Team cohesion in intensive care nursing: at the interface of nurse self-concept and unit structure

Minna Paunova, Jason Li-Ying

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    Team cohesion is a critical factor in the provision of high-quality care, yet its antecedents remain understudied, particularly in the context of some healthcare professional groups where structural and individual constraints coexist, and demand for high quality performance is prevailing. In this study, we focus on the nursing group in intensive care units (ICU). Not researched, yet important for employee attitudes towards their workplaces and workgroups, is the interface between the characteristics of individual care providers and those of the teams and organizations in which they are employed. This study examines the effects of three levels of self-concept– individual, relational, and collective–and ICU structural characteristics such as size (number of nurses), nurse training profile, and number of beds. These factors are investigated as they jointly shape the degree to which nurses perceive their teams as cohesive. A multi-source and multi-level study of approximately 140 nurses employed in 20 ICUs across Denmark demonstrates the critical role of self-concept in easing and enhancing the constraints workplaces impose on team cohesion. Furthermore, the study confirms the positive relationship between overall team member-rated cohesion and manager-rated quality of care. Hence, understanding the interplay among self-concept, ICU structural characteristics, and team cohesion is highly relevant to enhancing quality of care.
    Original languageEnglish
    Title of host publicationThe Academy of Management Annual Meeting 2017
    Number of pages6
    PublisherDesign Society
    Publication date2017
    Publication statusPublished - 2017
    Event77th Annual meeting of the Academy of Management: At the Interface - Georgia, Atlanta, United States
    Duration: 4 Aug 20178 Aug 2017
    Conference number: 77


    Conference77th Annual meeting of the Academy of Management
    CountryUnited States
    Internet address
    SeriesAcademy of Management Proceedings

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