Skip to main content
Log in

On Being a Team Player: Evidence-Based Heuristic for Teamwork in Interprofessional Education

  • Monograph
  • Published:
Medical Science Educator Aims and scope Submit manuscript

Abstract

Identifying the need of a team-based approach for improving quality care, there has been growth in creating and implementing interprofessional education (IPE). The goal of IPE curricula should be to instill the knowledge, skills, and attitudes required for optimal teamwork. With this objective in mind, this paper will provide a streamlined, evidence-based, memorable heuristic of teamwork that could guide interprofessional educators. Rooted in science, this heuristic consists of the six Cs of teamwork — cooperation, communication, conflict, coordination, coaching, and cognition. This paper will define the ‘Cs’ of teamwork and describe their importance, implications, and strategies for integration within interprofessional curricula.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Levinson DR. Adverse events in hospitals: National incidence among medicare beneficiaries. https://doi.org/oig.hhs.gov/oei/reports/oei-06-09-00090.pdf Accessed January 15, 2013.

  2. Andel C, Davidow SL, Hollander M, Moreno DA. The economics of health care quality and medical errors. J Health Care Finance. 2012;39(1):39–50.

    Google Scholar 

  3. Mazzocco K, Petitti DB, Fong KT, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197:678–685.

    Article  Google Scholar 

  4. Mitchell P, Wynia M, Golden R, et al. Core principles and values of effective team-based health care. https://doi.org/www.iom.edu/~/media/Files/Perspectives-Files/2012/Discussion-Papers/VSRT-Team-Based-Care-Principles-Values.pdf. Accessed January 15, 2013.

  5. Mitchell, P., Hall, L., & Gaines, M. A social compact for advancing team-based high-value health care. Health Affairs Blog. https://doi.org/healthaffairs.org/blog/2012/05/04/a-social-compact-for-advancing-team-based-high-value-health-care/. Accessed January 15, 2013.

  6. Remington TL, Foulk MA, & Williams BC. Evaluation of evidence for interprofessional education. Am J Pharm Educ. 2006;70(3):1–7.

    Article  Google Scholar 

  7. Salas E, Shuffer ML, Thayer AL, Bedwell WL, Lazzara EH. Understanding and diagnosing teamwork in organizations: a scientifically-based practical guide. Hum Resour Manage. In press.

  8. Ortega A, Sánchez-Manzanares M, Gil F, Rico R. Enhancing team learning in nursing teams through beliefs about interpersonal context. J Adv Nurs. 2013;69(1):102–111.

    Article  Google Scholar 

  9. Evans CR, Dion KL. Group cohesion and performance: A meta-analysis. Small Gr Res. 2012;43(6):690–701.

    Article  Google Scholar 

  10. Drinka T. Applying learning from self-directed work teams in a business to curriculum development for interdisciplinary geriatric teams. Educ Gerontol. 1996;22(5):433–450.

    Article  Google Scholar 

  11. Gully SM, Devine DJ, Whitney DJ. A meta-analysis of cohesion and performance: Effects of level of analysis and task interdependence. Small Gr Res. 2012;43(6):702–725.

    Article  Google Scholar 

  12. Bandow D. Time to create sound teamwork. J Qual Participation. 2001;24:41–47.

    Google Scholar 

  13. Donnelly C, Brenchley C, Crawford C, Letts L. The integration of occupational therapy into primary care: a multiple case study design. BMC Fam Pract. 2013;14(1):60.

    Article  Google Scholar 

  14. Salas E, Sims DE, Burke CS. Is there a “Big Five” in teamwork? Small Gr Res. 2005;36:555–599.

    Article  Google Scholar 

  15. Simin D, Milutinović D, Brestovacki B, Andrijević I, Cigić T. Improvement of teamwork in health care through interprofessional education [abstract]. Srp Arh Celok Lek. 2010;138(7–8):480–485. https://doi.org/www.ncbi.nlm.nih.gov/pubmed/20842895. Accessed May 21, 2013. PMID:20842895.

    Article  Google Scholar 

  16. Webber SS. Leadership and trust facilitating cross-functional team success. J Manage Dev. 2002;21:201–214.

    Article  Google Scholar 

  17. Gully SM, Incalcaterra KA, Joshi A, Beaubien JM. A meta-analysis of team-efficacy, potency, and performance: interdependence and level of analysis as moderators of observed relationships. J Appl Psychol. 2002;87(5);819–832.

    Article  Google Scholar 

  18. Stajkovic AD, Lee D, Nyberg AJ. Collective efficacy, group potency, and group performance: meta-analyses of their relationships, and test of a mediation model. J Appl Psychol. 2009;94(3):814–828.

    Article  Google Scholar 

  19. Leroy H, Dierynck B, Anseel F, Simons T, et al. Behavioral Integrity for safety, priority of safety, psychological safety, and patient safety: a team-level study. J Appl Psychol. 97(6):1273–1281.

    Article  Google Scholar 

  20. Mathieu JE, Gilson LL, Ruddy TM. Empowerment and team effectiveness: an empirical test of an integrated model. J Appl Psychol. 2006;91(6):97–108.

    Article  Google Scholar 

  21. Katz-Navon T, Naveh E, Stern Z. Safety climate in health care organizations: a multidimensional approach. Acad Manage J. 2005;48(6):1075–1089.

    Article  Google Scholar 

  22. Cannon-Bowers JA, Tannenbaum SI, Salas E, Volpe CE. Defining team competencies and establishing team training requirements. In Guzzo R, Salas E, eds. Team Effectiveness and Decision Making in Organizations. San Francisco, CA: Jossey-Bass; 1995:333–380.

  23. Klein C, DiazGranados D, Salas E, Le H, Burke CS, Lyons R, Goodwin GF. Does team building work? Small Gr Res. 2009;40:181–222.

    Article  Google Scholar 

  24. Buller PF, Bell CH, Jr. Effects of team building and goal setting on productivity: A field experiment. Acad Manage J. 1986;29:305–328.

    Google Scholar 

  25. Shuffler ML, DiazGranados D, Salas E. There’s a science for that: team development interventions in organizations. Curr Dir Psychol Sci. 2011;20:305–371.

    Article  Google Scholar 

  26. Deetz SA. Future of the discipline: the challenges, the research, and the social contribution. In: Deetz SA, ed. Communication Yearbook. Thousand Oaks, CA: Sage Publications; 1994:565–600.

    Google Scholar 

  27. Barnlund DC. A transactional model of communication. In: Mortensen CD, ed. Communication theory. New Jersey: Transaction Publishers. 2008;47–57.

    Google Scholar 

  28. Craig RT. Communication theory as a field. Comm Theory. 1999;9(2):119–160.

    Article  Google Scholar 

  29. Salas E, Wilson KA, Murphy CE, King H, Salisbury M. Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork Jt Comm J Qual Patient Saf. 2008;34:333–41.

    Article  Google Scholar 

  30. Salas E, Rosen MA, Burke CS, Nicholson D, Howse WR. Markers for enhancing team cognition in complex environments: the power of team performance diagnosis. Aviation, Space, and Environmental Medicine. 2007;78(5):B77–B85.

    Google Scholar 

  31. Mesmer-Magnus JR, DeChurch LA. Information sharing and team performance: a meta analysis. J Appl Psychol. 2009;94(2):535–546.

    Article  Google Scholar 

  32. Parker J. Patient Safety Week Blogs: Day 3, Handoff Communications Journal. Retrieved from https://doi.org/www.jcrinc.com/Blog/2009/3/9/Patient-Safety-Week-Blogs-Day-3-Handoff-Communications/ Accessed June 14, 2013.

  33. Jehn KA. A multimethod examination of the benefits and detriments of intragroup conflict. Adm Sci Q. 1995;40(2):256–282.

    Article  Google Scholar 

  34. Jehn KA. Qualitative analysis of conflict types and dimensions in organizational groups. Adm Sci Q. 1997;42:530–557.

    Article  Google Scholar 

  35. Behfar KJ, Peterson RS, Mannix EA, Trochim WMK. The critical role of conflict resolution in teams: a close look at the links between conflict type, conflict management strategies, and team outcomes. J Appl Psychol. 2008;93(1):170–188.

    Article  Google Scholar 

  36. De Dreu CKW, Weingart LR. Task versus relationship conflict, team performance, and team member satisfaction: A meta-analysis. J Appl Psychol. 2003;88(4):741–749.

    Article  Google Scholar 

  37. De Wit FRC, Geer LL, Jehn KA. The paradox of intragroup conflict: a meta-analysis. J Appl Psychol. 2012;97(2):360–390.

    Article  Google Scholar 

  38. Jehn K, Bendersky C. Intragroup conflict in organizations: a contingency perspective on the conflict-outcome relationship. Res Organ Behav. 2003;24:187–242.

    Article  Google Scholar 

  39. Amason AC. Distinguishing the effects of functional and dysfunctional conflict on strategic decision making: Resolving a paradox for top management teams. Acad Manage J. 1996;39:123–148.

    Google Scholar 

  40. Pelled LH, Eisenhard KM, Xin KR. Exploring the black box: an analysis of work team diversity, conflict, and performance. Adm Sci Q. 1999;44:1–28.

    Article  Google Scholar 

  41. Tjosvold D. The conflict-positive organization: it depends upon us. J Organ Behav. 2008;29:19–28.

    Article  Google Scholar 

  42. Van de Vliert E, De Dreu CKW. Optimizing performance by conflict simulation. Int J Conflict Manage. 1994;5:211–222.

    Article  Google Scholar 

  43. Marks M, Mathieu JE, Zaccaro SJ. A temporally based framework and taxonomy of team process. Acad Manage Rev. 2001;26:356–376.

    Article  Google Scholar 

  44. Mathieu JE, Schulze W. The influence of team knowledge and formal plans on episodic team process-performance relationships. Acad Mange Rev. 2006;49:605–619.

    Google Scholar 

  45. Tinsley C. How negotiators get to yes: predicting the constellation of strategies used across cultures to negotiate conflict. J Appl Psychol. 2001;86:583–593.

    Article  Google Scholar 

  46. Thomas K. Conflict and negotiation processes in organizations. In Dunnette M, Hough L, eds. Handbook of Industrial and Organizational Psychology. Vol 3. Palo Alto, CA: Consulting Psychologists Press; 1992:651-717.

    Google Scholar 

  47. Laursen B, Finkelstein BD, Betts NT. A developmental meta-analysis of peer conflict resolution. Developmental Review. 2001;21(4):423–449.

    Article  Google Scholar 

  48. Pondy LR. Reflections on organizational conflict. J Organ Behav. 1992;13(3):257–261.

    Article  Google Scholar 

  49. Sims DE, Salas E. When teams fail in organizations: what creates teamwork breakdowns? In: Langan-Fox J, Cooper CL, Klimoski RJ, eds. Research Companion to the Dysfunctional Workplace: Management Challenges and Symptoms. Cheltenham, UK: Edward Elgar Publishing Limited; 2007:302–318.

    Google Scholar 

  50. Rico R, Sánchez-Manazanares M, Gil F, Gibson C. Team implicit coordination processes: a team knowledge-based approach. Acad Manag Rev. 2008;33(1):163–184.

    Article  Google Scholar 

  51. Cannon-Bowers JA, Salas E. Cognitive psychology and team training: shared mental models in complex systems. Paper presented at the 5th Annual Conference of the Society for Industrial and Organizational Psychology. Miami, FL; 1990.

  52. Entin EE, Serfaty D. Adaptive team coordination. Hum Factors. 1999;41:312–325.

    Article  Google Scholar 

  53. Orasanu, J. M. Shared mental models and crew decision making (CSL Report No. 46). Princeton, NJ: Princeton University, Cognitive Science Laboratory; 1990.

    Google Scholar 

  54. Stewart GL. A meta-analytic review of relationships between team design features and team performance. J Manage. 2006;32(1):29–54.

    Google Scholar 

  55. Salas E, Stagl KC, Burke CS, Goodwin GF. Fostering team effectiveness in organizations: toward an integrative theoretical framework of team performance. In: Shuart W, Spaulding W, Poland J, eds. Modeling complex systems: Motivation, Cognition, and Social processes. Lincoln, NE: University of Nebraska Press; 2007:185–243.

    Google Scholar 

  56. Smith-Jentsch KA, Cannon-Bowers JA, Tannenbaum SI, Salas E. Guided team self-correction: impacts on team mental models, processes, and effectiveness. Small Gr Res. 2008;39(3):303–327.

    Article  Google Scholar 

  57. Fleishman EA, Mumford MD, Zaccaro SJ, Levin KY, Korotkin AL, Hein MB. Taxonomic efforts in the description of leader behavior: A synthesis and functional interpretation. Leadersh Q. 1991;2(4):245–287.

    Article  Google Scholar 

  58. Carsten MK, Yhl-Bien M. Ethical followership: an examination of followership beliefs and crimes of obedience. J Leadersh Organ Stud. 203;20:49–61.

    Article  Google Scholar 

  59. Dow AW, DiazGranados D, Mazmanian PE. Applying organizational science to health care: a framework for collaborative practice [published online ahead of print May 22, 2013]. Acad Med. 2013. https://doi.org/www.ncbi.nlm.nih.gov/pubmed?term=dow%2C%2odiazgranados%2C%2omazmanian%5BAuthor%5D. Accessed June 14, 2013.

  60. Shamir B. Introduction: from passive recipients to active co-producers-The roles of followers in the leadership process. In Shamir B, Pillai R, Bligh M, Uhl-Bien M, eds. Follower-Centered Perspectives on Leadership: A tribute to J. R. Meindl. Stanford, CT: Information Age Publishing; 2007.

    Google Scholar 

  61. Alonso A, Dunleavy DM. Building teamwork skills in healthcare: The case for communication and coordination competencies. In: Salas, E, Frush K, eds. Improving Patient Safety Through Teamwork and Team Training. New York, NY: Oxford University Press; 2013:41–58.

    Google Scholar 

  62. Morgeson FP, DeRue DS, Karam EP. Leadership in teams: a functional approach to understanding leadership structures and processes. J Manage. 2010;36:5–39.

    Google Scholar 

  63. McGrath J. Leadership Behavior: Some Requirements for Leadership Training. Washington, DC: U.S. Civil Service Commission, Office of Career Development; 1962.

    Google Scholar 

  64. Klimoski R, Mohammed S. Shared mental model: construct or metaphor? J Manage. 1994;20:403–437.

    Google Scholar 

  65. Wildman JL, Thayer AL, Pavlas D, Salas E, Stewart JE, Howse WR. Team knowledge research: emerging trends and critical needs. Hum Factors. 2012;54(1):84–111.

    Article  Google Scholar 

  66. Lewis, K. Measuring transactive memory Systems in the field: scale development and validation. J Appl Psychol. 2003;88(4):587–604.

    Article  Google Scholar 

  67. Lewis, K. Knowledge and performance in knowledge-worker teams: a longitudinal Study of transactive memory systems. Manage Sci. 2004; 50(11): 1519–1533.

    Article  Google Scholar 

  68. Mathieu J, Maynard MT, Rapp T, Gilson L. Team effectiveness 1997–2007: a review of recent advancements and a glimpse into the future. J Manage. 2008;34(3):410–476.

    Google Scholar 

  69. Burke CS, Stagl KC, Salas E, Pierce L, Kendall DL. Understanding team adaptation: A conceptual analysis and model. J Appl Psychol. 2006;91(6):1189–1207.

    Article  Google Scholar 

  70. Salas E, Rosen MA, Burke CS, Goodwin GF. The wisdom of collectives in organizations: An update of the teamwork competencies. In: Salas E, Goodwin GF, Burke CS, eds. Team Effectiveness in Complex Organizations: Cross-disciplinary Perspectives and Approaches New York, NY: Taylor & Francis Group; 2009:39–79.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eduardo Salas PhD.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Salas, E., Lazzara, E.H., Benishek, L.E. et al. On Being a Team Player: Evidence-Based Heuristic for Teamwork in Interprofessional Education. Med.Sci.Educ. 23 (Suppl 3), 524–531 (2013). https://doi.org/10.1007/BF03341675

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03341675

Keywords

Navigation