Purpose: Shared mental models (SMMs) represent commonly held understandings of task and team related knowledge within a team. Thought to facilitate implicit and adaptive coordination without the need for explicit communication, the construct has been thoroughly studied in non-health care settings. There has been increasing interest in the topic in the healthcare setting, but recent reviews have found that the construct is poorly defined and has significant heterogeneity in how it is measured (Floren et al., 2018). We conducted a scoping review examining the construct of SMMs in medical teams within the acute care setting. Method: Following the Arksey and O’Malley (2005) framework, five data bases were searched: Medline, CINAHL, PsychInfo, Web of Science, and Embase. Eligible studies examined SMMs in the context of medical teamwork in the acute care setting. Definitions, methods, and general study characteristics were examined. Results: Of the 1397 articles retrieved, 25 met eligibility criteria. The studies encompassed a variety of areas of clinical practice. There was no common definition for SMMs across the studies examined. The majority of studies (20/25) used quantitative methods with surveys, questionnaires, and observation being the most common. Conclusions: The construct of the SMM is poorly defined in the setting of acute care medical teams. Although many standard types of SMM measurement exist, few of the studies used these common methods. The lack of direct measurement of SMMs, especially in the case of observation, questions the validity of these studies. We propose a definition for SMMs in this context and a path forward for studying SMM in the acute care setting. / Thesis / Master of Science (MSc) / Health care is a team sport and as health care systems become more complex, teamwork becomes increasingly important. However, a team of experts does not make an expert team and highly effective teams possess a particular set of characteristics that allow them to perform high quality care. One characteristic that is receiving an increasing amount of attention is the Shared Mental Model. The purpose of this study was to examine what is already known about these shared mental models in the context of acute care medical teams. This study will act as a launching point for future research exploring how teams think and how it impacts the quality of care they can provide.

Technological innovations in data transfer and communication have given rise to the virtual team where geographically separate individuals interact via one or more technologies to combine efforts on a collective activity. In military, business, and spaceflight settings, virtual teams are increasingly used in training and operational activities; however there are important differences between these virtual collaborations and more traditional face-to-face (FTF) interactions. One concern is the absence of FTF contact may alter team communication and cooperation and subsequently affect overall team performance. The present research examined this issue with a specific focus on how communication modality influences team learning and performance gains. Evidence from a recent study on virtual team performance (Singer, Grant, Commarford, Kring, and Zavod, 2001) indicated local teams, with both members in same physical location in Orlando, Florida which allowed for FTF contact before and after a series of virtual environment (VE) missions, performed significantly better than distributed teams, with team members in separate physical locations in Orlando and Toronto, Canada and no FTF contact. For the first mission, local and distributed teams exhibited no significant difference in performance as measured by the number of rooms properly cleared in the building search exercises. In contrast, for the second mission, occurring after each team had completed the opportunity to discuss mission performance and make plans for future missions, local teams performed significantly better than distributed teams; a pattern that continued for the remaining six missions. Given that the primary difference between local and distributed teams was how they communicated outside of the VE during after action reviews (AARs), and that the localiii distributed difference was first detected on the second mission, after teams had completed one, 10-min discussion of mission performance, a tenable conclusion is that certain team characteristics and skills necessary for performance were communication-dependent and negatively affected by the absence of FTF communication. Although Singer et al. (2001) collected multiple dependent variables related to performance and communication activities, these measures were not designed to detect communication-dependent team factors and therefore incapable of supporting such an explanation. Therefore, the present research replicated Singer et al. (2001) and incorporated additional measures in order to determine if specific communication-dependent factors could explain the inferior performance of distributed teams. Three factors critical to team communication, particularly during the AAR process, are the similarity of team members. shared mental models (SMMs), team cohesion (task and interpersonal), and team trust (cognitive and emotional). Because evidence suggests FTF communication has a positive effect on processes related to each of these factors, the current study tested whether distributed teams exhibit less similar mental models and degraded cohesion and trust in comparison to local teams, which can affect performance. Furthermore, to test the prediction that distributed teams possess degraded communication and would benefit from improved communication skills, brief team communication training (TCT) was administered to half of the teams in each location condition. Thirty two, 2-person teams comprised of undergraduate students were equally distributed into four experimental conditions (n = 8) based on the independent variables of location (local vs. distributed) and training (TCT vs. no-TCT). Teams completed five missions using the same VE system and mission tasks as in Singer et al. (2001), however in the present study distributed team members were in separate rooms in the same building, not separate geographic locations. In iv addition to performance data, participants completed a series of questionnaires to assess SMMs, cohesion, and trust. It was hypothesized that local teams would again exhibit better performance than distributed teams and that the local team advantage could partly be explained by a greater similarity in mental models and higher levels of cohesion and trust. Moreover, TCT teams in both locations were expected to exhibit improved performance over their non-trained counterparts. Analyses of the three team factors revealed the largest location and communication training differences for levels of cognitive trust, with local teams reporting higher levels than distributed teams early after the second VE mission, and TCT teams reporting higher levels than no-TCT teams after the second and fifth VE missions. In contrast, the main effects of location and communication training were only significant for one SMM measure agreement between team members on the strengths of the team's leader during the AAR sessions. Local teams and TCT teams reported higher levels of agreement after the first VE mission than their distributed v and no-TCT counterparts. Furthermore, on the first administration of the questionnaire, TCT teams reported higher levels of agreement than non-TCT teams on the main goals of the VE missions. Overall, teams in all conditions exhibited moderate to substantial levels of agreement for procedural and personnel responsibility factors, but poor levels of agreement for mental models related to interpersonal interactions. Finally, no significant differences were detected for teams in each experimental condition on levels of task or interpersonal cohesion which suggests cohesion may not mature enough over the course of several hours to be observable. In summary, the first goal of the present study was to replicate Singer et al..s (2001) findings which showed two-person teams conducting VE missions performed better after the first mission if allowed face-to-face (FTF) contact during discussions of the team's performance. Local and distributed teams in the current study did show a similar pattern of performance, completing a greater total of rooms properly, although when evaluating mission-by-mission performance, this difference was only significant for missions 3 and 4. Even though distributed team members experienced the same experimental conditions as in Singer et al. (no pre-mission contact, no FTF contact during missions or AARs) and were told their partner was at .distant location, familiarity with a teammate's dialect and other environmental cues may have differentially affected perceptions of physical and psychological distance, or social presence, which ultimately altered the distributed team relationship from before. The second goal was to determine if brief TCT could reduce or eliminate the distributed team disadvantage witnessed in Singer et al. (2001). Results did not support this prediction and revealed no significant differences between TCT and no-TCT teams with regard to number of rooms searched over the five missions. Although purposefully limited to 1 hr, the brevity of the TCT procedure (1 hr), and its broad focus, may have considerably reduced any potential benefits of learning how to communicate more effectively with a teammate. In addition, the additional training beyond the already challenging requirements of learning the VE mission tasks may have increased the cognitive load of participants during the mission phase, leading to a detriment in performance due to divided attention. Despite several notable differences from Singer et al. (2001), the present study supports that distributed teams operating in a common virtual setting experience performance deficits when compared to their physically co-located counterparts. Although this difference was not attributed to agreement on SMMs or levels of cohesion, local teams did posses higher levels of cognitive trust early on in the experimental session which may partly explain their superior performance. However additional research that manipulates cognitive trust as an independent variable is needed before implying a cause-and-effect relationship. Ultimately, this study's most significant contribution is identifying a new set of questions to understand virtual team performance. In addition to a deeper examination of cognitive trust, future research should address how features of the distributed team experience affect perceptions of the physical and psychological distance, or social presence, between team members. It is also critical to understand how broadening the communication channel for distributed teams, such as the inclusion of video images or access to biographical information about one's distant teammate, facilitates performance in a variety of virtual team contexts.

This research investigated the determinants and outcomes of shared mental models of skill use in autonomous work teams. A model of the determinants and outcomes (team task behaviors) of shared mental models of skill use was tested. Three components of shared mental models of skill use were investigated: shared knowledge pertaining to skill use in task performance (i.e., knowledge about the task, equipment, team, and team interaction), shared expectations for skill use in task performance in both routine and non-routine situations, and shared attitudes relevant to skill use in task performance (i.e., collective orientation and collective efficacy). The model included the interdependence, uncertainty, and complexity of the technology; the degree to which the team is cross-trained and its membership stable; and the level of prior experience team members have had with teamwork as the determinants of overlap in a team's mental model of skill use. The beneficial outcomes of a high degree of overlap in the team's mental model of skill use were four team task behaviors: flexibility, quality, verbal communication, and time required in task planning. The flexibility construct was defined as the degree to which a team allocated and used the multiple competencies/skills of each of its members in pursuit of team goals. A model of the development of flexibility was developed as was a theory of the role of shared mental models in flexible skill use. / Ph. D.

This study will provide an overview of mental models in teams and the significance of this particular concept for design teams. Researchers have applied the concept of mental models to understand how people perform tasks on the basis of their knowledge, assumptions, predictions and expectation. An overview is also provided on the relation between performance and mental models and their effect on stakeholders. The implications for design field are discussed. Through the study of two organizations in the same industry, the teams are studied in detail for each of these companies and hence leading to the study of mental models of stakeholders. Through the use of interviews, a detailed analysis is done on the team mental models. The mental models of stack holders and their influence on different aspects of company and team performance are discussed in detail. The methodology for the study of mental models is also proposed in the study. The findings are based on the data collected through interviews in both the organizations. The empirical study is designed in such a way that it investigates further the validity of theoretical concepts. Warid is a major telecommunication brand in Pakistan that provides services in all the regions of the country. Ufone is also a well-known telecommunication brand, known for its innovative and creative TVCs (TV commercial). Interviews with the marketing and sales officials of both these organizations provided an insight into the teams behind their advertising/marketing campaigns and the affect of stakeholders’ mental models on the performance and sales of the companies. The comparative analysis between the theoretical and empirical studies suggests that the quality of mental models is affected by diversity in the team, education and experience of the team members. This may be brought in for future research to further verify the effectiveness of mental models for design teams and eventually the whole organization. Finally the implications of our findings are discussed. / Program: Magisterutbildning i informatik

Background: The quality of team-based care impacts patient post-hospitalization outcomes, yet there is a gap in our understanding of how specific team processes impact patient post-hospitalization outcomes. Shared Mental Models (SMMs) is a team process from organizational psychology; it provides an understanding of how providers coordinate complex tasks as a team. SMMs are the team members’ organized knowledge needed for effective team performance. Military research shows that teams with more convergent SMMs have higher performance and better outcomes. In healthcare, patient discharge exemplifies an activity that requires a high level of coordination among interprofessional team members. Two relevant domains of SMMs are Taskwork SMM (team assessment of patient’s readiness for hospital discharge) and Teamwork SMM (quality of day of discharge teamwork). Because of the newness of SMM to healthcare, we lack measures to understand SMMs among interprofessional discharge teams. Study Purpose & Aims: The purpose was to pilot a novel measurement approach assessing SMMs of discharge teams, and explore their relationships to patient 30-day post-hospitalization outcomes (quality of care transition and utilization of unplanned medical services). Aim 1 determined the content and degree of convergence of discharge teams’ SMMs (taskwork and teamwork). Aim 2 examined the relationship between discharge team SMMs and patient post-hospitalization outcomes. Methods: A prospective longitudinal pilot study was used to examine the SMMs of 64 unique discharge events in three inpatient units at a single hospital. Discharge team members independently completed a questionnaire measuring the Teamwork SMM (using the Shared Mental Model Scale) and the Taskwork SMM (using the Discharge Provider-Readiness for Hospital Discharge Scale). Data were collected from the patient 30 days post-discharge to determine the quality of transition (using the Care Transition Measure or CTM-15) and use of unplanned utilization of medical services (unplanned readmission or ED visit). Interrater Agreement (r*wg(j)) was used to determine the SMM convergence (or level of agreement) among the discharge team. The relationship between SMMs and the quality of transition outcome (n = 42) was determined using standard regression analysis. Logistic regression was used determine the relationship of SMMs with utilization of unplanned medical services (n = 56). Results: Overall, discharge teams reported high levels of Taskwork SMMs (M = 8.46, SD =.91) and Taskwork SMM Convergence (M = .90, SD =.10), indicating that the discharge team perceived and agreed that patients had high levels of readiness for hospital discharge. Discharge teams also reported having high-quality Teamwork SMMs (M = 6.11, SD = 0.39) and Teamwork SMM Convergence (M = .85, SD = .10), suggesting that most discharge teams perceived and agreed that high quality teamwork was provided during the discharge process. Discharge events from the three inpatient units significantly differed in their Teamwork and Teamwork SMM content and convergence scores. Discharge teams’ Teamwork SMMs and Taskwork SMMs were positively associated with the CTM-15 score, while controlling for key contextual factors (t = 3.94, p = .001; t = 3.94, p = .001, respectively). Conclusion : Discharge teams’ Taskwork SMM and Teamwork SMM was positively associated with patient-reported quality of transition from the hospital. There was insufficient evidence to support that utilization of unplanned medical services is related to discharge teams’ SMMs. Measuring the SMMs of the discharge team provides a method for assessing a team process critical to safe patient discharges.

This thesis hypothesizes that providing task specific information to individual team members will improve coordination and decision-making, and therefore team performance, at time critical tasks. Major themes addressed in this research include teams and team processes, mental models, team mental models, work domain analysis, and hierarchical task analysis. Furthermore, the theory behind the development of complementary models is introduced. A unique method to identify the information sources and requirements in a complex team environment is first discussed in general and then specifically applied in two domains. The findings are presented of two experiments examining the effects of imposing different information distribution strategies that range from no complementariness to full complementariness of information. Team communication, team and individual task performance, workload, and timeliness and effectiveness of team decision making were assessed in nominal and off-nominal conditions. The first experiment used an automobile simulator and examined team navigation while driving. A second experiment was designed to incorporate additional measures to more specifically investigate individual performance, team workload, and clarity of information requirements using a UH-60 Black Hawk helicopter simulator. The procedures used for both experiments provided for dynamic yet controlled environments through which critical factors that influence team process and performance could be evaluated accurately. Results of these experiments provide empirical evidence that providing task relevant information to individual team members in a time critical environment, while limiting their access to non-relevant information, improves individual and team performance. Furthermore, there is evidence of increased individual performance that indicates this method of distributing information among team members may provide individual crewmembers with a more accurate task relevant mental model of their own environment. This research provides new insight into how the distribution of information among team members effects the development of mental models, information requirements, team and individual performance, and communications, and highlights several directions for future research. The information distribution design principles presented in this thesis address the heterogeneity of teams; teams cannot be thought of as groups of identical individuals. The results concerning the communication, workload, performance and team of mental models were consistent across the domains in this research.

Despite disaster managers’ best efforts, inter-organizational disaster management suffers from varying levels of success. One factor that is likely to account for these variations is team mutual understanding, also known as common ground. To validate the potential effect of common ground in disaster management, the thesis investigates common ground in several interviews with disaster managers and in an experimental study involving an inter-organizational disaster event scenario. Analysis of interviews revealed that disaster managers perceived gaps in understanding between responders, the importance of mutual understanding, and perceived common ground similarly to depictions in theory with a few exceptions. Analyses of the experimental study indicated that contextual factors of Team composition, Problem solving approach and Type of tasks differently impacted measures of performance and implicit coordination, and that implicit coordination partially mediated and supressed the relationship between contextual factors and decision quality. Findings suggest the variation in disaster managers’ performance can be ascribed to common ground, implicit coordination, and contextual factors. Moreover, results showed the satisfaction with outcome did not correlate with expert rated quality of decision; and that while satisfaction related to consensus and quality of the decision was linked to generating alternative ideas and debate. Collaboration proved to be more effective in public communication tasks, especially for homogenous team composition. The findings support initiatives for more cross-training and further lab and field experiments.

Federal agencies operating along the border in southern Florida include the United States Coast Guard (USCG), United States Customs and Border Protection (USCBP), which is the parent agency for Border Patrol (BP), Immigration Customs Enforcement (ICE), and the National Park Service (NPS). Each agency has its own mission regarding immigration, and conflicts have emerged regarding responsibilities and responses to immigrant landings. The purpose of this study was to identify federal law enforcement perspectives about tactics for responses to Cuban immigrant landings within national parks in southern Florida. This study was motivated by the following research questions: 1.) How do the federal agencies operating along the southeastern border in Florida work together during responses to Cuban immigrant landings within national parks? 2.) What are the perspectives among agency personnel about tactics for response to Cuban immigrant landings within national parks? 3.) What tactics should be emphasized in future responses? The concept of shared mental models (SMM) provided a framework for the research, and data was collected through the Q method. Three factors, or social perspectives, on responses to landings were revealed: 1.) React & Transport, 2.) Protect and 3.) Plan. Implications for managers, limitations and future research is discussed.

Begreppet mental träning i idrottssammanhang är allmänt känt. Detta gäller även ishockeyn vilket styrks av denna kvalitativa studie. Studien har två målgrupper, där fokusgruppsintervjuer genomförts med elitsatsande juniorishockeyspelare och semi-strukturerade intervjuer genomförts med tränare från de deltagande spelarnas föreningar. Studiens syfte ämnade undersöka hur och på vilket sätt det arbetas med mental träning och vilka erfarenheter och värderingar som fanns hos målgrupperna. Resultatet av studien visar en gemensam syn från samtliga deltagare att mental träning är viktigt men att användandet av det i praktiken inte överensstämmer med de värderingar som råder. Bilden av vad mental träning innebär är av svaren att döma högst individuell och endast ett fåtal av deltagarna säger sig arbeta kontinuerligt med mental träning i prestationshöjande syfte. Kunskap om ämnet i stort och hur det kan användas av spelare och tränare i praktiken har fortfarande stor utvecklingspotential. Det är 14 år sedan Svenska Ishockeyförbundet genomförde en kvantitativ undersökning i ämnet mental träning. I undersökningen framgår det att spelarna ansåg att mental träning var viktigt, men trots detta arbetade nästintill ingen aktivt med det. Lite har hänt. Förhoppningsvis bidrar denna studie till att det om ytterligare 14 år skett en mer markant förändring.

The focus of this study is based on a web development team working within the confines of a Swedish authority. It has been recognized that web development teams are struggling to cooperate and work in high capacity efficiency, mostly due to the nature of the multifarious tasks at hand and their lack of understanding of each respective roles within the team. In lieu of this major downfall, establishing a mental model faceted way of thinking and working may improve effectiveness, communication and collaboration amongst all members of a functioning team. A shared mental model is developed through four stages of cognitive processes; knowing, learning, understanding and executing. The purpose of this study is to examine and show an example of how shared mental models can be developed in an existing web development team. By analyzing two workshop practices, this study aims to answer the following questions: How can workshop practices “visualizing user stories” as well as facilitating “design studio sessions” be used to establish common understanding within the web development team? How can four stages of cognitive processes (knowing, learning, understanding and executing) for developing shared mental models be understood? Participant observation and interviews are among research methods used. The ‘Shared Mental Model’ by Cannon-Bowers et al. (1993) is the primary theoretical framework used here. The results of this study indicate how workshop practices such as visualizing user stories well as conducting design studio sessions contribute to a common understanding due to increased social interaction among team members. The results also indicate that the web development team has been unable to process and exchange relevant information with each other during the initial stages of learning and development due to the lack of team building activities. This, in return affects further development of the shared mental model in the following steps. / I denna studie undersöks en svensk myndighets webbutvecklingsteam som i dag arbetar med att göra om myndighetens webbsida vilket inkluderar framtagning av nya gränssnitt och funktioner. I många fall har det visat sig att system- och webbutvecklingsteam har problem med att förhandla fram en gemensam förståelse. Dels på grund av de olika roller som ingår i ett team men även på grund av arbetsuppgifternas komplexitet och struktur. Svårigheter med att kommunicera, koordinera och samarbeta effektivt upplevs vara centralt i system- och webbutvecklingsprojekt. Att utveckla en gemensam förståelse tillika delade mentala modeller (hädanefter DMM, eng. Shared Mental Models) för lag- och uppgiftsarbetet kan förenkla kommunikation, koordination och samarbete inom ett team. Syftet med denna studie är därmed att illustrera ett exempel på hur DMM skulle kunna utvecklas inom ett webbutvecklingsteam. Webbutvecklingsteamet studeras och analyseras utifrån fyra steg av kognitiva processer (vetande, lärande, förståelse och verkställande) som demonstrerar hur DMM utvecklas steg för steg. Uppsatsen ämnar därmed att besvara följande frågor: Hur kan workshoppraktikerna ”visualisering av användarresa” och ”designstudio” bidra till etableringen av den gemensamma förståelsen inom myndighetens webbutvecklingsteam? Hur kan webbutvecklingsteamet förstås utifrån de fyra stegen av kognitiva processer; vetande, lärande, förståelse och verkställande om hur DMM utvecklas? Studien rymmer inom ramen för en fallstudie där deltagande observationer och intervjuer har nyttjats som metoder för insamling av empiriskt material. Teorin om DMM av Cannon-Bowers et al. (1993) är studiens primära teoretiska utgångspunkt. Sammanfattningsvis har studien lett fram till att de två workshoppraktikerna – visualisering av användarresa och designstudio – har bidragit till etablering av den gemensamma förståelsen i det stora hela genom social interaktion. Vidare har studiens resultat visat att webbutvecklingsteamet brister i vetandefasen eftersom teamet inte har utbyt relevant information om sig själva genom team building aktiviteter. Detta påverkar sedermera vidareutvecklingen av DMM i nästkommande steg.