TABLE 2.
Example of a problematic teamwork situation in fast-paced, acute care settings.
| Situation | Potential teamwork process problems | Required teamwork process insights |
| At 2 a.m. a patient is being brought into the trauma center. She appears to have multiple traumatic injuries. The nurses prepare the patient as quickly as possible and the anesthesia sub-team begins with inducting of anesthesia. The trauma doors open, the attending trauma surgeon comes in and starts yelling and forcefully expressing her disapproval that the patient lies uncovered, bare, and fully exposed in the cold room and that she wouldn’t know how many more times she has to complain about it until the nurses would eventually get it. The nurses look at each other, roll their eyes, and continue their work. So does the anesthesiologist. | High frequency of uncivil behavior and its detrimental and contagiously spreading effects for team performance outcomes (Porath and Erez, 2009; Riskin et al., 2015; Foulk et al., 2016; Bar-David, 2018; Klingberg et al., 2018). | Insights into the unfolding of incivility during fast-paced, acute care settings and into potential triggers of civility. |
| Low frequency of voice behavior and related missed opportunities for improvement (Morrison and Milliken, 2000; Kobayashi et al., 2006; Detert and Burris, 2007; Tangirala and Ramanujam, 2012; Schwappach and Gehring, 2014; Raemer et al., 2016). | Understanding of social dynamics enabling voice behavior during fast-paced, acute care settings. | |
| Difficulty to function as highly interdependent team because of low civility (Salas, 2016). | Identification of team adaptation mechanisms for maintaining and regaining functionality despite low civility. |