Expectations and requests regarding team training interventions to promote interdisciplinary collaboration in medical rehabilitation--A qualitative study.
BACKGROUND
Interdisciplinary teamwork and team interventions are highly valued in the rehabilitation sector because they can improve outcomes of care for persons with complex health problems. However, little is known about expectations and requests regarding team interventions, especially in medical rehabilitation. This study aimed to explore how clinical managers and health professionals within multidisciplinary rehabilitation teams describe their expectations and requests regarding team-training interventions in the field of medical rehabilitation.


METHODS
Considering the methodology of qualitative research, data were collected using semi-structured interviews and focus groups at five rehabilitation clinics in Germany. We conducted face-to-face interviews with 5 clinical managers and 13 department heads of health care teams as well as five focus groups with a total of 35 members of interdisciplinary rehabilitation teams. Afterwards, the data were analyzed through qualitative content analysis encompassing data coding and using inductive thematic analysis.


RESULTS
The exploration of team members' and clinical managers' descriptions showed that, to them, interdisciplinary team training programs should include a wide array of training contents. Seven common core themes emerged from the interviews, including participation of employees, leadership, communication, team meetings, team composition, coordination, and equal esteem. Additionally, 13 themes were identified by either managers or team members. The body of expectations regarding team training content in healthcare spans the continuum of changes on the team and organizational levels. On the organizational level, a number of structural factors were mentioned (e.g. improving the general conditions for team meetings, organized workshops to exchange interdisciplinary experiences, and leadership training), and on the team level, changes in procedural factors were listed (e.g. optimizing the consecutive planning and coordination of patient treatments, clarity with regard to roles and responsibilities of team members, and mutual esteem and appreciation between different professions).


CONCLUSIONS
The synthesis underscores that there is meaningful heterogeneity in team training needs; training interventions should be locally adapted for each clinic in terms of training content and training strategies. Tailored team interventions are important for rehabilitation clinics. Future work should evaluate employed team training concepts over time as well as training contents, implementation strategies, and learning outcomes. This includes using robust study designs and evaluating team-training effects.
Medical Psychology and Medical Sociology, Medical Faculty, University of Freiburg, Hebelstr. 29, 79104, Freiburg, Germany. christian.mueller@mps.uni-freiburg.de.|Saarland University of Cooperative Education in Health Care and Welfare, Saarland, Germany. christian.mueller@mps.uni-freiburg.de.
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Müller
Medical Psychology and Medical Sociology, Medical Faculty, University of Freiburg, Hebelstr. 29, 79104, Freiburg, Germany. anne.plewnia@mps.uni-freiburg.de.
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Plewnia
Medical Psychology and Medical Sociology, Medical Faculty, University of Freiburg, Hebelstr. 29, 79104, Freiburg, Germany. sonja.becker@mps.uni-freiburg.de.
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Becker
Celenus Kliniken Offenburg, Department of Quality Management, Offenburg, Germany. m.Rundel@celenus-kliniken.de.
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Rundel
Medical Psychology and Medical Sociology, Medical Faculty, University of Freiburg, Hebelstr. 29, 79104, Freiburg, Germany. linda.zimmermann@mps.uni-freiburg.de.
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Zimmermann
Medical Psychology and Medical Sociology, Medical Faculty, University of Freiburg, Hebelstr. 29, 79104, Freiburg, Germany. mirjam.koerner@mps.uni-freiburg.de.
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Körner
D000328:Adult; D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D005260:Female; D017144:Focus Groups; D005858:Germany; D006801:Humans; D007318:Inservice Training / Q000379:methods / Q000458:organization & administration; D033183:Interdisciplinary Communication; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team / Q000458:organization & administration* / Q000592:standards; D010810:Physical and Rehabilitation Medicine / Q000193:education* / Q000458:organization & administration; D036301:Qualitative Research; D000078329:Workforce; D055815:Young Adult