Health Service Management

Subtopic:

Team Building

TEAM WORK

OR: A team is a group of two or more individuals, who perform some work related task, interact with one another dynamically, have a shared past, have a foreseeable shared future, and share a common fate.

OR: A team is a group of people with complementary skills working towards a common purpose that they hold themselves mutually accountable.

Teamwork involves different people and different people working together to maximize their efficiency and reach a common goal.

In health care setting teamwork is defined as a dynamic process involving two or more healthcare professionals with complementary backgrounds and skills, sharing common health goals and exercising concerted physical and mental effort in assessing, planning, implementing or evaluating patient care.

Group: Robbins (2001) defines a group as two or more interdependent individuals who have come together to achieve particular objectives.

Team: group who work intensively with each other to achieve a specific common goal.

Team: A small group of people with complementary skills, who work together to achieve a shared purpose and hold themselves mutually accountable for performance results.

Teamwork: The process of people actively working together to accomplish common goals

Achieving organization’s objectives

For a team to achieve organization’s objectives, individuals must:

  • Get to know one another
  • Establish good working relationship
  • Determine & establish individual commitment and accountability Identify problem areas
Team Building Lessons from the Geese

You might be interested in knowing what science has discovered about why they fly that way.

Fact: As each bird flaps its wings, it creates uplift for the bird following.

By flying in a ‘V’ formation, the whole flock adds 71% more to its flying range than if each bird flew alone.

  • Lesson: Teammates who share a common direction and sense of community can get where they are going quicker and easier when they travel on shared power (thrust of one another).

Fact: When the lead goose tires, it rotates back into the formation and another goose flies at the point position.

  • Lesson: It pays to take turns doing the hard tasks and sharing the leader’s role. As with geese, people are interdependent on each other’s skills, capabilities and unique arrangements of gifts, talents or resources.

Fact: When a goose falls out of formation, it suddenly feels the drag and resistance of trying to fly alone.

It quickly gets back into the formation to take advantage of the ‘lifting power’ of the bird immediately in front of it.

  • Lesson: If we have as much sense as a goose, we will stay in the formation with those who are headed where we want to go. We are willing to accept their help and give our help to others.

Fact: In formation, the geese from behind honk to encourage those in front to keep up their speed.

  • Lesson: We need to make sure our honking is encouraging.
  • In groups where there is encouragement, the production is much higher.
  • The power of encouragement (to stand by one’s heart or core values and encourage the heart or core values of other) is quality honking we seek.

Fact: When a goose is sick or wounded, two geese drop out of the formation to help and protect it. They stay with it until it either able to fly or dies.

Then they launch out on their own with another formation or catch up with their flock.

  • Lesson: Stand by one another in times of trouble.
Characteristics of effective teams
  • Members communicate their vision & mission to each other
  • Plan ahead
  • Encourage communication and participation
  • Practice team work from the top
  • Enhance customer satisfaction
  • Encourage creativity and growth
  • Members have one or more common goals
  • Fosters positive criticism
  • Promote a win-win culture
  • Members share resources
  • Celebrate success & work on improving failures
  • Members solve problems
  • The team allows both individuals and the group to develop and learn
Key factors to successful performance of a team – The S.C.O.R.E Approach

This approach is described below as:

  • S=Strategy
  • C=Clear Roles and Responsibility
  • O=Open Communication
  • R=Rapid Response
  • E=Effective Leadership Strategy
  • Have a clear purpose/ mandate of the team and this must be known/shared by all (Shared Purpose)
  • Have clearly articulated values and ground rules that will guide the operations of the team
  • Members must have a clear understanding of risks and opportunities facing the team
  • Members must have clear roles and responsibilities of the team

 Clear Roles and Responsibilities:

  • Clear definition of roles and responsibilities
  • Responsibility must be shared by all
  • Set specific objectives to measure individual results
  • Design a    systematic    monitoring    and    reviews    periods    through    which members understanding of issues are enhanced.

Open communication:

  • Respect for individual differences,
  • Open communication environment among team members Rapid Response
  • Rapid response to the team’s problems and organizational needs as well
  • Effective management to change in the internal and external environment Effective Leadership
  • Team leader who is able to help members achieve the objective and build the team
  • Team leader who can draw out and free up the skills of all team members, develop individuals
Team building pillars
  • The effectiveness of a team is facilitated by the interplay of several factors:
  • Sound leadership
  • Support from each other
  • Clear work processes and procedures
  • Trust and openness
  • Workplace democracy/participation
  • Motivation
  • Mutual respect
Stages of Team Development

These include the following

1. Forming
  • At this stage, the group is just coming together and feelings may still be
  • It is a period of transition from individual to group member
  • In here, members try to learn each Members form opinion of team mates
  • Period in which members guard their interactions(personal space) because they’re not sure what to expect from other team members
  • During this stage, productivity of the group is
  • Questions are asked about the task and how it will be done; who the other members are and if they belong; perceived concepts, issues and barriers.
  • During this stage, people are generally polite and conflict is usually
  • Individual team members are looking towards the team leader for direction and What should a team leader do at this stage?
  • Concentrate on focusing the team;
  • Defining goals,
  • Roles and
  • Set clear expectations
  • Setting ground rules
  • Developing a climate of trust and respect
    • Communication is primarily one-way from the team leader to team
2.Storming
  • This is the most difficult stage for a
  • Characterized by competition and strained relationships among team
  • There are various degrees of conflict dealing with issues of power, leadership and decision- making.
  • Conflicts emerge between sub-groups;
  • The authority or competence of the leader is
  • Individuals react over the efforts of the leader or group to control them
  • The value and feasibility of the task is
  • Co-operation can take second place as team members try to individually trust more in their own skills and attributes.

What should the team leader do?

  • The leader clarifies team activities, fine- tuning roles and
  • Communication is more multiway between team leader and team
  • Return to ground rules if
  • Continue to play the ‘traffic cop’ as
3.Norming
  • Competition becomes co-operation
  • Members realize their commonalities and learn to appreciate their
  • Functional relationships are developed resulting in the evolution of trust among
  • Guidelines and ground rules for getting the work done are
  • Team members begin to value contribution of
  • Team members share their feelings and ideas about how to do the task, how to work out differences and disagreement.
  • There is a fresh ability to achieve harmony and express criticism
  • A sense of team cohesion evolves.
  • Personal conflicts are minimized.
  • Roles and responsibilities are clearly defined and agreed What should the team leader do?
  • Involve the team in setting its own goals and
  • Communication is multiway with the team leader acting as an active
4.Performing
  • In the final stage, the team actually gets its work done, making up for the seemingly ‘lost time’ in the earlier stages.
  • Team is acting and working as
  • Individuals and their contributions are valued, objectives are
  • Members fully understand their individual roles and the roles of others, problems are being solved and actions implemented.
  • During this stage, the team gains insight into :
    • How efficiently it is getting the task done,
    • What more can be done,
    • How things can be done better and if the deadlines are being There is close attachment to the team and satisfaction with the process.
5.Adjourning

Temporary project team reaches this stage; celebrate their team’s achievements.

General note on stages of team Development

  • Some teams spend very little time in forming, storming and norming
  • If a team is relatively homogeneous and given a well-defined task, the first three stages might be as short as five (5) minutes.
  • If on the other hand, people do not know each other, come from diverse backgrounds and points of view, and are given a complex set of tasks; these first stages may take considerable time over several meetings.
Team leader’s role

The supervisor as team leader plays an important role in a team:

  • Sometimes involved in the selection of team members
  • Ensures the achievement of standards and the discipline of team members
  • Allocation and scheduling of duties
  • Controlling the use of resources
  • Directing the formation of team strategy and plans
  • Spokesman/negotiator for the team
  • Provides an open communication system
  • Making follow-ups and encouraging members to do so
  • Clarifying objectives and organizational policies to members
Benefits of team work
  • Problems solving: A single brain can’t bounce different ideas off of each other. Each team member has a responsibility to contribute equally and offer their unique perspective on a problem to arrive at the best possible solution. Teamwork can lead to better decisions, products, or services.
  • Accomplish tasks faster: A single person taking on multiple tasks will not be able to perform at a same pace as a team can. When people work together they can complete tasks faster by dividing the work to people of different abilities and knowledge.
  • Healthy competition: A healthy competition in groups can be used to motivate individuals and help the team excel.
  • Developing relationships: A team that continues to work together will eventually develop an increased level of bonding. This can help people avoid unnecessary conflicts since they have become well acquainted with each other through team work.
  • Everyone has unique qualities: Every team member can offer their unique knowledge and ability to help improve other team members. Through teamwork the sharing of these qualities will allow team members to be more productive in the future.
  • Improved Morale: Teamwork allows employees to take greater responsibility for decision making and also allows team members to control more of the work process. This can lead to improved morale as employees gain more authority and ownership over the projects they are working The extra responsibility can lead to a more rewarding work environment and lower turnover. Working on a team also gives employees a greater sense of belonging and of recognition, which helps them take more pride in their work, and their company.
Dangers of team work
  • Teamwork may have an “unintended effect of fermenting hostility toward the managerial goal of making the teams fully self-managing.
  • There is a potential of “social loafing” (i.e., an individual’s doing less work in a team than what he/she would normally do working individually). In order to minimize social loafing, management can make individual performance more visible while in a team setting. This can be done by forming smaller teams, specializing specific tasks to certain individuals, and measuring individual performance.
  • Possible development of the dependence syndrome among team members
  • Minority views and opinions may be easily neglected or frustrated
  • There is delay in decision making
How to Improve Teamwork in the Workplace

Once you have your team in place, here are a few general tips to make sure the collaborative process runs smoothly:

  • Don’t let individuals get lost in the shuffle. Even though a team is a collaborative effort, each member should be allowed to feel a sense of ownership and accomplishment. Members should be rewarded for a job well done, and given encouragement and guidance when they need additional help completing a task.
  • Let each team member actively take part in the decision-making process. Making each member feel integral to the group’s success is crucial for the team’s morale.
  • Minimize the importance of rank; instead take advantage of the entire group’s talents and skills to contribute to its overall success. However, there must be one clear leader who can make the final decision if the team can’t agree.
  • Keep the balance of work equal. One or two team members shouldn’t be shouldering the burden for the entire group. Everyone should have a manageable and relatively equal
  • Build a foundation of trust and mutual respect. Each team member should be encouraged to share his or her opinions openly and respect everyone else’s point of view – even if they don’t agree with it.
  • Maintain open lines of communication. Everyone in the team should share ideas or express concerns with one another and with the company’s management.
  • When conflicts arise, take a positive approach. Avoid confrontation and blame. Keep your focus on the issues.
Discuss the Features of a Bad Team
  • Frustration (Self-denial, lack of commitment and motivation)
  • Conflicts
  • Un clear roles
  • Dominance by some parties
  • Expression employees wear on their faces (Unhappy show less team work)
  • Openness and honesty (Lack of confiding in managers, fearful characters show less team work
Problems encountered with work processes

Working with teams present several problems in different areas as follows: Decision making

  • Clarity of individual responsibilities
  • The extent to which decisions need to be made by consensus
  • How decisions are made in the absence of an individual

Problems with processes

  • How are decisions taken? Are authority levels clear?
  • Are communication processes across the team working?
  • Are structures, content and processes in meetings effective?
  • How are problems and conflicts resolved?
  • How is activity coordinated? Are reporting procedures understood and adhered to? Problems with goals
  • Do people understand and accept the team’s primary task?
  • What are the team’s priority objectives? Do all agree?
  • How are conflicts in priorities handled? Problems with roles
  • What do team members expect of each other?
  • Have these expectations been shared? Do they match?
  • Do individual objectives fit with the team’s overall objectives?
  • Are there areas of overlap or duplication between team roles that could produce conflict? Problems with relationships
  • How do team members treat and feel about each other?
  • Are people’s individual needs recognized and respected/
  • Does the team climate allow for open debate and sharing of concerns?
  • Do the team and leader encourage feedback on team and individual performance?