Teamwork is a set of interrelated behaviors, cognitions and attitudes that combine to facilitate coordinated, adaptive performance. Skills + Knowledge + Attitude = Competence Effective teams have members who anticipate each other’s needs; they can coordinate without the need to communicate overtly.
High-performing teams develop a sense of collective efficacy and “teamness.” Optimize resources – know each other’s strengths Self-Correcting – compensate for each other The individual members recognize their interdependence and believe in the ability of the team to solve complex problems Know how things are supposed to go, but adapt when they don’t go as planned
Teamwork depends on a willingness to cooperate for a shared goal Team work does require you to like or “feel close” to your team members Teamwork does not require you to work with team members on a permanent basis. Teamwork is sustained by a shared set of teamwork skills rather than a permanent assignment Teamwork is as imperative in daily routines as it is in emergencies
Knowledge – what do we need to know? Strengths and weakness of each other Goal, objectives, resources, and norms Roles and Responsibilities By understanding the unique roles and responsibilities of an interdependent health care team, even newly formed team members can quickly realize shared team models in a dynamic environment
Skills – what do we need to do? Proactively and reactively adapt to changing circumstances Use clear and concise closed-loop communication Provide Back-Up Behavior Know each role’s responsibilities Monitor each other for the safety of the patient Make informed decisions Prevent task fixation and maintain situational awarenesssituational awareness
Attitude – What do we need to feel? A shared vision – AKA - Shared Mental Model Sense of cohesion and mutual trust Motivation to achieve collective mission, objectives and tasks “Character trumps Competence every time” Dr. Tim Irwin, “Derailed”
Depends upon the ability of each member Anticipate the needs of others Adjust to each other’s actions in a dynamic environment Have shared understanding of how a procedure should happen in order to identify when errors are occurring, have a potential to occur, and how to correct those errors