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Smits SJ, Falconer JA, Herrin J, et al. Patient-focused rehabilitation team cohesiveness in veterans administration hospitals. Arch Phys Med Rehabil. 2003;84(9):1332-8doi: 10.1016/s0003-9993(03)00197-7.
Smits, S. J., Falconer, J. A., Herrin, J., Bowen, S. E., & Strasser, D. C. (2003). Patient-focused rehabilitation team cohesiveness in veterans administration hospitals. Archives of physical medicine and rehabilitation, 84(9), 1332-8. https://doi.org/10.1016/s0003-9993(03)00197-7
Smits, Stanley J, et al. "Patient-focused rehabilitation team cohesiveness in veterans administration hospitals." Archives of physical medicine and rehabilitation vol. 84,9 (2003): 1332-8. doi: https://doi.org/10.1016/s0003-9993(03)00197-7
Smits SJ, Falconer JA, Herrin J, Bowen SE, Strasser DC. Patient-focused rehabilitation team cohesiveness in veterans administration hospitals. Arch Phys Med Rehabil. 2003 Sep;84(9):1332-8. doi: 10.1016/s0003-9993(03)00197-7. PMID: 13680570.
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Arch Phys Med Rehabil. 2003 Sep;84(9):1332-8. doi: 10.1016/s0003-9993(03)00197-7.

Patient-focused rehabilitation team cohesiveness in veterans administration hospitals.

Archives of physical medicine and rehabilitation

Stanley J Smits, Judith A Falconer, Jeph Herrin, Susan E Bowen, Dale C Strasser

Affiliations

  1. Department of Management, Robinson College of Business, Georgia State University, Atlanta, GA, USA.

PMID: 13680570 DOI: 10.1016/s0003-9993(03)00197-7

Abstract

OBJECTIVE: To quantify the relation of hospital culture, 3 levels of leadership (hospital-level administrators, discipline-specific supervisors, attending physician on the team), and physician involvement to patient-focused rehabilitation team cohesiveness.

DESIGN: Survey research.

SETTING: 48 Veterans Administration hospitals (VAHs).

PARTICIPANTS: Six hundred fifty members of 50 rehabilitation teams.

INTERVENTIONS: Not applicable. Main outcome measures Scales measuring hospital culture, administrative support, supervisor expectations, attending physician support, and physician involvement (independent variables), and patient-focused rehabilitation team cohesiveness (dependent variable). Associations between scales were examined by using a hierarchical linear regression model.

RESULTS: Patient-focused team rehabilitation cohesiveness was significantly (P<.05) associated with administrative support, supervisor expectations, attending physician support, and physician involvement (Wald chi(2)=1192.66, P<.0001) (R(2)=.6431). There was no statistically significant independent association with hospital culture.

CONCLUSIONS: Expectations of discipline-specific supervisors and hands-on team leadership and involvement by the attending physician were associated to a significant degree with the extent to which rehabilitation teams in VAHs reported functioning in a cohesive manner. Higher functioning on patient-focused team cohesion indicates that patient services were likely delivered with greater interprofessional communication and joint effort.

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