دورية أكاديمية
Using team science in vascularized composite allotransplantation to improve team and patient outcomes.
| العنوان: | Using team science in vascularized composite allotransplantation to improve team and patient outcomes. |
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| المؤلفون: | Griffin JM; Division of Health Care Delivery Research, Mayo Clinic, Rochester, MN, United States.; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, United States., Kennedy CC; Division of Health Care Delivery Research, Mayo Clinic, Rochester, MN, United States.; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, United States.; Division of Pulmonary and Critical Care, Mayo Clinic, Rochester, MN, United States.; The William J. von Liebig Center for Transplantation and Clinical Regeneration, Mayo Clinic, Rochester, MN, United States., Boehmer KR; Division of Health Care Delivery Research, Mayo Clinic, Rochester, MN, United States.; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN, United States., Hargraves IG; Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN, United States., Amer H; The William J. von Liebig Center for Transplantation and Clinical Regeneration, Mayo Clinic, Rochester, MN, United States.; Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, United States.; Essam and Dalal Obaid Center for Reconstructive Transplant Surgery, Mayo Clinic, Rochester, MN, United States., Jowsey-Gregoire SG; The William J. von Liebig Center for Transplantation and Clinical Regeneration, Mayo Clinic, Rochester, MN, United States.; Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, United States.; Department of Surgery, Mayo Clinic, Rochester, MN, United States. |
| المصدر: | Frontiers in psychology [Front Psychol] 2022 Sep 06; Vol. 13, pp. 935507. Date of Electronic Publication: 2022 Sep 06 (Print Publication: 2022). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Frontiers Research Foundation Country of Publication: Switzerland NLM ID: 101550902 Publication Model: eCollection Cited Medium: Print ISSN: 1664-1078 (Print) Linking ISSN: 16641078 NLM ISO Abbreviation: Front Psychol Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Pully, Switzerland : Frontiers Research Foundation |
| مستخلص: | Reconstructive allografts using Vascularized Composite Allotransplantation (VCA) are providing individuals living with upper limb loss and facial disfigurement with new opportunities for a sensate, esthetically acceptable, and functional alternative to current treatment strategies. Important research attention is being paid to how best to assess and screen candidates for VCA, measure optimal patient outcomes, and support patient adherence to lifelong behaviors and medical regimens. Far less attention, however, has been dedicated to the team science required for these complex VCA teams to form, prepare, and provide the highest quality clinical and psychosocial care to those receiving VCA. VCA teams are unique in that they require specialized team members whose scope of practice may not otherwise overlap. The team also needs to constantly negotiate balancing patient safety with multiple risks throughout the transplant process. This study aimed to elucidate the team science needed for this highly innovative and complex area of medicine. Using in-depth qualitative interviews with 14 VCA team members and observations at team meetings, we found that careful consideration of team composition, team structure, and organizational commitment (e.g., local culture and team values; investment of resources) influences team performance and patient outcomes, but that to be efficient and truly effective, teams need to commit to developing processes that foster collaboration. These processes are action-oriented (e.g., communication, leadership), strategic (e.g., planning, training) and interpersonal (e.g., conflict management, trust building). Dedication and commitment to team science allows teams to manage conflict under stress and exercise ways to leverage strengths to provide optimal performance or patient psychosocial and clinical outcomes. This study can provide insight into quality improvement efforts for VCA teams and guidance for other transplant programs that wish to consider expansion into VCA. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Griffin, Kennedy, Boehmer, Hargraves, Amer and Jowsey-Gregoire.) |
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| فهرسة مساهمة: | Keywords: case study; qualitative study; team science; transplant; vascularized composite allograft (VCA) |
| تواريخ الأحداث: | Date Created: 20220923 Latest Revision: 20220924 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC9486538 |
| DOI: | 10.3389/fpsyg.2022.935507 |
| PMID: | 36148132 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1664-1078 |
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| DOI: | 10.3389/fpsyg.2022.935507 |