Team building

Team building components, health care setting, examples, advantages, disadvantages

1. Dr. Tanveer Rehman, Senior Resident 10-11-2020

2. Introduction ‘Team’ - a group of people who make different contributions towards the achievement of a common goal ‘Team building’ – set of activities used to enhance social relations involving collaborative tasks to improve performance in a workgroup environment Management technique - one of the foundations of organizational behavior 10-11-2020 TEAM BUILDING 2

3. Elements of Team-building The characteristics of team-building are:- Well defined common purpose to guide action. Clearly understood each other’s functions. Pooling of resources and knowledge. Regular interactions. Joint sharing of responsibility of the outcome. A conducive atmosphere of openness and honesty. 10-11-2020 TEAM BUILDING 3

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5. EFFECTIVE TEAM McGregor has outlined the characteristics of effective team as: The working atmosphere is informal. There is lot of discussion. The members listen to each other. There is disagreement. A kind of consensus emerges 10-11-2020 TEAM BUILDING 5

6. EFFECTIVE TEAM (Continued) Criticism is frequent, frank and relatively comfortable. People are free in expressing ‘feelings’ and thoughts. Action is taken, clear assignments are made. Leadership shifts as the circumstances dictate. Group is maintained. 10-11-2020 TEAM BUILDING 6

7. Process of Team-building / Team Development Wheel 10-11-2020 TEAM BUILDING 7

8. Forming stage Identify the Need for Team Building Define Objectives and Required Set of Skills Consider Team Roles Determine a Team Building Strategy Defreezing process 10-11-2020 TEAM BUILDING 8

9. STORMING STAGE The sustained interactions among team members are expected to create situations of intra-team conflicts . Tensions, stress and conflict are some important features which may predominate in such situations. This state is eventful in terms of seeking clarifications and adjusting the personal goals to the organizational goals. The role of team leader is crucial at this stage in order to ensure that teams do not disintegrate, dissolve and they continue to keep the team goal as a central theme of the group activities. 10-11-2020 TEAM BUILDING 9

10. NORMING STAGE The third stage is a stabilizing stage where relationships between different roles are well defined. The inter-dependence between various roles is recognized as an important pre-requisites for team-building. This stage normally helps to create cohesiveness among team members. 10-11-2020 TEAM BUILDING 10

11. PERFORMING STAGE The fourth stage in team-building relates to the situation where the team is fully functional . In this stage the targets are known, the individual roles are defined and inter-dependency is recognized with a view to enable team members act responsibly and enthusiastically in order to enable them to perform their activities at their optimal level. 10-11-2020 TEAM BUILDING 11

12. Team-Building in Health Organizations 10-11-2020 TEAM BUILDING 12

13. No Longer Is One Person Responsible For Patient’s Health Multidisciplinary – cadres Ageing population & NCD – multiple health problems Clinical care becoming more complex & specialized Staff – to learn quickly new & complicated procedures Reducing medical errors - increase safety & satisfaction Outbreak investigation 10-11-2020 TEAM BUILDING 13

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17. areas TO IMPROVE Existing conflicts and hostility among staff. Confusions, overlap, ambiguity about work allotment Problems of communication between the staff members and health professionals and lay people. Lack of involvement and interest among staff members. Lack of initiative, innovation and imaginations among staff members. 10-11-2020 TEAM BUILDING 17

18. AREAS TO IMPROVE Ineffective meetings and low participation of members. High dependency on health administrators. Unaccounted for increase in costs, work overload, etc. Low occupancy of bed, lower level of health services utilisation . Lower patient satisfaction. 10-11-2020 TEAM BUILDING 18

19. Advantages Identify Strengths and Weaknesses Direct Towards Vision and Mission Develops Communication and Collaboration Establishes Roles and Responsibilities Initiates Creative Thinking and Problem Solving Builds Trust and Morale Facilitates Delegation Better Productivity 10-11-2020 TEAM BUILDING 19

20. Disadvantages Develops Conflict Freeride May Lead to Non-Cooperation Difficult to Evaluate Individual Performance Involves Cost Accountability (pseudo team) and Credibility Issues 10-11-2020 TEAM BUILDING 20

21. THANK YOU 10-11-2020 TEAM BUILDING 21

22. Reference Health Management. Volume-2. NIHFW, New Delhi. Chapter – Management of conflicts, stress and team by Prof. P. L. Trakroo . Pgs: 66-96. 10-11-2020 TEAM BUILDING 22

23. ACKNOWLEDGEMENT Dr. Kathirvel S – Assistant Professor, Dept of Community Medicine & School of Public Health, PGIMER Dr. Preeti Chaudhary – Senior Demonstrator (Nutrition), Dept of Community Medicine & School of Public Health, PGIMER 10-11-2020 TEAM BUILDING 23