Coordination is a vital component in healthcare provision and teamwork. Relational coordination (RC) represents a type of informal coordination reinforced by communication and supportive relationships. It is an important concept in the study of interprofessional team performance and is associated with improved patient care outcomes. However, little is known about the specific relational characteristics that contribute to higher levels of RC. This study examined the association between social capital (resources embedded within relationships) and RC in outpatient clinics. RC was hypothesized to be predicted by social capital. In addition, social capital was hypothesized to be predicted by team tenure, and RC was hypothesized to be predicted by formal coordination mechanisms. A cross-sectional design was used to survey a random sample of 342 physicians and nurses from outpatient clinics. Study variables were measured using previously validated instruments with acceptable levels of reliability and validity. Structural equation modeling was used for hypothesis testing. Final analysis revealed a good fit of data to the hypothesized model (comparative fit index = 0.966; standardized root mean square residual = 0.0316). Results suggested that social capital predicted both factors of RC (b = 0.70 and 0.81, p < 0.001) and team tenure predicted social capital (b = 0.13, p < 0.05). Also, the association between team tenure and RC (b = 0.09, p < 0.05) was found to be partially mediated by social capital. Findings of this study suggest that characteristics within relational ties are predictive of informal coordination. The strength and pattern of these associations provide a better understanding in how relationships may facilitate interprofessional teamwork.

译文

:协调是提供医疗保健和团队合作的重要组成部分。关系协调(RC)代表一种非正式的协调,通过沟通和支持性关系得到加强。这是研究跨专业团队绩效的重要概念,并且与改善的患者护理结果相关。但是,对于导致较高RC的特定关系特性知之甚少。这项研究检查了门诊诊所社会资本(关系中嵌入的资源)与RC之间的关联。假设RC是由社会资本预测的。另外,假设社会资本是由团队任期预测的,而RC是假设是由正式协调机制预测的。使用横断面设计对来自门诊诊所的342名医生和护士进行随机抽样调查。研究变量是使用先前验证过的,具有可接受水平的信度和效度进行测量的。结构方程模型用于假设检验。最终分析显示,数据与假设的模型拟合良好(比较拟合指数= 0.966;标准均方根残差= 0.0316)。结果表明,社会资本既可以预测RC的因素(b = 0.70和0.81,p <0.001),也可以预测球队任期对社会资本的预测(b = 0.13,p <0.05)。此外,还发现团队任期与RC之间的关联(b = 0.09,p <0.05)部分地由社会资本介导。这项研究的结果表明,在关系中的特征预示着非正式的协调。这些协会的实力和模式可以更好地理解人际关系如何促进专业间的团队合作。

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