What is happening under the surface? Power, conflict and the performance of medical teams

Medical Education

Volumn 46, Issue 9, 2012, Pages 838-849

  Janss, Rozemarijn ^a   Rispens, Sonja ^b   Segers, Mien ^c   Jehn, Karen A ^d  

^a LEIDEN UNIVERSITY MEDICAL CENTER   (Netherlands)

^b EINDHOVEN UNIVERSITY OF TECHNOLOGY   (Netherlands)

^c MAASTRICHT UNIVERSITY   (Netherlands)

^d UNIVERSITY OF MELBOURNE   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

BEHAVIOR; CONFLICT; COOPERATION; GROUP PROCESS; HEALTH CARE DELIVERY; HEALTH CARE PERSONNEL; HUMAN; ORGANIZATION AND MANAGEMENT; PATIENT CARE; PSYCHOLOGICAL ASPECT; PUBLIC RELATIONS; REVIEW; STANDARD;

CONFLICT (PSYCHOLOGY); COOPERATIVE BEHAVIOR; DELIVERY OF HEALTH CARE; GROUP PROCESSES; HEALTH PERSONNEL; HUMANS; INTERPROFESSIONAL RELATIONS; PATIENT CARE TEAM; POWER (PSYCHOLOGY);

EID: 84865304124     PISSN: 03080110     EISSN: 13652923     Source Type: Journal    
DOI: 10.1111/j.1365-2923.2012.04322.x     Document Type: Article

References (108)

1. Sexton JB, Thomas EJ, Helmreich RL. Error, stress, and teamwork in medicine and aviation: cross-sectional surveys. Qual Saf Health Care 2000;320 (7237):745-9.
2. Helmreich RL. On error management: lessons from aviation. BMJ 2000;320 (7237):781-5.
3. Leonard M, Graham S, Bonacum D. The human factor: the critical importance of effective teamwork and communication in providing safe care. Qual Saf Health Care 2004;13 (Suppl1):85-90.
4. Baker DP, Day R, Salas E. Teamwork as an essential component of high-reliability organisations. Health Serv Res 2006;41 (4p2):1576-98.
5. Andersen PO, Jensen MK, Lippert A, Ostergaard D. Identifying non-technical skills and barriers for improvement of teamwork in cardiac arrest teams. Resuscitation 2010;81 (6):695-702.
6. Yule S, Flin R, Maran N, Rowley D, Youngson G. Surgeons' non-technical skills in the operating room: reliability testing of the NOTSS behaviour rating system. World J Surg 2008;32 (4):548-56.
7. Fletcher G, Flin R, McGeorge P, Glavin R, Maran N, Patey R. Anaesthetists' non-technical skills (ANTS): evaluation of a behavioural marker system. Br J Anaesth 2003;90 (5):580-8.
8. Gladstein DL. Groups in context: a model of task group effectiveness. Adm Sci Q 1984;29 (4):499-517.
9. Sundstrom E, de Meuse KP, Futrell D. Work teams: applications and effectiveness. Am Psychol 1990;45 (2):120-33.
10. Hackman J. Why teams don't work. In: Tindal RS, Heath L, Edwards J, Posavac EJ, Bryant FB, Suarez-Balcazar Y, Henderson-King E, Myers J, eds. Theory and Research on Small Groups, Vol. 4. USA: Springer. 2002:245-67.
11. Jehn KA, Rispens S. Conflict in workgroups. In: Barling J, Shaver P, eds. The Sage Handbook of Organizational Behavior. Thousand Oaks, CA: Sage Publications 2009;(1):262-76.
12. Boulding KE. Conflict and Defence: A General Theory. New York, NY: Harper & Row 1963.
13. de Dreu CKW, Weingart LR. Task versus relationship conflict: a meta-analysis. J Appl Psychol 2003;88:741-9.
14. de Wit FRC, Greer LL, Jehn KA. The paradox of intragroup conflict: a meta-analysis. J Appl Psychol 2011;97:360-90.
15. Amason AC. Distinguishing the effects of functional and dysfunctional conflict on strategic decision making: resolving a paradox for top management teams. Acad Manage J 1996;39 (1):123-48.
16. Jehn KA. A multimethod examination of the benefits and detriments of intragroup conflict. Adm Sci Q 1995;40 (2):256-82.
17. Nemeth CJ. Dissent as driving cognition, attitudes, and judgements. Soc Cogn 1995;13 (3):273-91.
18. Pelled LH, Eisenhardt KM, Xin KR. Exploring the black box: an analysis of work group diversity, conflict and performance. Adm Sci Q 1999;44 (1):1-28.
19. Schweiger DM, Sandberg WR, Rechner PL. Experiential effects of dialectical inquiry, devil's advocacy, and consensus approaches to strategic decision making. Acad Manage J 1989;32 (4):745-72.
20. Tjosvold D. The conflict positive organisation: it depends upon us. J Organ Behav 2007;29 (1):19-28.
21. van den Bossche P, Gijselaers WH, Segers M, Kirschner PA. Social and cognitive factors driving teamwork in collaborative learning environments: team learning beliefs and behaviours. Small Gr Res 2006;37 (5):490-521.
22. Jehn KA. A qualitative analysis of conflict types and dimensions in organisational groups. Adm Sci Q 1997;42 (3):530-57.
23. Jehn KA, Greer L, Levine S, Szulanski G. The effects of conflict types, dimensions, and emergent states on group outcomes. Group Decis Negot 2008;17 (6):465-95.
24. Greer LL, Jehn KA. The pivotal role of negative affect in understanding the effects of process conflict on group performance. In: Mannix EA, Neale MA, Anderson C, eds. Research on Managing Groups and Teams, Vol.10. Stanford, CT: JAI Press. 2007:23-45.
25. de Dreu CKW. The virtue and vice of workplace conflict: food for (pessimistic) thought. J Organ Behav 2008;29 (1):5-18.
26. van der Vegt GS, Bunderson JS. Learning and performance in multidisciplinary teams: the importance of collective team identification. Acad Manage J 2005;48 (3):532-47.
27. Xiao Y, Hunter WA, Mackenzie CF, Jefferies NJ, Horst RL, Group L. Special section: task complexity in emergency medical care and its implications for team coordination. Hum Factors 1996;38 (4):636-45.
28. Jehn KA, Rispens R, Thatcher SMB. The effects of conflict asymmetry on work group and individual outcomes. Acad Manage J 2010;53 (3):596-616.
29. Jehn KA, Chatman JA. The influence of proportional and perceptual conflict composition on team performance. Int J Confl Manage 1999;11 (1):56-73.
30. Jehn KA, Rupert J, Nauta A. The effects of conflict asymmetry on mediation outcomes. Int J Confl Manage 2006;17 (2):96-109.
31. Fiske ST. Interpersonal stratification: status, power, and subordination. In: Fiske ST, Gilbert DT, Lindzey G, eds. Handbook of Social Psychology. Hoboken, NJ: John Wiley & Sons inc., 2010;941.
32. Keltner D, Gruenfeld DH, Anderson C. Power, approach, and inhibition. Psychol Rev 2003;110 (2):265-84.
33. Magee JC, Galinsky AD. Social hierarchy: the self-reinforcing nature of power and status. Acad Manag Ann 2008;2 (1):351-98.
34. Thibaut JW, Kelley HH. The Social Psychology of Groups. Oxford: John Wiley 1959.
35. Mannix E, Wageman R. How individual power use affects team process and performance: implications for the powerholder. Working Paper Series: CLP_WP_06_06_MannixWageman.pdf. Cambridge, MA: Center for Public Leadership 2006.
36. Brooks AK. Power and the production of knowledge: collective team learning in work organisations. Human Resource Devel Quart 1994;5 (3):213-35.
37. Edmondson AC. Speaking up in the operating room: how team leaders promote learning in interdisciplinary action teams. J Manage Stud 2003;40 (6):1419-52.
38. van der Vegt GS, de Jong SB, Bunderson JS, Molleman E. Power asymmetry and learning in teams: the moderating role of performance feedback. Organ Sci 2010;21 (2):347-61.
39. Greer LL, van Kleef GA. Equality versus differentiation: the effects of power dispersion on group interaction. J Appl Psychol 2010;95 (6):1032-44.
40. Greer LL, Caruso HM, Jehn KA. The bigger they are, the harder they fall: linking team power, team conflict, and performance. Organ Behav Hum Decis 2011;116:116-28.
41. Klein K, Ziegert JC, Knight AP, Xiau Y. Dynamic delegation: hierarchical, shared and deindividualised leadership in extreme action teams. Adm Sci Q 2006;51 (4):590-621.
42. Booij LHDJ. Conflicts in the operating theatre. Curr Opin Anesthesiol 2007;20 (2):152-6.
43. Rogers DA, Lingard L. Surgeons managing conflict: a framework for understanding the challenge. J Am Coll Surg 2006;203 (4):568-74.
44. Jehn KA, Northcraft GB, Neale MA. Why differences make a difference: a field study of diversity, conflict and performance in workgroups. Adm Sci Q 1999;44 (4):741-63.
45. van Knippenberg D, de Dreu CK, Homan AC. Work group diversity and group performance: an integrative model and research agenda. J Appl Psychol 2004;89 (6):1008-22.
46. Lingard LR, Rezneck R, DeVito I, Espin S. Forming professional identities on the health care team: discursive constructions of the 'other' in the operating room. Med Educ 2002;36 (8):728-34.
47. Kvarnstrom S, Cedersund E. Discursive patterns in multiprofessional healthcare teams. J Adv Nurs 2006;53 (2):244-52.
48. Bendersky C, Hays N. Status conflict in groups. Organ Sci 2012. In press.
49. Jehn KA, Mannix EA. The dynamic nature of conflict: a longitudinal study of intragroup conflict and group performance. Acad Manage J 2001;44 (2):238-51.
50. Lim BC, Klein JK. Team mental models and team performance: a field study of the effects of team mental models similarity and accuracy. J Organ Behav 2006;27 (4):403-18.
51. Mathieu JE, Heffner TS, Goodwin GF, Salas E, Cannon-Bowers JA. The influence of shared mental models on team process and performance. J Appl Psychol 2000;85 (2):273-83.
52. Weaver SJ, Lyons R, DiazGranados D, Rosen MA, Salas E, Oglesby J, Augenstein JS, Birnbach DJ, Robinson D, King HB. The anatomy of health care team training and the state of practice: a critical review. Acad Med 2010;85 (11):1746-60.
53. Mohammed S, Dumville BC. Team mental models in a team knowledge framework: expanding theory and measurement across disciplinary boundaries. J Organ Behav 2001;22 (2):89-106.
54. Cannon-Bowers JA, Salas E, Converse SA. Shared mental models in expert team decision making. In: Castellan NJ Jr, ed. Current Issues in Individual and Group Decision Making. Hillsdale, NJ: Lawrence Erlbaum Associates 1993;221-46.
55. Parise S, Rollag K. Emergent network structure and initial group performance: the moderating role of pre-existing relationships. J Organ Behav 2009;31 (6):877-97.
56. Overbeck JR, Park B. Powerful perceivers, powerless objects: flexibility of powerholders' social attention. Organ Behav Hum Decis 2006;99 (2):227-43.
57. French JRP, Raven BH. The bases of social power. In: Cartwright D, ed. Studies in Social Power. Ann Arbor: University of Michigan 1959;259-69.
58. Marks MA, Mathieu JE, Zaccaro SJ. A temporally based framework and taxonomy of team processes. Acad Manage Rev 2001;26 (3):356-76.
59. Pondy LR. Organisational conflict: concepts and models. Adm Sci Q 1967;12 (2):296-320.
60. Baron RA. Positive effects of conflict: a cognitive perspective. Employ Respons Rights J 1991;4 (1):25-36.
61. Thatcher S. A Model of Group Diversity Profiles and Categorisation Processes in Bicultural Organisational Teams. Res Manag Groups Teams 1998;1:1-20.
62. Fishbein M, Ajzen I. Beliefs, Attitudes, Intentions and Behaviour: An Introduction to Theory and Research. Reading, MA: Addison-Wesley 1975.
63. Wittenbaum GM. Putting communication into the study of group memory. Hum Commun Res 2003;29 (4):616-23.
64. Wittenbaum GM, Hollingshead AB, Botero IC. From cooperative to motivated information sharing in groups: moving beyond the hidden profile paradigm. Commun Monogr 2004;71 (3):286-310.
65. Lee F. When the going gets tough, do the tough ask for help? Help seeking and power motivation in organisations. Organ Behav Hum Decis 1997;72 (3):336-63.
66. Eisenhardt KM. Making fast strategic decisions in high-velocity environments. Acad Manage J 1989;32:543-76.
67. Nadler A, Shmuel E, Bar I. To seek or not to seek: the relationship between help seeking and job performance evaluations as moderated by task relevant expertise. J Appl Soc Psychol 2003;33 (1):91-109.
68. Lee F. The social costs of seeking help. J Appl Behav Sci 2002;38 (1):17-35.
69. Hollenbeck JR, Ilgen DR, Sego DJ, Hedlund J, Major DA, Phillips J. Multilevel theory of team decision making: decision performance in teams incorporating distributed expertise. J Appl Psychol 1995;80 (2):292-316.
70. Nemeth CJ. Differential contributions of majority and minority influence. Psychol Rev 1986;93 (1):23-32.
71. Simons TL, Peterson RS. Task conflict and relationship conflict in top management teams: the pivotal role of intragroup trust. J Appl Psychol 2000;85 (1):102-111.
72. Galinsky A, Ku G, Wang CS. Perspective-taking and self-other overlap: fostering social bonds and facilitating social coordination. Group Process Intergr Relat 2005;8 (2):109-24.
73. Galinsky A, Magee JC, Ena Inesi M, Gruenfeld DH. Power and perspectives not taken. Psychol Sci 2006;17 (12):1068-74.
74. Rico R, Sanchez-Manzanares M, Gil F, Gibson C. Team implicit coordination processes: a team knowledge-based approach. Acad Manage Rev 2008;33 (1):163-84.
75. Sessa VI. Using perspective taking to manage conflict and affect in teams. J Appl Behav Sci 1996;32 (1):101-15.
76. Fisher R, Ertel D. Getting Ready to Negotiate: The Getting to Yes Workbook. New York, NY: Penguin Books 1995.
77. Bazerman MH, Curhan JR, Moore DA, Valley KL. Negotiation. Annu Rev Psychol 2000;51 (1):279-314.
78. Barki H, Hartwick J. Conceptualising the construct of interpersonal conflict. Int J Confl Manage 2004;15 (3):216-44.
79. Barsade SG. The ripple effect: emotional contagion and its influence on group behaviour. Adm Sci Q 2002;47 (4):644-75.
80. Roseman IJ. Appraisal determinants of emotions: constructing a more accurate and comprehensive theory. Cognition Emotion 1996;10 (3):241-78.
81. Parker SK, Atkins PWB, Axtell CM. Building better workplaces through individual perspective taking: a fresh look at a fundamental human process. Int Rev Ind Organ Psychol 2008;23 (5):149-196.
82. Trope Y, Pomerantz EM. Resolving conflicts among self-evaluative motives: positive experiences as a resource for overcoming defensiveness. Motiv Emotion 1998;22 (1):53-72.
83. Frantz CMP, Janoff-Bulman R. Considering both sides: the limits of perspective taking. Basic Appl Soc Psychol 2000;22 (1):31-42.
84. Patey R, Flin R, Fletcher G, Maran N, Glavin R. Developing a taxonomy of anaesthetists' non-technical skills (ANTS). In: Henriksen K, Battles JB, Marks ES, Lewin DL, eds. Advances in Patient Safety: From Research to Implementation. Rockville, MD: Agency for Healthcare Research and Quality 2005;4:325-36.
85. Miller DT, Turnbull W. Expectancies and interpersonal processes. Annu Rev Psychol 1986;37 (1):233-56.
86. Hamilton DL, Sherman SJ, Ruvolo CM. Stereotype-based expectancies: effects on information processing and social behaviour. J Soc Issues 1990;46 (2):35-60.
87. Klein KJ, Conn A, Smith DB, Sorra J. Is everyone in agreement? An exploration of within-group agreement in employee perceptions of the work environment. J Appl Psychol 2001;86 (1):3-16.
88. Camerer C, Lovallo D. Overconfidence and excess entry: an experimental approach. Am Econ Rev 1999;89 (1):306-18.
89. Chattopadhyay P, Finn C, Ashkanasy NM. Affective responses to professional dissimilarity: a matter of status. Acad Manage J 2010;53 (4):808-26.
90. Scheepers D, Ellemmers N. When the pressure is up: the assessment of social identity threat in low and high status groups. J Exp Soc Psychol 2005;41 (2):192-200.
91. Georgesen J, Harris MJ. Holding onto power: effects of powerholders' positional instability and expectancies on interactions with subordinates. Eur J Soc Psychol 2006;36 (4):451-68.
92. Morrison KR, Fast NJ, Ybarra O. Group status, perceptions of threat, and support for social inequality. J Exp Soc Psychol 2009;45 (1):204-10.
93. Lingard L, Reznick R, Espin S, Regehr G, DeVito I. Team communications in the operating room: talk patterns, sites of tension, and implications for novices. Acad Med 2002;77 (3):232-7.
94. Jehn KA, de Wit F, Barreto M. Conflict asymmetries: effects on motivation, attitudes and performance. International Association for Conflict Management 21st Annual Conference, 9 November 2008, Chicago, IL.
95. Jehn KA, Peterson R, Sanchez-Burks J. Seeing the world through different eyes: the effects of conflict belief asymmetry on workgroup performance. International Association for Conflict Management 24th Annual Conference, 24 June 2011, Istanbul.
96. Campbell L, Simpson JA, Boldry J, Kashy DA. Perceptions of conflict and support in romantic relationships: the role of attachment anxiety. J Pers Soc Psychol 2005;88 (3):510-31.
97. Pelled LH. Relational demography and perceptions of group conflict and performance: a field investigation. Int J Confl Manage 1996;7 (3):230-46.
98. World Health Organization. WHO Guidelines for Safe Surgery 2009: Safe Surgery Saves Life. Gawande A, Weiser T, eds. Geneva: WHO Press 2009;1-124.
99. Michaels RK, Makary MA, Dahab Y, Frassica FJ, Heitmiller E, Rowen LC, Crotreau R, Brem H, Pronovost PJ. Achieving the national quality forum's 'Never Events' prevention of wrong site, wrong procedure, and wrong patient operations. Ann Surg 2007;245 (4):526-32.
100. Salas E, Klein C, King H, Salisbury M, Augenstein JS, Birnbach DJ, Robinson DW, Upshaw C. Debriefing medical teams: 12 evidence-based best practices and tips. Jt Comm J Qual Patient Saf 2008;34 (9):518-27.
101. Gurtner A, Tschan F, Semmer NK, Nagele C. Getting groups to develop good strategies: effects of reflexivity interventions on team process, team performance, and shared mental models. Organ Behav Hum Decis 2007;102 (2):127-42.
102. Schippers MC, Homan A, van Knippenberg D. To reflect or not to reflect: prior team performance as a boundary condition of the effects of reflexivity on learning and final team performance. J Organ Behav doi: 10.1002/job.1784. [Epub ahead of print].
103. Smith Jentsch KA, Cannon-Bowers JA, Tannenbaum SI, Salas E. Guided team self-correction. Small Gr Res 2008;39 (3):303-27.
104. Kolb AY, Kolb DA. Learning styles and learning spaces: enhancing experiential learning in higher education. Acad Manag Learn Educ 2005;4 (2):193-212.
105. Wallin CJ, Meurling L, Hedman L, Hedegard J, Fellander-TYsai L. Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. Med Educ 2007;41:173-80.
106. Small SD, Wuerz RC, Simon R, Shapiro N, Conn A, Setnik G. Demonstration of high-fidelity simulation team training for emergency medicine. Acad Emerg Med 1999;6 (4):312-23.
107. Burke LA, Hutchins HM. Training transfer: an integrative literature review. Hum Res Dev Rev 2007;6 (3):263-96.
108. Blume BD, Ford JK, Baldwin TT, Huang JL. Transfer of training: a meta-analytic review. J Manage 2010;36 (4):1065-105.