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Exploring the team climate of health and social care professionals implementing integrated care for older people in Europe

MacInnes, Julie, Gadsby, Erica W., Reynolds, Jillian, Cayuelas Mateu, Nuri, Lette, Manon, Ristl, Christina, Billings, Jenny R. (2020) Exploring the team climate of health and social care professionals implementing integrated care for older people in Europe. International Journal of Integrated Care, . ISSN 1568-4156. (In press) (KAR id:82834)

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Abstract

Background and problem statement

Team climate describes shared perceptions of organisational policies, practices and procedures. A positive team climate has been linked to better interprofessional collaboration and quality of care. Most studies examine team climate within health or social care organisations. This study uniquely explores the team climate of integrated health and social care teams implementing integrated care initiatives for older people in thirteen sites across seven European countries, and examines the factors which contribute to the development of team climate.

Theory and methods

In a multiple case study design, data collected as part of the European SUSTAIN (Sustainable Tailored Integrated Care for Older People in Europe) project were analysed. The short-form Team Climate Inventory (TCI-14) was administered before and after implementation of the integrated care initiatives. Qualitative data was used to explain the changes in TCI-14 scores over time.

Results and discussion

Overall, team climate was found to be high and increased over time in eight of the thirteen sites. The development of a shared vision was associated with a strong belief in the value and feasibility of the initiative, clear roles and responsibilities, and a reflective approach. Strong inter-personal relationships, shared decision-making, and high levels of commitment and motivation contributed to the development of participative safety. Support for innovation increased when staff had the ‘space’ and time to work together.

Conclusion

This mixed methods study offers significant insights into the development and maintenance of team climate in complex, integrated care systems in Europe.

Item Type: Article
Uncontrolled keywords: Team climate; integrated care; older people
Subjects: H Social Sciences
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Meg Dampier
Date Deposited: 09 Sep 2020 11:12 UTC
Last Modified: 10 Sep 2020 09:05 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/82834 (The current URI for this page, for reference purposes)
MacInnes, Julie: https://orcid.org/0000-0002-9220-1007
Gadsby, Erica W.: https://orcid.org/0000-0002-4151-5911
Billings, Jenny R.: https://orcid.org/0000-0002-5660-9478
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