Christina N. Lacerenza

Saving lives: A meta-analysis of team training in healthcare.

As the nature of work becomes more complex, teams have become necessary to ensure effective functioning within organizations. The healthcare industry is no exception. As such, the prevalence of training interventions designed to optimize teamwork in this industry has increased substantially over the last 10 years (Weaver, Dy, & Rosen, 2014). Using Kirkpatricks (1956, 1996) training evaluation framework, we conducted a meta-analytic examination of healthcare team training to quantify its effectiveness and understand the conditions under which it is most successful. Results demonstrate that healthcare team training improves each of Kirkpatricks criteria (reactions, learning, transfer, results; d = .37 to .89). Second, findings indicate that healthcare team training is largely robust to trainee composition, training strategy, and characteristics of the work environment, with the only exception being the reduced effectiveness of team training programs that involve feedback. As a tertiary goal, we proposed and found empirical support for a sequential model of healthcare team training where team training affects results via learning, which leads to transfer, which increases results. We find support for this sequential model in the healthcare industry (i.e., the current meta-analysis) and in training across all industries (i.e., using meta-analytic estimates from Arthur, Bennett, Edens, & Bell, 2003), suggesting the sequential benefits of training are not unique to medical teams. Ultimately, this meta-analysis supports the expanded use of team training and points toward recommendations for optimizing its effectiveness within healthcare settings. (PsycINFO Database Record

The power of coaching: a meta-analytic investigation

Coaching is defined as a one-to-one relationship in which the coach and coachee work together to identify and achieve organisationally, professionally, and personally beneficial developmental goals. However, it is often unclear what the relative effects of coaching are on specific coaching outcomes. We adopt meta-analytic techniques to investigate the predictive power of coaching on coach–coachee relationship outcomes, and coachee goal-attainment outcomes. Our findings suggest that coaching has stronger effects on eliciting relationship outcomes with the coachee than goal-attainment outcomes. Moreover, of the goal-attainment outcomes, coaching has the strongest effect on behavioural changes as opposed to attitudinal changes. Sample type, study design, background of the coach, and number of coaching sessions all emerged as significant moderators. Implications of these findings are discussed.

Leadership training design, delivery, and implementation: A meta-analysis.

Recent estimates suggest that although a majority of funds in organizational training budgets tend to be allocated to leadership training (Ho, 2016; O’Leonard, 2014), only a small minority of organizations believe their leadership training programs are highly effective (Schwartz, Bersin, & Pelster, 2014), calling into question the effectiveness of current leadership development initiatives. To help address this issue, this meta-analysis estimates the extent to which leadership training is effective and identifies the conditions under which these programs are most effective. In doing so, we estimate the effectiveness of leadership training across four criteria (reactions, learning, transfer, and results; Kirkpatrick, 1959) using only employee data and we examine 15 moderators of training design and delivery to determine which elements are associated with the most effective leadership training interventions. Data from 335 independent samples suggest that leadership training is substantially more effective than previously thought, leading to improvements in reactions (&dgr; = .63), learning (&dgr; = .73), transfer (&dgr; = .82), and results (&dgr; = .72), the strength of these effects differs based on various design, delivery, and implementation characteristics. Moderator analyses support the use of needs analysis, feedback, multiple delivery methods (especially practice), spaced training sessions, a location that is on-site, and face-to-face delivery that is not self-administered. Results also suggest that the content of training, attendance policy, and duration influence the effectiveness of the training program. Practical implications for training development and theoretical implications for leadership and training literatures are discussed.

A Systematic Review of Team Training in Health Care: Ten Questions

BACKGROUND As a result of the recent proliferation of health care team training (HTT), there was a need to update previous systematic reviews examining the underlying structure driving team training initiatives. METHODS This investigation was guided by 10 research questions. A literature search identified 197 empirical samples detailing the evaluation of team training programs within the health care context; 1,764 measures of HTT effectiveness were identified within these samples. Trained coders extracted information related to study design and training development, implementation, and evaluation to calculate percentages detailing the prevalence of certain training features. RESULTS HTT was rarely informed by a training needs analysis (k = 47, 23.9%) and most commonly addressed communication strategies (k = 167, 84.8%). HTT programs that incorporated practice (k = 163, 82.7%) often employed high-fidelity patient simulators (k = 38, 25.2%) and provided participants with feedback opportunities (k = 107, 65.6%). Participants were typically practicing clinicians (k = 154, 78.2%) with a lower prevalence of health care students (k = 35, 17.8). Evaluations primarily relied on repeated measures designs (k = 123, 62.4%) and self-reported data (k = 1,257, 71.3%). Additional trends were identified and are discussed. CONCLUSIONS Many trends in HTT practice and evaluation were identified. The results of this review suggested that, in the literature, HTT programs are more frequently following recommendations for training design and implementation (for example, providing feedback) in comparison to findings from previous reviews. However, there were still many areas in which improvement could be achieved to improve patient care.

The future of multiteam systems: implications for research and practice

Abstract Purpose Although the practice of multiteam systems (MTSs) has been around for decades, the science of these systems has only just begun. Within the past decade and a half, although much remains to be investigated, substantial progress has been made in breaking the surface of this research. The current volume provides a review of MTS case studies and the current chapter provides a synopsis of this research. The goal of this chapter is to identify how MTSs are operating under real-world conditions in order to bridge MTS science and practice. Design/methodology/approach In this chapter, the authors provide a case analysis of the presented MTSs in the current volume in order to identify issues innate to MTSs. An approach based on the SWOT analysis technique was utilized to identify strengths, weaknesses, threats, and opportunities of the identified MTSs. In addition, six lessons learned were extracted from a content analysis of the successes and failures of these MTSs. Findings Although MTSs may be unique to the environment in which they operate, there are several features which seem to be inherent to all. Strengths include possessing the ability to manage complex tasks and unexpected events, being flexible in nature, and integrating communication across levels. In opposition, weaknesses include the use of nontraditional communication patterns, challenges stemming from unit diversity and resources, and the lack of common training. Lessons learned from identified MTSs include (1) utilize effective communication; (2) establish shared mental models; (3) identify roles and responsibilities; (4) convey accountability and ownership; (5) consider the ramp-up period; and (6) train individuals in an MTS at multiple levels. Opportunities and threats to MTSs are also discussed in this chapter. Originality/value This chapter offers several contributions to the state of the field in regard to MTSs. The current chapter provides a detailed content analysis of several real-world MTSs. Characteristics inherent to MTSs are identified and discussed, and lessons learned are extracted. Traditionally, science and practice has focused on the presentation of lab-based MTSs; the current volume breaks new ground by identifying how MTSs operate “in the wild.” This chapter provides a summation of this volume and offers lessons learned for MTS researchers and those working within MTSs.

Bringing the Science of Team Training to School-Based Teams.

Teams are ubiquitous in schools in the 21st Century; yet training for effective teaming within these settings has lagged behind. The authors of this article developed 5 modules, grounded in the science of team training and adapted from an evidence-based curriculum used in medical settings called TeamSTEPPS®, to prepare instructional and administrative personnel for teamwork and to enhance their teamwork skills. The resulting 5 modules, available for download on the American Psychological Association website, are collectively called Teach Teamwork and include: Introduction to Teams and Teamwork, Communication, Mutual Support, Situation Monitoring, and Leadership. In this article, the modules and supplemental materials are described, along with recommendations for implementation.

Team development interventions: Evidence-based approaches for improving teamwork.

The rate of teamwork and collaboration within the workforce has burgeoned over the years, and the use of teams is projected to continue increasing. With the rise of teamwork comes the need for interventions designed to enhance teamwork effectiveness. Successful teams produce desired outcomes; however, it is critical that team members demonstrate effective processes to achieve these outcomes. Team development interventions (TDIs) increase effective team competencies and processes, thereby leading to improvements in proximal and distal outcomes. The effectiveness of TDIs is evident across domains (e.g., education, health care, military, aviation), and they are applicable in a wide range of settings. To stimulate the adoption and effective use of TDIs, the current article provides a review of four types of evidence-based TDIs including team training, leadership training, team building, and team debriefing. In doing so, we aim to provide psychologists with an understanding of the scientific principles underlying TDIs and their impact on team dynamics. Moreover, we provide evidence-based recommendations regarding how to increase the effectiveness of TDIs as well as a discussion on future research needed within this domain.

Ethnic identity: Factor structure and measurement invariance across ethnic groups.

Considering a historically diversified (and growing) population in the United States, one’s ethnic identification is often an important psychological—as well as social and political—construct because it can serve as a hindrance to interpersonal interaction. Despite the importance of ethnic identity in psychological research, the most widely developed ethnic identity measurement tool, the Multigroup Ethnic Identity Measure (MEIM; Phinney, 1992), lacks consensus regarding its psychometric properties. The purpose of this article is to identify the factor structure of this measure and identify whether it exhibits measurement equivalence/invariance (ME/I) across ethnicities. The current findings offer several contributions to the state of the literature. First, our data suggests a two-factor model, including affirmation/commitment and exploration factors, is the most appropriate structure when considering fit and parsimony indices via confirmatory factor analysis. Second, configural and metric measurement equivalence was found across Caucasian and non-Caucasian participants. Interestingly, partial scalar invariance was established when comparing Caucasians with the minority groups with the exception of the Hispanic subgroup, which exhibited no scalar invariance. Third, differences in ethnic identity factor means were found, especially across Caucasians and African Americans. In conclusion, the use of the two-factor model of the MEIM is recommended, and results suggest that the MEIM is an appropriate measure of ethnic identity in most ethnic groups. Limitations and future research are also discussed.

Multigroup Ethnic Identity Measure: An Investigation of Its Psychometric Properties

Despite the importance of ethnic identity to current organizations, the most widely developed measurement tool – Multigroup Ethnic Identity Measure (MEIM; Phinney, 1992) – lacks consensus regarding...