Nursing teamwork in the care of older people: A mixed methods study

Anderson, Janet E and Kodate, Naonori and Lim, Rosemary and Thompson, Kellie and Jensen, Heidi and Cooney, Katrina and Ross, Alastair (2019) Nursing teamwork in the care of older people: A mixed methods study. Applied Ergonomics. ISSN 0003-6870 (Accepted for Publication)

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Healthcare is increasingly complex and requires the ability to adapt to changing demands.
Teamwork is essential to delivering high quality care and is central to nursing. The aims of
this study were to identify the processes that underpin nursing teamwork and how these affect
the care of older people, identify the relationship between perceived teamwork and perceived
quality of care, and explore in depth the experience of working in nursing teams. The study
was carried out in three older people’s wards in a London teaching hospital. Nurses and
healthcare assistants completed questionnaires (n=65) on known dynamics of teamwork
(using the Nursing Teamwork Survey) together with ratings of organisational quality (using
an adapted AHRQ HSPS scale). A sample (n=22; 34%) was then interviewed about their
perceptions of care, teamwork and how good outcomes are delivered in everyday work.
Results showed that many care difficulties were routinely encountered, and confirmed the
importance of teamwork (e.g. shared mental models of tasks and team roles and
responsibilities, supported by leadership) in adapting to challenges. Perceived quality of
teamwork was positively related to perceived quality of care. Work system variability and the
external environment influenced teamwork, and confirmed the importance of team adaptive
capacity. The CARE model shows the centrality of teamwork in adapting to variable demand
and capacity to deliver care processes, and the influence of broader system factors on

Item Type: Article
Additional Information and Comments: NOTICE: this is the author’s version of a work that was accepted for publication in Applied Ergonomics. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Applied Ergonomics, vol. issue date DOI:
Faculty / Department: Faculty of Arts & Humanities > School of Social Science
Depositing User: Kellie Thompson
Date Deposited: 24 May 2019 08:29
Last Modified: 29 May 2019 10:11

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