Hogan, Aimee and Kelly, James (2023) Measurement of teamwork and predictors of intention to leave in mental health teams. PhD thesis, Lancaster University.
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Abstract
The wellbeing of healthcare staff and the functioning of healthcare teams is vital to the delivery of effective, safe, and high quality care in mental health services. Section one reports a quantitative systematic literature review evaluating the characteristics and psychometric properties of instruments that measure teamwork in mental health teams. The review also appraised the methodological quality of each included paper. A systematic search of six databases was conducted, resulting in fifteen studies evaluating thirteen measures of teamwork being included in the review. Differences were found in, the domains of teamwork measured, the mental health setting the instruments were tested in, and in the psychometric robustness and methodological quality of the instruments. The conclusion of the review was that none of the studies reported on all nine psychometric properties, highlighting a lack of evidence for psychometrically sound measures of teamwork in mental health teams. Hence, it is recommended that further research should examine the reliability and validity of instruments included in the review. Section two describes an empirical study investigating Compassion Satisfaction, Compassion Fatigue, and Psychological Safety as predictors of Intention to Leave in NHS inpatient mental health staff. This was a cross-sectional study, with participants (n = 179) completing an online survey. Binary logistic regression analysis found that Compassion Satisfaction, Compassion Fatigue, and Psychological Safety were all significant predictors of Intention to Leave. Mostly moderate levels of Compassion Satisfaction and Compassion Fatigue were reported in the sample. The results suggest that Intention to Leave may be improved by focusing on interventions that enhance Compassion Satisfaction and Psychological Safety, and reduce Compassion Fatigue.