Our current understanding of medical team competence is traditionally influenced by an individualistic perspective focusing on individual team members’ knowledge, skills as well as on effective communication within the team. However, team dynamics may influence team performance more than previously anticipated. In particular, recent studies in other academic disciplines suggest that social ties between team members may impact team dynamics but this has not been explored for medical teams. We aimed to explore intensive care staff’s perceptions about teamwork and performance in clinical emergencies focusing particularly on the teams’ social ties. Semi-structured interviews were conducted with a purposive sample of intensive care staff. We used a thematic analysis approach to data interpretation. Thematic saturation was achieved after three group interviews and eight individual interviews. Findings demonstrated that social ties influenced teamwork by affecting the teams’ ability to co-construct knowledge, coordinate tasks, the need for hierarchy, the degree to which they relied on explicit or implicit communication, as well as their ability to promote adaptive behavior. Social ties may be an important factor to consider and acknowledge in the design of future team training, as well as for work planning and scheduling of team activities during clinical practice. More research is needed into the causal effect of social ties on team performance and outcome.

中文翻译：

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在处理临床紧急情况时，社会纽带会影响团队合作

传统上，我们目前对医疗团队能力的理解受到个人主义观点的影响，这种观点侧重于各个团队成员的知识，技能以及团队内部的有效沟通。但是，团队动态可能比以前预期的更多地影响团队绩效。特别是，最近在其他学科中的研究表明，团队成员之间的社交关系可能会影响团队动力，但尚未针对医疗团队进行探讨。我们旨在探讨重症监护人员对团队合作和在临床紧急情况下的表现的看法，重点关注团队的社会纽带。半结构化访谈是针对性的重症监护人员样本进行的。我们使用主题分析方法进行数据解释。经过三次小组访谈和八次个人访谈后，主题达到了饱和。研究结果表明，社会纽带通过影响团队共同构建知识，协调任务的能力，对等级的需求，他们对显性或隐性交流的依赖程度以及促进适应性行为的能力来影响团队合作。在将来的团队培训设计中，以及在临床实践期间进行团队活动的工作计划和安排时，社会关系可能是要考虑和认可的重要因素。需要进一步研究社会关系对团队绩效和结果的因果关系。对等级的需求，他们对显式或隐式沟通的依赖程度以及促进适应性行为的能力。在将来的团队培训设计中，以及在临床实践期间进行团队活动的工作计划和安排时，社会关系可能是要考虑和认可的重要因素。需要进一步研究社会关系对团队绩效和结果的因果关系。对等级的需求，他们对显式或隐式交流的依赖程度以及促进适应性行为的能力。在将来的团队培训设计中，以及在临床实践期间进行团队活动的工作计划和安排时，社会关系可能是要考虑和认可的重要因素。需要进一步研究社会关系对团队绩效和结果的因果关系。