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10.1007/s10459-016-9741-2 http://scihub22266oqcxt.onion/10.1007/s10459-016-9741-2 28116565!5668127!28116565     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=28116565&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215       Adv+Health+Sci+Educ+Theory+Pract 2017 ; 22 (5): 1085-1099 Nephropedia Template TP {{tp|p=28116565|t=2017. Pulling together and pulling apart: influences of convergence and divergence on distributed healthcare teams |pdf=|usr=}}{{28116565}} gab.com Text Pulling together and pulling apart: influences of convergence and divergence on distributed healthcare teams JO: Adv Health Sci Educ Theory Pract http://www.kidney.de/pget.php?&tw=1&pmid=28116565 #FOAvip Effective healthcare requires both competent individuals and competent teams. With this recognition, health professions education is grappling with how to factor team competence into training and assessment strategies. These efforts are impeded, however, by the absence of a sophisticated understanding of the the relationship between competent individuals and competent teams . Using data from a constructivist grounded theory study of team-based healthcare for patients with advanced heart failure, this paper explores the relationship between individual team members' perceived goals, understandings, values and routines and the collective competence of the team. Individual interviews with index patients and their healthcare team members formed Team Sampling Units (TSUs). Thirty-seven TSUs consisting of 183 interviews were iteratively analysed for patterns of convergence and divergence in an inductive process informed by complex adaptive systems theory. Convergence and divergence were identifiable on all teams, regularly co-occurred on the same team, and involved recurring themes. Convergence and divergence had nonlinear relationships to the team's collective functioning. Convergence could foster either shared action or collective paralysis; divergence could foster problematic incoherence or productive disruption. These findings advance our understanding of the complex relationship between the individual and the collective on a healthcare team, and they challenge conventional narratives of healthcare teamwork which derive largely from acute care settings and emphasize the importance of common goals and shared mental models. Complex adaptive systems theory helps us to understand the implications of these insights for healthcare teams' delivery of care for the complex, chronically ill. Twit Text FOAVip Pulling together and pulling apart: influences of convergence and divergence on distributed healthcare teams ????Adv Health Sci Educ Theory Pract http://www.kidney.de/pget.php?&tw=1&pmid=28116565 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=28116565 #FOAvip English Wikipedia <ref>{{Cite pmid|28116565}}</ref> Pulling together and pulling apart: influences of convergence and divergence on distributed healthcare teams #MMPMID28116565 Lingard L; Sue-Chue-Lam C; Tait GR; Bates J; Shadd J; Schulz V Adv Health Sci Educ Theory Pract 2017[Dec]; 22 (5): 1085-1099 PMID28116565show ga Effective healthcare requires both competent individuals and competent teams. With this recognition, health professions education is grappling with how to factor team competence into training and assessment strategies. These efforts are impeded, however, by the absence of a sophisticated understanding of the the relationship between competent individuals and competent teams . Using data from a constructivist grounded theory study of team-based healthcare for patients with advanced heart failure, this paper explores the relationship between individual team members' perceived goals, understandings, values and routines and the collective competence of the team. Individual interviews with index patients and their healthcare team members formed Team Sampling Units (TSUs). Thirty-seven TSUs consisting of 183 interviews were iteratively analysed for patterns of convergence and divergence in an inductive process informed by complex adaptive systems theory. Convergence and divergence were identifiable on all teams, regularly co-occurred on the same team, and involved recurring themes. Convergence and divergence had nonlinear relationships to the team's collective functioning. Convergence could foster either shared action or collective paralysis; divergence could foster problematic incoherence or productive disruption. These findings advance our understanding of the complex relationship between the individual and the collective on a healthcare team, and they challenge conventional narratives of healthcare teamwork which derive largely from acute care settings and emphasize the importance of common goals and shared mental models. Complex adaptive systems theory helps us to understand the implications of these insights for healthcare teams' delivery of care for the complex, chronically ill. |*Patient Care Team/organization & administration[MESH] |Cooperative Behavior[MESH] |Grounded Theory[MESH] |Group Processes[MESH] |Heart Failure/therapy[MESH] |Humans[MESH] |Interpersonal Relations[MESH] |Interviews as Topic[MESH]Pulling together and pulling apart: influences of convergence and dive(epmc).pdf DeepDyve Pubget Overpricing