Teamwork is fundamental in rehabilitation, yet research on team structure and function is lacking. The Teamwork Assessment Profile (TAP) is a rehab specific survey instrument for team dynamics used before and after institution of a novel team format, Issue Oriented Rehabilitation Staffing (IORS), on a rehabilitation unit. With IORS, a “Person Responsible” leads each “Issue.” Highly structured team meetings focus on team coordination, not reporting or documentation. Statistically significant team dynamic changes occurred on the TAP after IORS, including team interdependence, length of staffing, and percent of staffing time viewed as useful. Sample size and uncontrolled covariables limit conclusions, but the TAP demonstrated face validity. IORS is a viable staffing format. Measurement of team dynamics may improve quality and efficiency of rehabilitation teams.
This is a preview of subscription content, log in to check access.
Fordyce, W. E. (1981). ACRM presidential address: On interdisciplinary peers. Arch. Phys. Med. Rehab. 62: 51-53.
Given, B., and Simmons, S. (1977). The interdisciplinary health-care team: Fact or Fiction? Nursing Forum 16(2): 165-184.
Haig, A. J., Nagy, A., LeBreck, D. B., and Stein, G. L. (1995). Outpatient planning for persons with physical disabilities: A randomized prospective trial of physiatrist alone versus a multidisciplinary team. Arch. Phys. Med. Rehab. 76: 341-348.
Halstead, L. S. (1976). Team care in chronic illness: A critical review of the literature of the past 25 years. Arch. Phys. Med. Rehab. 57: 507-511.
Hintze, J. L. (1987). Number Cruncher Statistical System Version 5.01, Kaysville, Utah.
Keith, R. A. (1991). The comprehensive treatment team in rehabilitation. Arch. Phys. Med. Rehab. 72: 269-274.
Magrun, W. M., and Tigges, K. N. (1982). A transdisciplinary mobile intervention program for rural areas. Am. J. Occup. Ther. 36: 90-94.
McEachern, J. E., Makens, P. K., Buchanan, E. D., et al. (1991). Quality improvement: An imperative for medical care. J. Occup. Med. 33: 365-371.
Melvin, J. L. (1988). Status report on interdisciplinary medical rehabilitation. Arch. Phys. Med. Rehab. 79: 272-276.
Nagi, S. Z. (1975). Teamwork in health care in the U.S.: A sociological perspective. Milbank Memorial Fund Quarterly. Winter: 75-91.
Purtillo, R. B., and Meier, R. H., III. (1993). Team challenges: Regulatory constraints and patient empowerment. Am. J. Phys. Med. Rehab. 72: 327-330.
Purtillo, R. B. (1988). Ethical issues in teamwork: The context of rehabilitation. Arch. Phys. Med. Rehab. 69: 318-322.
Rothberg, J. S. (1985). The 34th John Stanley Coulter Memorial Lecture. The interdisciplinary process: Is it a chimera for clinical practice and for the ACRM? Arch. Phys. Med. Rehab. 66: 343-347.
Rothberg, J. S. (1982). The rehabilitation team: Future direction. Arch. Phys. Med. Rehab. 62: 407-410.
Strasser, D. S., Falconer, J. A., and Martino-Saltzmann, D. (1994). The rehabilitation team. Staff perceptions of the hospital environment, the interdisciplinary team environment and interprofessional relations. Arch. Phys. Med. Rehab. 75: 177-182.
Wanless, R. L., Reutter, S. L., and Kline, A. E. (1992). Communication among rehabilitation staff: “Mild,” “moderate” or “severe” deficits? Arch. Phys. Med. Rehab. 73: 477-481.
About this article
Cite this article
Haig, A.J., LeBreck, D.B. Measurement of Change in Rehabilitation Team Dynamics With the Team Assessment Profile (TAP). International Journal of Rehabilitation and Health 5, 71–83 (2000). https://doi.org/10.1023/A:1012915404648