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J Emerg Nurs. 2017 Jul;43(4):339-346. doi: 10.1016/j.jen.2016.11.007. Epub 2017 Mar 30.

Teammate Familiarity, Teamwork, and Risk of Workplace Injury in Emergency Medical Services Teams.

Author information

1
Houston, TX; Pittsburgh, PA; Buffalo, NY; Boston, MA; New Orleans, LA; Daytona Beach, FL; Charleston, SC.
2
Houston, TX; Pittsburgh, PA; Buffalo, NY; Boston, MA; New Orleans, LA; Daytona Beach, FL; Charleston, SC. Electronic address: pattersonpd@upmc.edu.

Abstract

INTRODUCTION:

Increased teammate familiarity in emergency medical services (EMS) promotes development of positive teamwork and protects against workplace injury.

METHODS:

Measures were collected using archival shift records, workplace injury data, and cross-sectional surveys from a nationally representative sample of 14 EMS agencies employing paramedics, prehospital nurses, and other EMS clinicians. One thousand EMS clinicians were selected at random to complete a teamwork survey for each of their recent partnerships and tested the hypothesized role of teamwork as a mediator in the relationship between teammate familiarity and injury with the PROCESS macro.

RESULTS:

We received 2566 completed surveys from 333 clinicians, of which 297 were retained. Mean participation was 40.5% (standard deviation [SD] = 20.5%) across EMS agencies. Survey respondents were primarily white (93.8%), male (67.3%), and ranged between 21-62 years of age (M = 37.4, SD = 9.7). Seventeen percent were prehospital nurses. Respondents worked a mean of 3 shifts with recent teammates in the 8 weeks preceding the survey (M = 3.06, SD = 4.4). We examined data at the team level, which suggest positive views of teamwork (M = 5.92, SD = 0.69). Our hypothesis that increased teammate familiarity protects against adverse safety outcomes through development of positive teamwork was not supported. Teamwork factor Partner Adaptability and Backup Behavior is a likely mediator (odds ratio = 1.03, P = .05). When dyad familiarity is high and there are high levels of backup behavior, the likelihood of injury is increased.

DISCUSSION:

The relationship between teammate familiarity and outcomes is complex. Teammate adaptation and backup behavior is a likely mediator of this relationship in EMS teams with greater familiarity.

KEYWORDS:

Familiarity; Injury; Safety; Team; Teamwork

PMID:
28366241
DOI:
10.1016/j.jen.2016.11.007
[Indexed for MEDLINE]

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