title: Maximizing Team Performance: The Critical Role of the Nurse Leader.
abstract: Facilitating team development is challenging, yet critical for ongoing improvement across healthcare settings. The purpose of this exemplary case study is to examine the role of nurse leaders in facilitating the development of a high-performing Change Team in implementing a patient safety initiative (TeamSTEPPs) using the Tuckman Model of Group Development as a guiding framework. The case study is the synthesis of 2.5 years of critical access hospital key informant interviews (n = 50). Critical juncture points related to team development and key nurse leader actions are analyzed, suggesting that nurse leaders are essential to maximize clinical teams' performance.
authors.affiliation: VA Quality Scholar Pre-Doctoral Fellow, Iowa City, IA, and a Doctoral Student at The University of Iowa College of Nursing, Iowa City, IA.
authors.forename: Kirstin
authors.initials: K
authors.lastname: Manges
authors.affiliation: Senior Faculty Scholar for the VA Quality Scholars Fellowship Program, Iowa City, IA, and a Professor at The University of Iowa College of Nursing, Iowa City, IA.
authors.forename: Jill
authors.initials: J
authors.lastname: Scott-Cawiezell
authors.affiliation: Professor at The University of Iowa College of Public Health, Iowa City, IA.
authors.forename: Marcia M
authors.initials: MM
authors.lastname: Ward
mesh_terms: D006801:Humans; D007857:Leadership; D024802:Nurse's Role / Q000523:psychology*; D009726:Nurses / Q000523:psychology* / Q000592:standards*; D010348:Patient Care Team / Q000592:standards* / Q000706:statistics & numerical data; D036301:Qualitative Research; D000066477:Work Performance / Q000592:standards*
keywords: Administration; Change Teams; leadership; quality improvement; teamwork