Ingroup identity as an obstacle to effective multiprofessional and interprofessional teamwork: Findings from an ethnographic study of healthcare assistants in dementia care

Journal of Interprofessional Care

Volumn 25, Issue 5, 2011, Pages 345-351

  Lloyd, Joanne V ^a   Schneider, Justine ^b   Scales, Kezia ^b   Bailey, Simon ^b   Jones, Rob ^b  

^a QUEEN S MEDICAL CENTRE   (United Kingdom)

^b UNIVERSITY OF NOTTINGHAM   (United Kingdom)

Author keywords

Ethnography; Healthcare assistants; Inpatient dementia care; Interprofessional; Multiprofessional; Social identity; Teamwork

Indexed keywords

ARTICLE; CULTURAL ANTHROPOLOGY; DEMENTIA; HEALTH PERSONNEL ATTITUDE; HOSPITAL PATIENT; HUMAN; INFORMATION PROCESSING; METHODOLOGY; ORGANIZATION AND MANAGEMENT; PARAMEDICAL PERSONNEL; PATIENT CARE; PSYCHOLOGICAL ASPECT; PSYCHOLOGICAL THEORY; PUBLIC RELATIONS; SELF CONCEPT; SOCIAL BEHAVIOR; SOCIAL PSYCHOLOGY; UNITED KINGDOM;

ALLIED HEALTH PERSONNEL; ANTHROPOLOGY, CULTURAL; ATTITUDE OF HEALTH PERSONNEL; DEMENTIA; EFFICIENCY, ORGANIZATIONAL; FOCUS GROUPS; GREAT BRITAIN; HUMANS; INPATIENTS; INTERPROFESSIONAL RELATIONS; PATIENT CARE; PATIENT CARE TEAM; PREJUDICE; PSYCHOLOGICAL THEORY; SELF EFFICACY; SOCIAL IDENTIFICATION;

EID: 80051483355     PISSN: 13561820     EISSN: 14699567     Source Type: Journal    
DOI: 10.3109/13561820.2011.567381     Document Type: Article

References (46)

1. Abrams, D., & Hogg. M. (1988). Comments on the motivational status of self-esteem in social identity and intergroup discrimination. European Journal of Social Psychology, 18, 317-334.
2. Ashforth, B. E., & Mael, F. (1989). Social identity theory and the organisation. Academy Management Review, 24(3), 413-434.
3. Bergami, M., & Bagozii, R. P. (2000). Self categorisation, affective commitment and group self esteem as distinct aspects of social identity in the organisation. British Journal of Social Psychology, 38, 555-577.
4. Brewer, M. B. (1979). In-group bias in the minimal intergroup situation: A cognitive-motivational analysis. Psychological Bulletin, 86, 307-324.
5. Brown, R. (2000). Social identity theory: Past achievements, current problems and future challenges. European Journal of Social Psychology, 30, 745-778.
6. Caspar, S., & O'Rourke, N. (2008). The influence of care provider access to structural empowerment on individualised care in long term care facilities. Journals of Gerontology, Series B: Psychological Sciences & Social Sciences, 63, S255-S265.
7. Castells, M. (1997). The Power of Identity. Oxford: Blackwell.
8. Clarke, D. J. (2010). Achieving teamwork in Stroke Units: The contribution of opportunistic dialogue. Journal of Interprofessional Care, 24(3), 285-297.
9. Cott, C. (1998). Structure and meaning in multidisciplinary teamwork. Sociology of Health & Illness, 20(6), 848-873.
10. Dellefield, M. E. (2006). Interdisciplinary care planning and the written care in nursing homes: A critical review. The Gerontol-ogist, 46(1) 128-133. (Pubitemid 43214424)
11. Department of Health. (2001). National Service Framework For Older People. London: DH.
12. Ellemers, N. (1993). The influence of social structural variables on identity enhancement strategies. European Review of Social Psychology, 4, 27-57.
13. Ellemers, N., Kortekaas, P., & Ouwerkerk, J. W. (1999). Self categorisation, commitment to the group and group self esteem as related but distinct aspects of social identity. European Journal of Social Psychology, 29, 371-389.
14. Ellemers, N., Spears, R., & Doosje, B. (1997). Sticking together or falling apart: In-group identification as a psychological determinant of group commitment versus individual mobility. Journal of Personality and Social Psychology, 72(3) 617-626.
15. Firth-Cozens, J. (2001). Multidisciplinary teamwork: The good, the bad, and the everything and in between. Quality in Health Care, 10, 65-69.
16. Gair, G., & Hartey, T. (2001). Medical dominance in multi-disciplinary teamwork: A case study of discharge-making in a geriatric assessment unit. Journal of Nursing Management, 9, 3-11 (Pubitemid 33699448)
17. Hall, P. (2005). Interprofessional teamwork: Professional cultures as barriers. Journal of Interprofessional Care, 1, 188-196. (Pubitemid 40960295)
18. Hennessey, J., & West, M. A. (1999). Intergroup behaviour in organisations: A field test of Social Identity Theory. Small Group Research, 30, 361-382.
19. Hogg, M. A., & Terry, D. J. (2000). Social identity and self categorisation processes in organisational contexts. Academy of Management Review, 25(1) 121-140.
20. Hudson, B. (2002). Interprofessionality in health and social care: The Achilles' heel of partnership? Journal of Interprofessional Care, 16, 7-17. (Pubitemid 34177027)
21. Husting, P. M. (1996). Leading work teams and improving performance. Nursing management, 27(9) 35-38.
22. Jackson, L. A., Sullivan, L.A., Harnish, R., & Hodge, C. N. (1996). Achieving positive group identity: Social mobility, social creativity and permeable group boundaries. Journal of Personality & Social Psychology, 70(2), 241-254.
23. Kanter, R. M. (1996). Dilemmas of teamwork. In C. Mabey & P. Iles (Eds.), Managing Learning (pp. 173-180). London: Thomson Business Press.
24. Katzenbach, J. R., & Smith, D. K. (1993). The Wisdom of Teams: Creating the High Performance Organisation. New York: Harper Collins.
25. Kontos, P. C., Miller, K. L., & Mitchell, G. J. (2009). Neglecting the importamce of the decision making and care regimes of personal support workers: A critique of standardization of care planning through the RAI/MDS. The Gerontologist, 50(3), 352-362.
26. Kontos, P.C., & Naglie, G. (2009). Tacit knowledge of caring and embodied selfhood. Sociology of Health & Illness, 31, 688-704.
27. Lalonde, R. N., & Silverman, R. (1994). Behavioural preferences in response to social injustice: The effects of group permeability and social identity salience. Journal of Personality & Social Psychology, 66, 78-85.
28. Leavitt, H. J. (1972) Managerial Psychology (3rd edn). Chicago: The University of Chicago Press.
29. Lembke, S., & Wilson, M. B. (1998). Putting the "Team" into teamwork: Alternative theoretical contributions for contemporary management practice. Human Relations, 51(7), 927-944. (Pubitemid 128101008)
30. McKenna, H. P., Hasson, F., & Keeney, S. (2004). Patient safety and quality of care: the role of the health care assistant. In J. Johnson & C. De Souza (Eds.), Understanding Health & Social Care (pp. 147-155). Thousand Oaks: Sage Publications (in association with The Open University).
31. Mickan, S., & Rodger, S. (2000). Characteristics of effective teams: A literature review. Australian Health Review, 23(3), 201-208.
32. Miller, K. L., Reeves, S., Zwarenstein, M., Beales, J. D., Kenaszchuk, C., & Conn, L. G. (2008). Nursing emotion work and interprofessional collaboration in general internal medicine wards: A qualitative study. Journal of Advanced Nursing, 64(4), 332-343.
33. Noelker, L. S., & Ejaz, F. K. (2005). Training direct care workers for person centred care. Public Policy & Aging Report, 15(4), 1-19.
34. Oandasan, I., & Reeves, S. (2005). Key elements for interprofessional education. Part 1: The learner, the educator & the learning context. Journal of Interprofessional care, 19(Suppl 1), 21-38. (Pubitemid 40960283)
35. Ouwerkerk, J. P., Ellemers, N., & de Gilder, D. (1999). Group commitment and individual effort in experimental and organisational contexts. In N. Ellemers, R. Spears, & B. Doosje (Eds.), Social Identity: Context, Commitment, Content (pp. 184-204). Oxford: Blackwell.
36. Øvretveit, J. (1996). Five ways to describe a multidisciplinary team. Journal of Interprofessional Care, 10(2), 163-171. (Pubitemid 26294555)
37. Petrie, H. (1976). Do you see what I see? The epistemology of interprofessional interdisciplinary inquiry. Journal of Aesthetic Education, 10, 29-42.
38. Poulton, B. (1995). Keeping the customer satisfied. Primary Health Care, 5, 16-19.
39. Reeves, S., Lewin, S., Espin, S., & Zwarenstein, M. (2010). Interprofessional Teamwork for Health and Social Care. London: Wiley-Blackwell.
40. Schneider, J., Scales, K., Bailey, S., & Lloyd, J. (2010). Challenging Care: The Role of Healthcare Assistants in Dementia Wards.
41. Report for the National Institute for Health Research Service Delivery Organisation programme (Project Number 08/1819/222). Southampton: National Coordinating Centre for the Service Delivery and Organisation (NCCSDO).
42. Spilsbury, K., & Meyer, J. (2004). Use, misuse and no-use of health care assistants: Understanding the work of health care assistants in a hospital setting. Journal of Nursing Management, 12, 411-418. (Pubitemid 39563949)
43. Tajfel, H. (1974). Social Identity and intergroup behaviour. Social Science Information, 13, 65-93.
44. Tajfel, H. (Ed.). (1978) Differentiation Between Social Groups: Studies in the Social Psychology of Intergroup Relations. London: Academic Press.
45. Turner, J. C. (1975). Social comparison and social identity: Some prospects or intergroup behaviour. European Journal of Social Psychology, 5, 5-34.
46. Turner, J. C. (1978). Social comparison, similarity and ingroup-favouritism. In H. Tajfel (Ed.), Differentiation Between Social Groups: Studies in the Social Psychology of Intergroup Relations (pp. 235-250). London: Academic Press.