study hospitals that have implemented the patient-centered care model. Results indicate that care production team members generally support patient-centered care as a model that can work effectively in practice, even in an urban environment in which diversity concerns can affect team cohesiveness and communication. Successful implementation of the model, however, requires that hospitals consistently employ management strategies and reward structures that reinforce the value of teamwork and emphasize training and staff development. Key steps that healthcare executives can undertake to improve the performance of care production teams are detailed in this article and center around the following themes: team involvement in process improvement; a heightened emphasis on training (i.e., team and diversity training for all team members, task focused training for nonlicensed care givers; and leadership training for RNs); and the implementation of team-based reward and incentive structures.

Adult↗

PubMedDate not supplied

Race, ethnicity, and careers in healthcare management.

This article discusses the result of a study we conducted to investigate the factors that facilitate or impede healthcare management career opportunities and satisfaction from the perspective of racially and ethnically diverse healthcare managers. These healthcare managers were invited to participate in focus groups wherein they engaged in a structured discussion of six questions germane to race, ethnicity, and healthcare management careers. Nineteen themes were identified in the study analysis, eight of which emerged in all focus groups irrespective of race and ethnicity. In this article, we discuss the implications of the results for research and organization change and development and we recommend plans of action in four areas identified from the 19 themes: (1) industry leadership, (2) health administration education, (3) health management research, and (4) best practices.

Attitude of Health Personnel↗