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What Makes a Good Team?
Dr Aaron McManus ST2 GP AiT21st September 2010
Who Are The Teams?
Doctors• Diagnose• Treatment plans• Prescribe• Operate• Discharge
Admin staff
• Running ward• Hygiene• Staff management• Bed manager
All have different jobs and potentially different individual objectives
Nurses
• Patient comfort• Administer drugs• Co-ordinate ward
How Do Teams Interact?
CommonPurpose
Doctors
Diagnose Treatment plans Prescribe Operate Discharge
Admin staff Running ward Hygiene Staff management Bed manager
Nurses
Patient comfortAdminister drugsCo-ordinate ward
Achieve best possible patient care as efficiently as possible
A Typical Team• Six members• How many relationships?• 30 relationships
• Add one new member• How many relationships?• 42 relationships
• One new member results in 12 additional relationships
Team Member Traits
• Team dynamics– Personality– Chemistry– Experience– Social group– Prejudice
• Recognising– Different jobs– Different individual objectives– Different learning styles
Hopefully all striving towards a COMMON PURPOSE!!!
Individual Learning Styles
-20
-15
-10
-5
0
5
10
15
20
-20 -15 -10 -5 0 5 10 15 20
Activist
Pragmatist
Reflector
Theorist
Individual Learning Styles
-20
-15
-10
-5
0
5
10
15
20
-20 -15 -10 -5 0 5 10 15 20
Activist
Pragmatist
Reflector
Theorist
Teams In ActionForming• High dependency on leader for direction
• Little agreement on team aims
• Roles and responsibilities unclear
• Many questions about team purpose
• Processes often ignored
• Members test the tolerance of the system
Storming• Decisions don’t come easily within the group
• Team members vie for position
• Clarity of purpose increases
• Lots of uncertainties persist
• Cliques and factions form
• Leader coaching demand increases
Norming• Less dependency on leader for direction
• More agreement and consensus
• Big decisions made by team
• Smaller decisions delegated to individuals
• Commitment and unity strong
• Engagement in fun and sociable activities
• Leader facilitates rather than leads
Performing• Team more strategically aware of common purpose
• High focus on over-achieving goals
• Teams makes decisions on goals agreed with leader
• High degree of autonomy
• Disagreements resolved quickly and positively
• Leader delegates and oversees
• Motivation is high
High Performance Teams• Motivated
• Focus on over-achievement
• Good collaboration on major decisions
• Continuously improving processes
• Able to bond and overcome differences
• Leader able to take more of a back role
• Successional planning should be the norm
Low Performing Teams• Do not address the
underlying problems• Leader may not be strong
enough in the forming / storming stage
• Politics take over• Continuous lack of clarity
and purpose• Motivation will be low• Performance suffers
Thank You
Any questions?