Table 1
Overview of team characteristics in 23 care processes included in the valid sample, team size, fraction of women in team, age and professional group distribution and clinical procedure use in teams (N = 263).
| Care process | Team size | Valid responses | Age group | Functional group | Clinical procedure | ||||
|---|---|---|---|---|---|---|---|---|---|
| ≤39 | ≥40 | Reg. Nurse (somatic) | Physician | Therapy/other | In team | ||||
| N | N (%) | N (%) | N (%) | N (%) | N (%) | N (%) | N (%) | Yes/No | |
| 1. ADHD 11 | 10 | 4 (40%) | 3 (75%) | 2 (50%) | 2 (50%) | 1 (25%) | 0 (0%) | 3 (75%) | Yes |
| 2. ADHD 22 | 33 | 18 (54%) | 13 (72%) | 10 (56%) | 8 (44%) | 3 (17%) | 6 (33%) | 8 (44%) | Yes |
| 3. Hip arthroplasty | 9 | 5 (56%) | 4 (80%) | 4 (80%) | 1 (20%) | 2 (40%) | 1 (20%) | 2 (40%) | Yes |
| 4. Acute stroke | 19 | 16 (79%) | 13 (81%) | 8 (50%) | 8 (50%) | 8 (50%) | 4 (25%) | 4 (25%) | Yes |
| 5. Cerebral palsy, children | 14 | 11 (79%) | 11 (100%) | 1 (9%) | 10 (91%) | 0 (0%) | 0 (0%) | 11 (100%) | Yes |
| 6. Sinus surgery | 19 | 13 (68%) | 7 (54%) | 5 (38%) | 5 (38%) | 4 (31%) | 7 (54%) | 2 (15%) | No |
| 7. Diabetes treatment, children | 18 | 12 (67%) | 11 (92%) | 3 (23%) | 9 (75%) | 9 (75%) | 2 (17%) | 1 (8%) | Yes |
| 8. VT, diagnostic process and treatment3 | 16 | 16 (100%) | 10 (63%) | 11 (69%) | 4 (25%) | 10 (63%) | 4 (25%) | 0 (0%) | Yes |
| 9. Elective hip surgery | 20 | 16 (80%) | 12 (75%) | 4 (25%) | 12 (75%) | 9 (56%) | 5 (31%) | 2 (13%) | Yes |
| 10. Stroke | 10 | 5 (50%) | 4 (80%) | 2 (40%) | 3 (60%) | 1 (20%) | 0 (0%) | 4 (80%) | Yes |
| 11. In vitro fertilisation | 17 | 13 (77%) | 11 (85%) | 2 (15%) | 11 (85%) | 4 (31%) | 2 (15%) | 7 (54%) | Yes |
| 12. Knee arthroplasty | 15 | 9 (60%) | 7 (78%) | 2 (22%) | 6 (67%) | 5 (56%) | 0 (0%) | 4 (44%) | Yes |
| 13. Chronic Obstructive Pulmonary Disease | 26 | 15 (58%) | 10 (67%) | 11(73%) | 4 (27%) | 8 (53%) | 5 (34%) | 2 (13%) | No |
| 14. Lung cancer- diagnostic process | 21 | 10 (48%) | 6 (60%) | 7 (70%) | 3 (30%) | 4 (40%) | 5 (50%) | 1 (10%) | No |
| 15. Breast cancer surgery | 14 | 7 (50%) | 7 (100%) | 3 (43%) | 4 (57%) | 5 (71%) | 0 (0%) | 2 (29%) | Yes |
| 16. Tonsillectomy/adenotomy, children | 15 | 10 (67%) | 6 (60%) | 3 (30%) | 7 (70%) | 4 (40%) | 3 (30%) | 2 (20%) | Yes |
| 17. Arthroscopy knee, meniscus surgery | 25 | 15 (60%) | 5 (33%) | 8 (53%) | 7 (47%) | 5 (34%) | 8 (53%) | 2 (13%) | Yes |
| 18. Psychosis (planned admission) | 18 | 9 (50%) | 8 (89%) | 5 (56%) | 4 (44%) | 0 (0%) | 8 (89%) | 1 (11%) | Yes |
| 19. Psychosis (outpatient) | 14 | 9 (64%) | 5 (56%) | 4 (44%) | 5 (56%) | 0 (0%) | 6 (67%) | 3 (33%) | Yes |
| 20. Psychosis | 24 | 13 (54%) | 9 (69%) | 4 (31%) | 9 (69%) | 1 (8%) | 10 (77%) | 2 (15%) | Yes |
| 21. Stroke rehabilitation | 26 | 12 (46%) | 10 (83%) | 7 (58%) | 5 (42%) | 4 (33%) | 3 (25%) | 5 (42%) | Yes |
| 22. Tonsillectomy, adult | 15 | 8 (53%) | 5 (63%) | 4 (50%) | 4 (50%) | 2 (25%) | 5 (63%) | 0 (0%) | Yes |
| 23. Respiratory diseases, emergency department | 22 | 17 (77%) | 8 (47%) | 9 (53%) | 8 (47%) | 9 (53%) | 4 (24%) | 2 (12%) | Yes |
| 24. Total | 263 (52%) | 185 (70%) | 119 (45%) | 142 (54%) | 98 (37%) | 88 (33%) | 70 (27%) | ||
[i] 1 Attention-Deficit/Hyperactivity Disorder, diagnostic process 1.
2 Attention-Deficit/Hyperactivity Disorder, diagnostic process 2.
3 Venous thrombosis, diagnostic process and treatment.
Table 2
Relational Coordination Survey mean (standard deviation) communication and relationship subscale scores according to respondent’s functional group, sex, age group, and use of clinical procedures in 23 care processes (N = 263).
| Predictor variables | Communication | Relationship |
|---|---|---|
| Functional Group | ||
| Registered nurse (somatic) | 3.3 (0.67) | 3.7 (0.60) |
| Physician | 3.4 (0.78) | 3.8 (0.61) |
| Therapy/others | 3.6 (0.63) | 3.8 (0.61) |
| Sex | ||
| Male | 3.3 (0.72) | 3.9 (0.56) |
| Female | 3.5 (0.66) | 3.8 (0.62) |
| Age group | ||
| ≤39 | 3.3 (0.72) | 3.7 (0.64) |
| 40–49 | 3.4 (0.69) | 3.8 (0.54) |
| ≥50 | 3.5 (0.71) | 3.8 (0.61) |
| Clinical procedure | ||
| No | 3.1 (0.65) | 3.6 (0.53) |
| Under development | 3.6 (0.59) | 3.8 (0.44) |
| In use | 3.4 (0.72) | 3.9 (0.64) |
Figure 1
Relational Coordination Survey communication and relationship sub-scale scores within and between unique functional groups (N = 263).
| Communication sub-scale scores | Univariate | Multivariate | ||||
|---|---|---|---|---|---|---|
| Estimates | Estimates | |||||
| Individual predictors1 | B | 95%CI | p-value | B | 95%CI | p-value |
| Age (>= 40)2 | 0.05 | (–0.09, 0.19) | 0.479 | 0.05 | (–0.09, 0.19) | 0.505 |
| Sex3 | 0.09 | (–0.06, 0.24) | 0.228 | 0.12 | (–0.06, 0.29) | 0.188 |
| Use of clinical procedures4 | 0.18 | (–0.02, 0.37) | 0.081 | 0.20 | (0.00, 0.41) | 0.049 |
| Physician5 | 0.01 | (–0.14, 0.17) | 0.858 | 0.14 | (–0.04, 0.32) | 0.130 |
| Relationship sub-scale scores | Univariate | Multivariate | ||||
|---|---|---|---|---|---|---|
| Estimates | Estimates | |||||
| Individual predictors1 | B | 95%CI | p-value | B | 95%CI | p-value |
| Age (>= 40)2 | 0.04 | (–0.09, 0.18) | 0.533 | 0.06 | (–0.08, 0.20) | 0.407 |
| Sex3 | –0.17 | (–0.32, –0.03) | 0.019 | –0.10 | (–0.26, 0.07) | 0.259 |
| Use of clinical procedures4 | 0.09 | (–0.09, 0.28) | 0.328 | 0.11 | (–0.08, 0.30) | 0.269 |
| Physician5 | 0.18 | (0.03, 0.33) | 0.016 | 0.17 | (0.00, 0.34) | 0.051 |
[i] 1 Linear Mixed Effects Model, individual, random effect: team.
2 Reference category; age group ≤39.
3 Reference category; men.
4 Reference category; no clinical procedure in place.
5 Reference category; all other functional groups.
Table 4
Means (standard deviations) for Relational Coordination Survey communication and relationship sub-scale scores among 23 care processes included in the valid sample (N = 263).
| Care process | Communication | Relationship |
|---|---|---|
| Acute stroke | 4.3 (0.52) | 4.2 (0.52) |
| In vitro fertilization | 4.3 (0.34) | 4.5 (0.33) |
| Stroke treatment | 4.2 (0.47) | 4.0 (0.46) |
| Stroke rehabilitation | 4.2 (0.45) | 4.3 (0.49) |
| Hip fracture | 4.0 (0.53) | 4.5 (0.21) |
| Psychosis (outpatient) | 3.8 (0.62) | 3.8 (0.56) |
| Psychosis (planned admission) | 3.8 (0.51) | 3.9 (0.39) |
| Cerebral palsy, children | 3.8 (0.48) | 3.8 (0.49) |
| Attention-Deficit/Hyperactivity Disorder, diagnostic process 2 | 3.5 (0.36) | 4.1 (0.50) |
| Knee arthroplasty | 3.3 (0.69) | 3.4 (0.66) |
| Hip arthroplasty | 3.3 (0.55) | 3.9 (0.63) |
| Tonsillectomy/adenotomy, children | 3.3 (0.35) | 3.7 (0.35) |
| Psychosis | 3.2 (0.72) | 3.3 (0.60) |
| Breast cancer surgery | 3.2 (0.67) | 3.5 (0.71) |
| Chronic Obstructive Pulmonary Disease | 3.2 (0.45) | 3.7 (0.37) |
| Diabetes treatment, children | 3.2 (0.43) | 3.7 (0.24) |
| Attention-Deficit/Hyperactivity Disorder, diagnostic process 1 | 3.1 (0.36) | 3.9 (0.21) |
| Tonsillectomy, adult | 3.0 (0.75) | 3.6 (0.39) |
| Sinus surgery | 3.0 (0.55) | 3.6 (0.36) |
| Arthroscopy knee, meniscus surgery | 2.9 (0.76) | 3.7 (0.57) |
| Lung cancer- diagnostic process | 2.9 (0.55) | 3.6 (0.53) |
| Respiratory diseases, emergency department | 2.7 (0.50) | 3.2 (0.71) |
| Venous thrombosis, diagnostic process and treatment | 2.7 (0.34) | 3.3 (0.65) |
| Communication sub-scale scores | Univariate | Multivariate | ||||
|---|---|---|---|---|---|---|
| Estimates | Estimates | |||||
| Team specific predictors1 | B | 95%CI | p-value | B | 95%CI | p-value |
| Proportion of women2 | 1.68 | (0.51, 2.85) | 0.007 | 2.37 | (–0.10, 4.83) | 0.059 |
| Proportion of team members older than 403 | 0.46 | (–0.76, 1.67) | 0.445 | 0.01 | (–1.42, 1.45) | 0.984 |
| Use of clinical procedures4 | 0.21 | (–0.89, 1.31) | 0.694 | 0.34 | (–0.95, 1.63) | 0.579 |
| Proportion of physicians in the team5 | –0.32 | (–1.21, 0.56) | 0.460 | 0.81 | (–0.90, 2.53) | 0.323 |
| Team size6 | –0.02 | (–0.05, 0.02) | 0.416 | – | – | – |
| Relationship sub-scale scores | Univariate | Multivariate | ||||
|---|---|---|---|---|---|---|
| Estimates | Estimates | |||||
| Team specific predictors1 | B | 95%CI | p-value | B | 95%CI | p-value |
| Proportion of women2 | 0.99 | (0.12, 1.85) | 0.028 | 1.45 | (–0.41, 3.31) | 0.115 |
| Proportion of team members older than 403 | –0.05 | (–0.91, 0.81) | 0.912 | –0.31 | (–1.39, 0.77) | 0.550 |
| Use of clinical procedures4 | 0.53 | (–0.24, 1.29) | 0.167 | 0.58 | (–0.39,1 .55) | 0.219 |
| Proportion of physicians in the team5 | –0.25 | (–0.86, 0.37) | 0.418 | 0.57 | (–0.72, 1.86) | 0.359 |
| Team size6 | –0.01 | (–0.03, 0.02) | 0.678 | – | – | – |
[i] 1 Linear Regression Model, for team means.
2 Number of women in team/total number of team members.
3 Number of team members ≥40 years of age/total number of team member.
4 Reference category; no clinical procedure.
5 Number of physicians in team/total number of team members.
6 Total number of valid responses in the care process.