Evidence map›Paper›PMID 40022018›Full record

ArticleBMC cancer2025

An early evaluation of team consistency and scope optimization in team-based cancer care.

Leah K Lambert, Farinaz Havaei, Scott M Beck, Andy Ma, John Larmet, Jagbir Kaur, Nassim Adhami, Dan Le, Ryan Woods

Abstract read
In one paragraph

Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Leah K LambertBC Cancer, Provincial Health Services Authority, Vancouver, Canada. leah.lambert@bccancer.bc.ca.
Farinaz HavaeiSchool of Nursing, University of British Columbia, Vancouver, Canada.
Scott M BeckBC Cancer, Provincial Health Services Authority, Vancouver, Canada.
Andy MaSchool of Nursing, University of British Columbia, Vancouver, Canada.
John LarmetBC Cancer, Provincial Health Services Authority, Vancouver, Canada.
Jagbir KaurBC Cancer, Provincial Health Services Authority, Vancouver, Canada.
Nassim AdhamiSchool of Nursing, University of British Columbia, Vancouver, Canada.
Dan LeBC Cancer, Provincial Health Services Authority, Vancouver, Canada.
Ryan WoodsBC Cancer, Provincial Health Services Authority, Vancouver, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe British Columbia (BC) government has made significant investments towards the implementation of team-based care (TBC) in its provincial comprehensive cancer control program. TBC implementation involves purposeful efforts towards: (a) establishing/expanding multidisciplinary care teams, (b) optimizing scope of practice, and (c) increasing care team consistency. Study objectives include an early-phase evaluation of (i) the association between TBC elements and team effectiveness and (ii) staff perceptions of barrier and facilitators of team effectiveness.

methodsA series of five surveys over a 2-year period will be administered to prospectively evaluate the ongoing implementation of TBC. This study draws on data from the first of the five planned surveys, administered in May 2023. Eligible respondents included 299 program employees-spanning various roles such as physicians, nurses, and unit clerks-working within TBC at the time of survey deployment. The survey included both validated and researcher-developed questions that were either closed or open-ended, including measures of team composition, team consistency, team effectiveness, scope of practice, and demographics. Quantitative data were analyzed using descriptive and regression analysis; qualitative data were analyzed guided by interpretive description methodology.

resultsCollected responses totaled 121, with the majority of respondents being women (76%), full-time employees (90%), and working in direct patient care (77%). Regression analyses indicated that (i) higher frequency of consistently working with the same team members and (ii) lower proportion of shifts practicing below scope are both significant predictors of higher team effectiveness ratings. Qualitative data highlighted staffing levels as a driver of under- and over-utilized scopes of practice. Furthermore, effective communication, enhanced knowledge of each team member's scope of practice, and strong interpersonal relationships were highlighted as contributing factors to effectiveness among multidisciplinary care teams.

conclusionsPreliminary findings from the first of five prospective surveys highlight team consistency and role optimization as drivers of effective teamwork in the early implementation of a team-based model of cancer care. Future research should explore contextual factors that influence cancer care staff and clinicians' perceptions of effectiveness.

Indexed as

NeoplasmsPatient Care TeamAdultBritish ColumbiaFemaleHumansMaleMiddle AgedProspective StudiesSurveys and QuestionnairesCancer careScope of practiceTeam-based careTeam compositionTeam consistencyTeam effectiveness

Identifiers

PMID40022018
PMCPMC11869398

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.