Navigating Team Dysfunction in Healthcare: A Guide for Leaders

27 August 2024

By Dr Sarah Coope

As healthcare leaders, we understand how important effective teamwork and strong team leadership is for ensuring the delivery of high-quality patient care. However, team dysfunction in healthcare settings can be a significant barrier to success. Addressing team dysfunction is often a challenging and complex process.

In this blog, we delve into how to diagnose, address, and prevent team dysfunction, drawing insights from Patrick Lencioni’s renowned work, The Five Dysfunctions of a Team.

Diagnosing team dysfunction in healthcare

Identifying the root causes of team dysfunction is the initial step towards addressing them. Only once these have been identified can positive change be fostered, to improve team dynamics and strengthen healthcare team leadership.

Lencioni’s model focuses on five key team dysfunctions:

  • an absence of trust
  • a fear of conflict
  • a lack of commitment
  • avoidance of accountability
  • inattention to results

By recognising these dysfunctions within our teams, healthcare leaders can gain valuable insights into the underlying issues impeding team performance.

A lack of trust, avoiding conflict, having unclear roles and conflicting goals – all these issues contribute to dysfunctional teams. In healthcare these challenges, if unresolved, can lead to compromised patient care and increased stress among staff. Recognising the signs early and identifying which root cause they indicate is a crucial first step toward resolution.

Addressing group dysfunction as a healthcare leader

Once the specific dysfunctions are identified, the next step is to implement targeted interventions to address them.

For example: two clinicians clearly disagree on something, but are not engaging in a healthy conflict discussion about the issue. Facilitating a mediation session between the clinicians can help them understand each other’s perspectives and find common ground.

Another example: a healthcare team responsible for post-operative care is experiencing a breakdown in communication. This leads to lapses in patient follow-up and medication management. Implementing strategies to build trust, address conflict, and foster communication will reduce both patient and staff stress.

As a leader, it is essential to manage your own behaviour effectively, as the way you conduct yourself sets the tone for your team. Transform a dysfunctional team into a cohesive, high-performing unit by:

  • fostering open communication through regular team meetings.
  • establishing clear roles and goals for your staff.
  • mediating conflicts promptly and fairly.

How to turn around dysfunction in healthcare

Consider a scenario where a healthcare team is struggling with high turnover rates and low morale. By focusing on self-management, the team’s leader begins by acknowledging their own stress and seeking support from a mentor. They then facilitate a culture of open communication through the steps mentioned above (regular team meetings, establishing clear roles, and swift conflict mediation).

Over time, the team experiences improved collaboration, reduced turnover, and enhanced patient care. Effective leadership within healthcare settings involves recognising, addressing, and preventing team dysfunction before it has time to spread.

By embracing the principles outlined in Lencioni’s model and applying them thoughtfully to real-world scenarios, healthcare teams can enhance their cohesiveness, communication, and performance. This will ultimately lead to improved team morale and better patient outcomes.

Xytal help healthcare leaders navigate and prevent team dysfunction

Managing a dysfunctional team in healthcare requires a leader who shows emotional intelligence, fosters open communication, and supports their team. By focusing on self-management and cultivating a positive mindset, healthcare leaders can address and prevent team dysfunction.

If you’re looking to enhance your leadership skills and transform your healthcare team, explore our range of Leadership Programmes. Xytal help leaders across the healthcare sector to improve their processes and effectively manage their teams. Our purpose is to help you become the leader your team needs.

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