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
10-11-2020TEAM 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.
10-11-2020TEAM BUILDING
3

4. 10-11-2020TEAM BUILDING
4

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

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

7. PROCESS OF TEAM-BUILDING /
TEAM DEVELOPMENT WHEEL
10-11-2020TEAM 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
10-11-2020TEAM 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.
10-11-2020TEAM 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.
10-11-2020TEAM 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.
10-11-2020TEAM BUILDING
11

12. TEAM-BUILDING IN HEALTH
ORGANIZATIONS
10-11-2020TEAM 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
10-11-2020TEAM BUILDING
13

14. 10-11-2020TEAM BUILDING
14

15. 10-11-2020TEAM BUILDING

16. 10-11-2020TEAM BUILDING
16

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.
10-11-2020TEAM 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.
10-11-2020TEAM 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
10-11-2020TEAM 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
10-11-2020TEAM BUILDING
20

21. THANK YOU
10-11-2020TEAM 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.
10-11-2020TEAM BUILDING
22

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