title: Professionals' views on interprofessional stroke team functioning.
abstract: BACKGROUND
  The quality of integrated stroke care depends on smooth team functioning but professionals may not always work well together. Professionals' perspectives on the factors that influence stroke team functioning remain largely unexamined. Understanding their experiences is critical to indentifying measures to improve team functioning. The aim of this study was to identify the factors that contributed to the success of interprofessional stroke teams as perceived by team members.
  
  
  METHODS
  We distributed questionnaires to professionals within 34 integrated stroke care teams at various health care facilities in 9 Dutch regions. 558 respondents (response rate: 39%) completed the questionnaire. To account for the hierarchical structure of the study design we fitted a hierarchical random-effects model. The hierarchical structure comprised 558 stroke team members (level 1) nested in 34 teams (level 2).
  
  
  RESULTS
  Analyses showed that personal development, social well-being, interprofessional education, communication, and role understanding significantly contributed to stroke team functioning. Team-level constructs affecting interprofessional stroke team functioning were communication and role understanding. No significant relationships were found with individual-level personal autonomy and team-level cohesion.
  
  
  CONCLUSIONS
  Our findings suggest that interventions to improve team members' social well-being, communication, and role understanding will improve teams' performance. To further advance interprofessional team functioning, healthcare organizations should pay attention to developing professionals' interpersonal skills and interprofessional education.
authors: Institute of Health Policy and Management (iBMG), Erasmus University, Rotterdam, The Netherlands.
authors: Jane M
authors: JM
authors: Cramm
authors: Anna P
authors: AP
authors: Nieboer
keywords: integrated stroke care; interprofessional; multidisciplinary teams; multilevel analysis; stroke team; team functioning
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