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Access Type

WSU Access

Date of Award

January 2021

Degree Type

Dissertation

Degree Name

Ph.D.

Department

Instructional Technology

First Advisor

Ingrid I. Guerra-Lopez

Abstract

With the emergence of more team-based care in healthcare settings, there is a need to identify strategies that can strengthen interprofessional collaboration, practice and care. Team-based care is credited for its potential advantages to patients, healthcare professionals and the overall system. Using the best available evidence and leveraging each other’s talents and strengths, healthcare professionals collaborate to function as a team to improve patient outcomes, mitigate medical and process errors, improve efficiency and patient experience. Effective interprofessional collaboration can offer opportunities for collective views that are essential to high quality care, so strategies to foster that are invaluable. Researchers have acknowledged team complexity and the need to effectively leverage strategies to support team effectiveness. Studies have examined the use of feedback by individuals, teams and human systems to self-regulate, by modifying behaviour or functions, to reduce the discrepancies between the current state and goal. Key attributes of high-functioning interprofessional teams include communicating openly, collaborating effectively and leveraging each other’s strengths and expertise. Feedback is a type of strategy or intervention used to enhance effectiveness and influence team performance through reinforcing individual and collective actions, adjusting practice, and supporting effective team collaboration that results in successful outcomes. As interprofessional teams collaborate towards a shared goal, leveraging interventions like feedback, can help to shape professional practice, thereby improving practice change, individual and team performance and ultimately patient outcomes. The diverse knowledge and skills across an interprofessional team who shares a set of integrated goals, can be supported through feedback as an intervention to improve professional practice and team performance. This study contributes to the extensive research on feedback, specially providing an in-depth account of the dynamics of various feedback characteristics, such as source, timing, delivery, specificity in an interprofessional team context. These findings can be used to gain a deeper understanding of the factors that influence the role and impact of feedback in interprofessional team-based performance. This study illuminated individual and team characteristics that impacted feedback acceptance, thereby influencing the feedback loop that addressed identified gaps. However, this study and the literature revealed there is a need to further explore factors that optimize the impact of feedback in collaborative healthcare practice for maximum effect.

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