Collaborative capacity and structural features that enable team effectiveness: Perceptions of health care workers in Malawi

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Date
2021-08-01
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Kamuzu University of Health Sciences
Abstract
research in acute health care settings has shown that Collaborative Capacity can be improved by the way an organization supports its staff. Lack of Collaborative Capacity results in fragmented health services which do not meet the multiple, complex condition, and needs of the patients. This study, therefore, investigated the perceptions of health care workers on the relationship between Collaborative Capacity and Structural Features that Enable Team Effectiveness, Leadership, and Patient-Centered Care in Blantyre, Malawi. The study employed a quantitative descriptive cross-sectional design. We adapted the Care Coordination survey and administered it to health care workers. Descriptive statistics, as well as univariate and multivariate analysis, were computed. The level of significance was set at p=.05. Analysis of Variance and the Kruskal-Wallis test were used to test differences in the mean ranks among variables. A total of 384 health care workers participated in the study by completing the Care Coordination Survey, resulting in a response rate of 100%. Collaboration Capacity differed significantly across Cadres/Roles. Health care workers had different Perceptions regarding Collaborative Capacity, Structural Features that Enable Team Effectiveness, Leadership and Patient-Centered Care. Health care workers’ Perceptions of Collaborative Capacity were positively associated with supportive organizational context and Patient-Centered Care. This study has established that Collaborative Capacity was positively associated with Communication and Information Technology, Staffing and Resources, Supervisory Support and Patient-Centered Care.
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