TY  - JOUR
PY  - 2017//
TI  - Teammate familiarity, teamwork, and risk of workplace injury in emergency medical services teams
JO  - Journal of emergency nursing
A1  - Hughes, Ashley M.
A1  - Patterson, P. Daniel
A1  - Weaver, Matthew D.
A1  - Gregory, Megan E.
A1  - Sonesh, Shirley C.
A1  - Landsittel, Douglas P.
A1  - Krackhardt, David
A1  - Hostler, David
A1  - Lazzara, Elizabeth H.
A1  - Wang, Xiao
A1  - Vena, John E.
A1  - Salas, Eduardo
A1  - Yealy, Donald M.
SP  - 339
EP  - 346
VL  - 43
IS  - 4
N2  - Increased teammate familiarity in emergency medical services (EMS) promotes development of positive teamwork and protects against workplace injury. <br><br>METHODS: Measures were collected using archival shift records, workplace injury data, and cross-sectional surveys from a nationally representative sample of 14 EMS agencies employing paramedics, prehospital nurses, and other EMS clinicians. One thousand EMS clinicians were selected at random to complete a teamwork survey for each of their recent partnerships and tested the hypothesized role of teamwork as a mediator in the relationship between teammate familiarity and injury with the PROCESS macro. <br><br>RESULTS: We received 2566 completed surveys from 333 clinicians, of which 297 were retained. Mean participation was 40.5% (standard deviation [SD] = 20.5%) across EMS agencies. Survey respondents were primarily white (93.8%), male (67.3%), and ranged between 21-62 years of age (M = 37.4, SD = 9.7). Seventeen percent were prehospital nurses. Respondents worked a mean of 3 shifts with recent teammates in the 8 weeks preceding the survey (M = 3.06, SD = 4.4). We examined data at the team level, which suggest positive views of teamwork (M = 5.92, SD = 0.69). Our hypothesis that increased teammate familiarity protects against adverse safety outcomes through development of positive teamwork was not supported. Teamwork factor Partner Adaptability and Backup Behavior is a likely mediator (odds ratio = 1.03, P =.05). When dyad familiarity is high and there are high levels of backup behavior, the likelihood of injury is increased. <br><br>DISCUSSION: The relationship between teammate familiarity and outcomes is complex. Teammate adaptation and backup behavior is a likely mediator of this relationship in EMS teams with greater familiarity.<br><br>Copyright © 2016 Emergency Nurses Association. Published by Elsevier Inc. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0099-1767
UR  - http://dx.doi.org/10.1016/j.jen.2016.11.007
ID  - ref1
ER  -