Emergency response team (ERT) member characteristics that contribute to High Reliability performance during patient care resuscitation events or other Critical Incident Management Situations are poorly understood. Findings from this study describe individual characteristics that experienced interprofessional ERT members perceive as contributing to High Reliability performance within the critical incident management context. This study supports the need for interprofessional research about emergency response teams’ High Reliability in hospital-based settings. ERT High Reliability, or “better than expected” team performance has been linked to overall patient care and safety. The purpose of this study was to identify and describe individual team member characteristics that contribute to High Reliability performance of ERT members and the overall emergency response team in a naturalistic setting during Critical Incident Management Situations. Using a qualitative descriptive design, data collection included participant observations, field notes, and interviews. Narrative data were audio-taped, transcribed and coded using Ethnograph v6©. Data content were analyzed thematically using inductive interpretive methods. Two major domains derived from the data were Self-Regulation and Whole-Team Regulation. The overarching theme, Orchestrating High Reliability at the Edge of Chaos, encompassed characteristics contributing to High Reliability performance of the ERT during Critical Incident Management Situations.

ABSTRAKT   Titel: Prestationsmätningar med individperspektiv – En fallstudie   Nivå: C-uppsats i ämnet företagsekonomi   Författare: Lisa Edman och Anna Edström   Handledare: Tomas Källquist och Stig Sörling   Datum: 2014-05   Syfte: Syftet är att belysa och skapa förståelse för hur verksamhetsledningar kan använda sig av prestationsmätningar med individperspektiv och vilket värde de kan tillföra verksamheter.   Metod: Studien har tillämpat en kvalitativ forskningsansats i form av en fallstudie. Primärdata har samlats in genom 15 kvalitativa halvstrukturerande intervjuer, respondenterna bestod av verksamhetens samtliga chefer på olika nivåer. Sekundärdata har främst samlats in utifrån vetenskapliga artiklar. Primärdata har sedan kopplats ihop med den teoretiska referensramen för att analyseras. Genom analysen har resultatet framkommit.   Resultat & slutsats: Hur verksamhetsledningar hanterar prestationsmätningar som mäts på individnivå är en balansgång. Balansgången sker mellan att kontinuerligt föra uppföljningar för att motivera anställda till att utveckla sin prestation och att styra anställda på ett sådant sätt att prestationsmätningarna riskerar att leda till att individerna i verksamheten känner sig övervakade och därigenom bidra till omotiverade anställda.    Förslag till fortsatt forskning: I studien har samtliga respondenter besuttit en chefsposition. I vår mening vore det intressant att studera uppfattningen om prestationsmätningar ur ett individperspektiv hos anställda utan en chefsposition.   Uppsatsens bidrag: Det finns både för-och nackdelar med att använda sig av prestationsmätningar för varje individ. Resultatet av användandet beror på hur verksamhetsledningen förmedlar prestationsmätningarnas utfall till de anställda individerna. / ABSTRACT   Title: Performance measurement with individual perspective – A case study   Level: Final assignment for Bachelor Degree in Business Administration   Author: Lisa Edman och Anna Edström   Supervisor: Tomas Källquist och Stig Sörling   Date: 2014-05   Aim: The aim of this study is to illustrate and create a greater understanding for how management in organizations can use performance measurements with an individual perspective and what value it brings to the organization.   Method: This Study applied a qualitative research method in the form of a case study. Primary data has been collected through 15 qualitative half structured interviews, the respondents comprised of all the managers in the organization. Secondary data has been collected mainly from scientific journals. The primary data has been subsequently linked with the theoretical framework for the discussion and analysis. Through the analysis the results of the study has emerged.   Result & Conclusions: How management operates with performance measurements at an individual level is a balancing act. The balancing act consists of continuously follow-ups with the ambition to motivate employees to develop their performance and to control employees with the performance measurements which could lead to the experience for the individuals to feel monitored in a way that could lead to employees feeling a lack of motivation.   Suggestions for future research: In this study all the respondents possessed a manager position. I our point of view it would be interesting to further study the conception about performance measurements through an individual perspective by the employees in on organization without a manager position.   Contribution of the thesis: There are both advantages and disadvantages to the use of performance measurements for each individual. The success of the use depends on how management communicates the outcomes of the performance measurements to each individual.

Bakgrund: Skolsköterskan är en del i elevhälsoteamet. Elevhälsoteamet har med sin tvärprofessionella kompetens möjlighet att fånga olika perspektiv för att kunna sätta in rätt insatser för elever. Informationsutbytet inom teamet har dock visat sig vara en utmaning för att nå god samverkan. Skolsköterskans arbete innebär en känslig balans mellan att bidra till elevhälsoteamets arbete, att hålla sekretessen och värna om elevens värdighet och integritet. Syfte: Att undersöka skolsköterskors uppfattning om vad sekretessen har för betydelse i arbetet i elevhälsoteamet. Metod: Fenomenografisk metod med induktiv ansats. Åtta informanter deltog genom att besvara kvalitativt utformade frågor via mail. Datan analyserades med fenomenografins analysmetod i sju steg. Resultat: Skolsköterskorna uppfattade att det fanns olika uppfattningar och kunskaper kring sekretessen vilket påverkade informationsutbytet. Sekretessen uppfattades också som en isolerande faktor då skolsköterskorna kände sig ensamma i sin profession. Genom behovet av medgivande uppfattades sekretessen som en fördröjande omständighet i elevärenden. Skolsköterskorna beskrev att sekretessen ökade tilliten från elever och vårdnadshavare och att tilliten var viktig för att få medgivande och därmed eliminera det eventuella hinder som sekretessen kunde orsaka. Konklusion: Med utgångspunkt i ett etiskt förhållningssätt uppfattade skolsköterskorna sekretessen ibland som ett hinder i elevhälsoteamsarbetet men som värdefull i relationen med elev och vårdnadshavare. / Background: The school nurse is part of the student health team. With its interdisciplinary skills, the student health team is able to identify different perspectives in order to put in place the right efforts for pupils. However, the information exchange in the team has proved to be a challenge for achieving good cooperation. The school nurse’s work involves a sensitive balance between contributing to the work of the student health team, keeping confidentiality and protecting student’s dignity and integrity. Purpose: To investigate the school nurse’s perception of the impact of secrecy on the work of the student health team. Method: Phenomenographic method with inductive approach. Eight subjects participated by answering qualitatively formulated questions by mail. The data was analyzed by the methodology of the phenomenon in seven steps. Result: The school nurses perceived that there were different perceptions and understandings about secrecy, which affected the exchange of information. Secrecy was also perceived as an isolating factor when the school nurses felt alone in their profession. Due to the need for consent, confidentiality was perceived as a delayed circumstance in order to help students. School nurses reported that confidentiality increased trust from students and guardians and that trust was important in order to obtain consent, thus eliminate the possible barriers that secrecy could cause. Conclusion: Based on ethical approach, the school nurses perceived confidentiality as an obstacle in student health team work but as valuable in the relationship with student and guardians.

Att handleda studenter på klinisk undervisnings avdelning (KUA) har bedrivits under ett tjugotal år. Studenter från olika utbildningsprogram inom hälso- och sjukvårdsutbildningar utvecklar sin interprofessionella kompetens under en tvåveckorsperiod. Studier visar att interprofessionellt lärande ger studenter en möjlighet att dels få en helhetssyn av patientens vårdbehov dels ökar förståelsen för varandras yrkesroller och kunskaper. Få studier har fokuserat på handledarnas erfarenheter inom detta ämne och om sin roll på KUA. Studiens syfte var att beskriva fenomenet KUA handledare genom handledares uppfattning om rollen som interprofessionell handledare och interprofessionellt lärande på KUA. En kvalitativ metod användes och 19 interprofessionella handledare från professionerna, arbetsterapi, läkare, sjukgymnast och sjuksköterska intervjuades individuellt. Texterna bearbetades och analyserades utifrån innehållsanalys. Utifrån analysen identifierades tre kategorier, ”handledaren”, ”handledningen” och ”KUA konceptet”. Det visade sig att interprofessionella handledare har ett genuint intresse och engagemang för handledning, studenter, pedagogik och samarbete. Olika strategier används i den interprofessionella handledningen. Handledarna arbetar med teamet i fokus dels för studenters lärande, dels för att visa på teamets betydelse för patientens vård i hälso- och sjukvård. KUA konceptet kräver både tid och engagemang av handledarna men uppfattas som ett bra koncept där studenterna tillsammans kan utveckla det interprofessionella samarbetet. Handledarnas inställning till studenters lärande och handledning gör skillnad i handledningen. Att vara interprofessionell handledare kräver kunskaper om såväl pedagogik som grupp och grupprocess. Studentteamens kunskaper driver KUA vilket påverkar handledningen. KUA konceptet har en positiv inverkan på handledarna och interprofessionell handledning uppfattas som stimulerande och utmanande. / Supervising students in a clinical training ward (CTW) has been used for some 20 years. Studies show that interprofessional learning gives students an opportunity to get a comprehensive view of a particular patient’s health-care needs, as well as an increased and mutual understanding of their colleague’s position and knowledge. Only a few studies have focused on the supervisor’s view of his or her own role within the activity of the CTW. The purpose of the study was to describe the CTW supervisor and his or her own perception of her role as an interprofessional supervisor as well as to describe interprofessional learning on its own at the CTW. A qualitative method was used, and 19 interprofessional supervisors from and within occupational therapy, along with physicians, physiotherapists, and nurses, were interviewed. The texts were content-analysed. Three categories were identified: ‘the supervisor’, ‘the supervision’, and ‘the concept of CTW’. It turned out that the interprofessional supervisor has a genuine interest and commitment to supervise, to work pedagogically, to collaborate, and to work with students. The supervisors all used different strategies, and they worked with the team in focus, partly for the benefit of the students but also to show the team’s importance in relation to the patient’s health care situation. The CTW concept requires lots of time and dedication from the supervisor, but it is perceived as a good concept where students can develop interprofessional collaboration. The supervisor’s understanding and approach to student learning makes a huge difference in the process of supervision. Being an interprofessional supervisor requires a pedagogical knowledge and understanding of a group and of the group process. The student’s team knowledge influences the CTW, which affects the supervision. The concept of the CTW has a positive impact on the supervisors, and the interprofessional supervision is perceived to be stimulating and challenging.

Research has been conducted regarding what relationship demographic diversity have to organisational ambidexterity and team resilience; however never at the same time. This research adds a new context, to this field of research since research has never, to our knowledge, been conducted in a school context. The purpose with this thesis is to explain what relationships gender, age, cultural and tenure diversity have on organisational ambidexterity and team resilience. A cross-sectional research design was used, because of the positivist and deductive approach. The method consisted of a quantitative part in the form of a web based self-completion questionnaire mediated by email, to upper secondary schools, in five Counties, with a minimum of three managers. The qualitative part was in the form of three in-depth interviews, two with School Directors and one with a registrar. The findings shows that gender, culture have a negative relationship to organisational ambidexterity, and age have a positive relationship when moderated by shared vision. The limitations are that only schools with a minimum of three top managers were chosen; the results thereby lack generalisability in other contexts. The implications are that shared vision, when applied to an upper secondary school context seem to decrease in importance and suggestibility. The original value of the conducted study is new insights regarding the relationships demographic diversities have on organisational ambidexterity and team resilience; the choice to conduct the test in a school context.

Bakgrund: Västvärlden har hög medellivslängd vilket inte bara innebär att människor är friska utan att de också finns många som lever med svåra sjukdomar och stort lidande. I Australien startades den Mobila Intensivvårds Gruppen, MIG-team för att minska dödlighet av akut sviktande patienter, som sedan infördes runt om i världen.   Syfte: Syftet med denna litteraturstudie var att beskriva sjuksköterskornas upplevelser av den mobila intensivvårdgruppen (MIG-team) samt National Early Warning Score (NEWS), samt beskriva de inkluderade artiklarnas datainsamlingsmetod.   Metod: Beskrivande litteraturstudie. De inkluderade vetenskapliga artiklarna söktes fram i databasen PubMed. Elva artiklar inkluderades som svarade på syftet. Artiklarna inkluderade både kvalitativ och kvantitativ ansats.   Huvudresultat: Många sjuksköterskor ansåg att kommunikationen var viktig. NEWS – National Early Warning Score sågs som ett viktigt verktyg för att effektivisera patientvården då kommunikationen blev snabb och exakt mellan sjuksköterskan och MIG-team. Detta ökade även patientsäkerheten genom att både hjärtstoppslarm och dödsfall har minskat. Sjuksköterskorna önskar överlag mer utbildning för att stärka den egna kompetensen. Det har påvisats att en del av sjuksköterskorna känner sig osäkra att hantera NEWS samt att de känner sig osäkra vid vilken tidpunkt de bör kontakta MIG-team. Osäkerheten skulle med största sannolikhet minska om de fick tillgång till mer utbildning samtidigt som det skulle stärka teamarbetet kring patienten. Datainsamlingsmetoderna i de inkluderade studierna var ett flertal intervjuer, en observationsstudie och datainsamlingar från olika dataprogram.   Slutsats: Kommunikation har visat sig ha stor betydelse både för att säkerhetsställa patientarbete och främja teamarbete i personalgruppen. Införande av NEWS och MIG-team runt om i världen har visats minska hjärtstopplarm och dödligheten på sjukhus, vilket skulle kunna motivera till ytterligare utbildning för sjuksköterskor i NEWS och MIG-team. / Background: In the west world it is a high life expectancy, which not only means thatpeople are healthy but that they also are many who are living with serious illnesses andgreat suffering. The Mobile Intensive Care Group (MIG team) started in Australia toreduce mortality from acute fragile patients, who then introduced around the world. Aim: To describe the nurse´s experiences of Rapid Response Team (MIG-team), andthe National Early Warning Score (NEWS), and to describe the data collection of theincluded articles. Methods: A literature study with descriptive design. The included scientific articleswere sought out in the PubMed database. Eleven articles were included who answeredthe aim. The articles included both qualitative and quantitative approach. Results: Many of the nurse´s concider that the communication was important. NEWSseen as an important tool to streamline patient care when communication was fast andaccurately between the nurse and the MIG- team. This also increased patient safety,which showed that both cardiac arrest alarm and deaths have declined. Nurses wishgenerally more education to enhance their skills. It has been demonstrated that some ofthe nurses feel insecure dealing with NEWS and that they feel uncertain when theyshould contact MIG -Team. The uncertainty would most likely decrease if they hadaccess to more education while it also would strengthen the teamwork around thepatient. Data collection methods in the included studies were several interviews, oneobservational study and data collection from various data programs. Conclusion: Communication has proved to be very important both to the collateralpatient work and promote teamwork in the personnel group. Introduction of NEWS andMIG teams around the world have been shown to reduce cardiac alarms and mortality inhospitals, which could warrant additional training in the MEWS and MIG team for thenurse´s.

The purpose of this study, a quasi experimental design, was to investigate the relationship between team leader behavior and team performance and satisfaction. This field research tested leader behavior dimensions from two theoretical models of team effectiveness: Hackman's (1992) "expert available coaching," and Cohen's (1994) "encouraging supervisory behaviors." The relationship between coaching behaviors and team performance, employee, and customer satisfaction was assessed. Manager behavior was assessed with the SMT Leader Survey (Burress, 1994), an instrument determined appropriate for team environments, that measures Communication, Administration, Leadership, Interpersonal Skills, Thinking, and Flexibility. Employee satisfaction and performance information was archival data provided by the organization. The results demonstrated that leader behavior is a less important component of team effectiveness than initially expected. Even though direct customer interaction was 25% of these manager jobs and considered the organization's most important predictor of corporate profitability, no relationship between leader behavior and customer satisfaction was found. Among the key findings was, that while flexibility differentiated leader behavior more than any other scale, its relationship with both team performance and team satisfaction was negative. Interpersonal skills were positively associated with team performance, while leadership was positively associated with team performance and satisfaction. The SMT data were factor analyzed and formed into three factors. Two were historical leadership constructs: consideration (which correlated positively with employee satisfaction) and structure. A third factor, decisiveness, was negatively related to team performance. This research determined some essential skills for managing high performance teams and improving employee satisfaction. The results indicate that managers in a team environment may need to alter their roles if high performance and employee satisfaction are organizational objectives. Possibilities include building and developing the corporation's business, creating in depth relationships with customers, and establishing alliances and partnerships with other organizations. These roles will require new manager skills which have the potential to increase manager job satisfaction and augment manager value to the corporation.

Team-based management is a popular contemporary method of redesigning jobs in order to more effectively utilize the human potential of employees. The use of such management techniques should result in increased satisfaction and team commitment; however, many research studies have failed to demonstrate increases in affective outcomes on the part of the employee. The research question examined in this study is, "What specific job dimensions and situational factors result in higher levels of satisfaction and team commitment?" The Job Characteristics Model (Hackman & Oldham, 1975) provided a basis for this study. The model was designed for individual contributors and has not been extensively used in team research. As expected it was found that within a team-based environment higher levels of the five core job dimensions of skill variety, task identity, task significance, autonomy, and job feedback were associated with increased satisfaction and team commitment. Organization-based self-esteem was found to mediate the relationship between the five core job dimensions and the affective outcome variables. Contrary to expectations, however, it was found that consultative team members experienced higher levels of satisfaction and commitment than substantive team members. In addition, consultative team members reported higher levels of two core job dimensions, skill variety and task significance, and on the overall Job Diagnostic Survey than did substantive team members. These findings have significant implications for companies undergoing organizational redesign and questions whether those companies should implement advanced levels of employee involvement activities if the organizational goal is to increase satisfaction and commitment. The study employed a survey research design in which data was collected using a self-report questionnaire. A heterogeneous sample of 183 team members participating in either a consultative and substantive team from four different companies in nine locations provided the data for this field survey. Multivariate analyses, including hierarchial set regression, were used to test the hypotheses.

There is a lack of academic research on sales teams, despite team selling becoming more prominent in recent years. Particularly in Inside Sales, there is a lack of clarity as to what are the drivers of optimum team-based selling and their degree of effect on sales performance. We utilize a team-based approach that aims to study the characteristics of Inside Sales teams and their interactions with business leads, using data from a well-reputed leads management software vendor. Based on prior team-based constructs in the literature, we built a framework that posits Quality of Team Composition, Task Utility and Intra-team Coordination leading to different categories of sales performance at various stages of the sales pipeline via their reflective variables. We tested our conceptual model in the following fashion: first, we used text mining on sales results to classify the different stages of the sales pipeline. Following that, we measured the conversion ratio at each stage as appropriate. Next, we discretized each conversion ratio into three levels of performance groups. The outcome variables in the model are different categories of team performance at each stage of the sales pipeline. Subsequently, we used multinomial logistic regression to regress our outcome variables on our team-based predictor variables in the hopes of establishing and validating important drivers for nuanced Inside Sales success. We uncovered new insight regarding team-selling best practices, using pre-identified constructs from the literature which are uniquely suited to teams and also constructs which are aggregated at a team level from an individual level. Our study is especially relevant to the Inside Sales process, as the outcome measures relate to the sales pipeline. Our main finding was that in there is a difference in skills required at different stages of the sales pipeline, in that more customization and experience is needed at the more advanced stages, whereas more repetition of activity is needed at the beginner stages. We also found that smaller team sizes tend to do better in Inside Sales, which was an unsettled research question in team research with plenty of evidence in favor of both smaller and bigger teams. Additionally, even if it was not a primary goal of our study, by virtue of classifying the leads by their final outcomes, we stumbled across an interesting finding, which is that an overwhelming majority of the sales leads tend to stay at one stage in their entire lifecycle. The implications of all our findings are very relevant to both practitioners and researchers of Inside Sales who are interested in team-based sales optimization. More research should be done in the field of Industrial Marketing, building upon what we found to be true for the B2B sector.

Due to globalization and increasing complexity within the business environment, teams have become a way of life for many organizations in order to generate higher performance and sustain competitive advantage. Organizations, however, may fail to fully benefit from teams despite all the investment and efforts that they make. Herein, we believe that a possible way to cope with these failures might be establishing an understanding that individuals’, particularly team members’ need for autonomy within teams through accomplishing self-discipline and managing their emotions and behaviors. Therefore, our purpose in this study is to investigate the relationship between individuals’ emotional intelligence and their self-leadership ability in the context of team performance. In line with this purpose, we find plausible to employ conceptual research approach in order to build an integrated and logical model, with proposed hypotheses, which could be used as a departure point for the researchers and their empirical studies in the future. Through this model, we argue that individuals’ emotional intelligence has a positive impact on the self-leadership ability and its three strategies, which are behavior focus strategy, natural reward strategy, and constructive thought patterns strategy, by managing and regulating one’s own and other’s emotions. Hence, as suggested, the association of emotional intelligence and self-leadership can influence team communication, team trust, team learning and team creativity positively thus it may enhance the overall team performance.