title: A pilot study on the effects of a team building process on the perception of work environment in an integrative hospital for neurological rehabilitation.
abstract: BACKGROUND
  Neurological rehabilitation is one of the most care-intensive challenges in the health care system requiring specialist therapeutic and nursing knowledge. In this descriptive pilot study, we investigated the effects of a team building process on perceived work environment, self-ascribed professional competence, life satisfaction, and client satisfaction in an anthroposophic specialized hospital for neurological rehabilitation. The team-building process consisted of didactic instruction and training in problem-solving, teambuilding and constructive conflict resolution.
  
  
  METHODS
  Seventy seven staff members and 44 patients' relatives were asked to complete a survey that included the Work Environment Scale (WES-10), a Life Satisfaction Scale (BMLSS), the Conviction of Therapeutic Competency (CTC) scale and the Client Satisfaction Questionnaire (CSQ-8). To evaluate the outcome of the team building process, we analyzed changes over time in the WES-10 subscales. Additionally the interrelationship between the WES-10 subscales with other subscales and with sociodemographic parameters like age, gender was calculated by means of a bivariate correlation analysis.
  
  
  RESULTS
  The team building process had a significant positive effect on perceived work environment in only one area. There was a significant improvement in the ward staffs' perception of their ability to constructively resolve conflicts 3 years after inception of the team building process than there was before inception. However, even in a unit that utilized holistic treatment and nursing in the care of severely disable patients, such care necessitating a very heavy workload, the measurements on the Self Realization, Life Satisfaction and Conviction of Therapeutic Competency scales remained high and unchanged over the three year time period of the study.
  
  
  CONCLUSIONS
  Strategic interventions might be an option to improve interpersonal relationships and finally quality of patient care.
authors.affiliation: Centre of Integrative Medicine, University of Witten/Herdecke, Gerhard-Kienle-Weg 4, 58313 Herdecke, Germany. thomaso@uni-wh.de
authors.forename: Thomas
authors.initials: T
authors.lastname: Ostermann
authors.forename: Mathias
authors.initials: M
authors.lastname: Bertram
authors.forename: Arndt
authors.initials: A
authors.lastname: Büssing
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003220:Conflict, Psychological; D003299:Cooperative Behavior; D003625:Data Collection; D005260:Female; D006694:Holistic Health; D006782:Hospitals, Special; D006801:Humans; D055048:Integrative Medicine; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009422:Nervous System Diseases / Q000534:rehabilitation*; D009462:Neurology; D010348:Patient Care Team; D017060:Patient Satisfaction; D010865:Pilot Projects; D011361:Professional Competence; D019145:Rehabilitation Nursing; D020377:Self Efficacy; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D016526:Workload; D017132:Workplace