Individual versus interprofessional team performance in formulating care transition plans: A randomised study of trainees from five professional groups

摘要

Health professions trainees' performance in teams is rarely evaluated, but increasingly important as the healthcare delivery systems in which they will practice move towards team-based care. Effective management of care transitions is an important aspect of interprofessional teamwork. This mixed-methods study used a crossover design to randomise health professions trainees to work as individuals and as teams to formulate written care transition plans. Experienced external raters assessed the quality of the written care transition plans as well as both the quality of team process and overall team performance. Written care transition plan quality did not vary between individuals and teams (21.8 vs. 24.4, respectively, p=0.42). The quality of team process did not correlate with the quality of the team-generated written care transition plans (r=-0.172, p=0.659). However, there was a significant correlation between the quality of team process and overall team performance (r=0.692, p=0.039). Teams with highly engaged recorders, performing an internal team debrief, had higher-quality care transition plans. These results suggest that high-quality interprofessional care transition plans may require advance instruction as well as teamwork in finalising the plan.