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Building Your Team

Building Your Team

Author: Sophia Tutorial

Building Your Team

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Developing Effective Teams

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*No strings attached. This college course is 100% free and is worth 1 semester credit.

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* The American Council on Education's College Credit Recommendation Service (ACE Credit®) has evaluated and recommended college credit for 33 of Sophia’s online courses. Many different colleges and universities consider ACE CREDIT recommendations in determining the applicability to their course and degree programs.


what's covered
This lesson will identify effective methods for building your team. Specifically, it will cover:
  1. Building a Team in Healthcare
  2. Team Effectiveness Pyramid

1. Building a Team in Healthcare

In healthcare, team members are hired based on work experience and education. Healthcare delivery is increasingly based on healthcare teams, with an emphasis on coordination among providers from different disciplines (Miller, Kim, Silverman, & Bauer, 2018).

Depending on your position within a healthcare organization, teams may consist of RNs, PCTs, RTs, PT/OT, Food and Nutrition, Laboratory, and providers/practitioners. Interdisciplinary or multidisciplinary teams involve one or more academic disciplines or fields of study.

Good team functioning is associated with improved patient outcomes, heightened staff satisfaction, and reduced burnout. In contrast, poor team functioning is associated with poor patient care through adverse events, lack of coordination, and spiraling costs. Cain, Frazer, and Kilaberia (2018) state healthcare workers are expected to encounter and work with professional and team-based identities, and that can lead to confusion and conflict.

According to Pype, Mertens, Helewaut, and Krystallidou (2018), interdisciplinary teams are viewed as a complex adaptive system (CAS). CAS focuses on the team members' interactions rather than the characteristics of individual team members (Pype et al.).

big idea
For healthcare professionals, it is important to understand how multiple identities in the workplace can sustain team-based work that is supportive and yet sometimes challenging.

2. Team Effectiveness Pyramid

When working as a team from an interdisciplinary or multidisciplinary approach, projects and high-quality patient care are achieved. "Team-based healthcare is the provision of health services to individuals, families and/or their communities by at least two health providers who work collaboratively with patients and their caregivers—to the extent preferred by each patient—to accomplish shared goals within and across settings to achieve coordinated, high-quality care" (Miller et al., p.147).
The guiding conceptual model is the Team Effectiveness Pyramid. The Team Effectiveness Pyramid was developed based on building effective healthcare teams (Miller et al.).
Team Effectiveness Pyramid


Pyramid Level Description
Level 1:
Foundational Resources
Includes a supportive organizational context, staffing, space, psychological resources (civility, mutual respect), and psychological safety
Level 2:
Team-Building Interventions
Involves improved knowledge of teamwork principles and improved attitudes toward teamwork
Level 3:
Enhances Team Functioning
Consists of role clarity, improved coordination and communication, shared purpose and goals, and the capacity to improve processes
Level 4:
Patient Impact
Includes patient outcomes and patient satisfaction

Building an effective interdisciplinary or multidisciplinary team, whether it is for working on the nursing units or team projects, takes time and consideration. Be mindful of the process because, in the long run, the outcome is for patient safety and satisfaction.

Authored by Kerrie Roberson, DHA, MBA, MSN, BSN, RN-BC, CMSRN, WAAD