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Enhancing Geriatric Care Through Team Nursing: Exploring Implementation, Training, and Teamwork Dynamics
Department: Nursing
ResourceLengthWidthThickness
Paper000
Specimen Elements
Pocatello
Unknown to Unknown
Mopelola Agboje
Idaho State University
Dissertation
No
6/25/2025
digital
City: Pocatello
Doctorate
Introduction: This abstract synthesizes three related dissertation manuscripts: a concept analysis and two quantitative studies examining nurses' perceptions of the team nursing model and associated training in nursing home settings. The concept analysis explored teamwork and team nursing, drawing on Aristotle's principle that "the whole is greater than the sum of its parts," underscoring the value of effective collaboration in improving patient outcomes. Purpose: The concept analysis study (study #1) aimed to explore the concept of 'teamwork' in nursing, grounded in the perspective that the whole is greater than the sum of its parts. Teamwork, communication, and collaboration play a critical role in the quality of care and outcomes. The second study (perception of nurses on team nursing model training) explored nurses' perceptions of the training they received before implementing a team nursing model. The third study (team nursing model) investigated and compared differences in nurses' perceptions of the team nursing model used in geriatric care settings, specifically nursing homes. Background: Several factors contribute to the complexity of nurse staffing issues, necessitating the adoption of a nursing care model that aligns effectively with the services provided in the nursing unit Effective nursing care in nursing homes depends on appropriate models like team nursing, which utilizes the skill mix of registered nurses (RNs), licensed practical nurses (LPNs), and licensed vocational nurses (LVNs) to enhance collaboration and care delivery. In team nursing, the nursing professionals collaborate to deliver patient care effectively, and the collaborative approach hinges on strong communication and teamwork among team members, enabling comprehensive patient care. Methods: The three-manuscript dissertation employed a mixed methods research design – a concept analysis and two cross-sectional, descriptive quantitative studies. The principle-based concept analysis approach analyzes teamwork and team nursing concepts and connects them logically to Aristotle's idea that the “whole is greater than the sum of its parts,” highlighting the epistemological, pragmatic, linguistic, and logical principles. After IRB approval and a pretest of the survey tool, two cross-sectional surveys were administered to 380 RNs and LPNs/LVNs across thirteen western U.S. states. The surveys assessed perceptions of team nursing and related training experiences. The Principle-Based Concept Analysis also highlighted the epistemological, pragmatic, linguistic, and logical principles of teamwork and team nursing. Results: The first study (concept analysis) revealed that effective teamwork, communication, and collaboration significantly influence patient care quality and outcomes. Trust is essential for a team to function cohesively; members must engage proactively with their colleagues and patients. Emphasizing Aristotle's notion, collaboration among team members and their patients allows patients to participate in their care. The second study (team nursing training) showed statistically significant differences in perceived training across experience levels (F = 5.87, p < 0.001), with nurses with 5–8 years of experience reporting the lowest satisfaction. The findings suggest that while the training was generally well-received, gaps exist in its effectiveness for certain experienced groups. The third study (team nursing model) also found a statistically significant difference in nurses' perception across factors such as communication, collaboration, teamwork, and work knowledge (p < .001). These results highlight the need for structured training and clear role definitions. Conclusion: The studies emphasize the importance of tailored team nursing strategies, continuous professional development, and supportive leadership to strengthen teamwork and improve patient outcomes in geriatric care. Aristotle suggested that when the whole becomes fragmented, it can inhibit quality patient care outcomes. The statistically significant differences in nurses' perceptions demonstrate that nurses perceive team nursing as improving patient care delivery and outcomes. Keywords: Teamwork, team nursing, concept analysis, geriatric care, nursing home, training perception, collaborative care

Enhancing Geriatric Care Through Team Nursing: Exploring Implementation, Training, and Teamwork Dynamics

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