ArticleBMC health services research2014
Functions of behavior change interventions when implementing multi-professional teamwork at an emergency department: a comparative case study.
Article in BMC health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- A systematic review of empirical studies examining mechanisms of implementation in health.Implementation science : IS · 2020Pooled it
- Interventions to improve team effectiveness within health care: a systematic review of the past decade.Human resources for health · 2020Pooled it
- Investigating variations in implementation fidelity of an organizational-level occupational health intervention.International journal of behavioral medicine · 2015Trial
- Challenges and Facilitators for HIV Testing Services and HIV Self-Testing Programming During Emergency Care in Kenya: A Qualitative Study of Patients.Journal of sexual health and AIDS research · 2024Article
- "Now is the time for institutions to be investing in growing exercise programs as part of standard of care": a multiple case study examining the implementation of exercise oncology interventions.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- Implementation of physical activity interventions in a community-based youth mental healthcare service: A case study of context, strategies, and outcomes.Early intervention in psychiatry · 2023Article
- Strategies to reduce low-value care - An applied behavior analysis using a single-case design.Frontiers in health services · 2023Article
- Translation of the geriatric emergency department intervention into other emergency departments: a post implementation evaluation of outcomes for older adults.BMC geriatrics · 2022Article
- An implementation science approach to geriatric screening in an emergency department.Journal of the American Geriatrics Society · 2022Article
- Evaluation of interprofessional teamwork modules implementation in an emergency department - A mixed-methods case study of implementation fidelity.BMC health services research · 2021Article
- Professionals' management of the fidelity-adaptation dilemma in the use of evidence-based interventions-an intervention study.Implementation science communications · 2021Article
- How to design, implement and evaluate organizational interventions for maximum impact: the Sigtuna Principles.European journal of work and organizational psychology · 2021Article
- A comparative study on the frequency of simulation-based training and assessment of non-technical skills in the Norwegian ground ambulance services and helicopter emergency medical services.BMC health services research · 2018Article
- Article
- The Dynamic Integrated Evaluation Model (DIEM): Achieving Sustainability in Organizational Intervention through a Participatory Evaluation Approach.Stress and health : journal of the International Society for the Investigation of Stress · 2016Article
- Sustaining complex interventions in long-term care: a qualitative study of direct care staff and managers.Implementation science : IS · 2016Article
- Interprofessional team management in pediatric critical care: some challenges and possible solutions.Journal of multidisciplinary healthcare · 2016Review
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile there is strong support for the benefits of working in multi-professional teams in health care, the implementation of multi-professional teamwork is reported to be complex and challenging. Implementation strategies combining multiple behavior change interventions are recommended, but the understanding of how and why the behavior change interventions influence staff behavior is limited. There is a lack of studies focusing on the functions of different behavior change interventions and the mechanisms driving behavior change. In this study, applied behavior analysis is used to analyze the function and impact of different behavior change interventions when implementing multi-professional teamwork.
methodsA comparative case study design was applied. Two sections of an emergency department implemented multi-professional teamwork involving changes in work processes, aimed at increasing inter-professional collaboration. Behavior change interventions and staff behavior change were studied using observations, interviews and document analysis. Using a hybrid thematic analysis, the behavior change interventions were categorized according to the DCOM® model. The functions of the behavior change interventions were then analyzed using applied behavior analysis.
resultsThe two sections used different behavior change interventions, resulting in a large difference in the degree of staff behavior change. The successful section enabled staff performance of teamwork behaviors with a strategy based on ongoing problem-solving and frequent clarification of directions. Managerial feedback initially played an important role in motivating teamwork behaviors. Gradually, as staff started to experience positive outcomes of the intervention, motivation for teamwork behaviors was replaced by positive task-generated feedback.
conclusionsThe functional perspective of applied behavior analysis offers insight into the behavioral mechanisms that describe how and why behavior change interventions influence staff behavior. The analysis demonstrates how enabling behavior change interventions, managerial feedback and task-related feedback interact in their influence on behavior and have complementary functions during different stages of implementation.
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