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Clinical Rehabilitation
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Reviews

A review of salient elements defining team collaboration in paediatric rehabilitation

B JG Nijhuis

Center for Rehabilitation and Northern Center for Health Care Research, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands

H A Reinders-Messelink

Rehabilitation Center ‘Revalidatie Friesland’, Beetsterzwaag, The Netherlands

A CE de Blécourt

W G Olijve

Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands

J W Groothoff

Northern Center for Health Care Research and Department of Social Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands

H Nakken

Department of Special Education, University of Groningen, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands

K Postema

Center for Rehabilitation and Northern Center for Health Care Research, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands

Objective: To explicate the complex process of team collaboration and identify salient elements of team collaboration in paediatric rehabilitation.

Data sources: After an initial search to define key features of team collaboration a systematic search on team collaboration and the key features was executed to identify salient elements. The systematic search was carried out in Index Medicus (MEDLINE), Educational Resource Information Clearinghouse (ERIC) and American Psychological Association (Psyc INFO) covering the period from January 1993 to December 2004.

Review methods: Based on title and abstract relevant publications were identified and qualitatively assessed by two reviewers. To facilitate the interpretation of the salient elements, the articles were also classified according to the criteria ‘participants and setting’ and ‘research method’.

Results: Of the total of 930 identified publications 28 studies proved eligible and were subsequently assessed. The evaluation yielded 29 salient elements defining five key features of team collaboration (i.e. communication, decision making, goal setting, organization and team process). Parent involvement proved to play a dominant role and was mentioned in relation to all five features.

Conclusions: Based on the results, rather than an underlying element, it is proposed to consider parent involvement as the sixth feature of team collaboration. The 29 distinctive elements of teamwork could be useful as a guideline and checklist for empirical studies and may help enhance multidisciplinary collaboration in paediatric care. However, additional exploratory research focusing on the way these elements interact with each other and the key features and whether they facilitate or restrict team collaboration is warranted.

Clinical Rehabilitation, Vol. 21, No. 3, 195-211 (2007)
DOI: 10.1177/0269215506070674


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