Context in Quality of Care: Improving Teamwork and Resilience

Clin Perinatol. 2017 Sep;44(3):541-552. doi: 10.1016/j.clp.2017.04.004. Epub 2017 Jul 8.

Abstract

Quality improvement in health care is an ongoing challenge. Consideration of the context of the health care system is of paramount importance. Staff resilience and teamwork climate are key aspects of context that drive quality. Teamwork climate is dynamic, with well-established tools available to improve teamwork for specific tasks or global applications. Similarly, burnout and resilience can be modified with interventions such as cultivating gratitude, positivity, and awe. A growing body of literature has shown that teamwork and burnout relate to quality of care, with improved teamwork and decreased burnout expected to produce improved patient quality and safety.

Keywords: Burnout; Quality; Resilience; Safety climate; Teamwork.

Publication types

  • Review
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Burnout, Professional*
  • Cooperative Behavior*
  • Humans
  • Infant, Newborn
  • Intensive Care Units, Neonatal
  • Intensive Care, Neonatal / standards*
  • Patient Care Team*
  • Quality of Health Care*
  • Resilience, Psychological*