{"id":"https://openalex.org/W7214513145","doi":null,"title":"Health Care Teams Under Pressure: The Impact of Complexity on Team Cognition and Team Performance","display_name":"Health Care Teams Under Pressure: The Impact of Complexity on Team Cognition and Team Performance","publication_year":2026,"publication_date":"2026-09-22","ids":{"openalex":"https://openalex.org/W7214513145"},"language":"en","primary_location":{"id":"pmh:oai:queensu.scholaris.ca:1974/36994","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/1974/36994","pdf_url":"https://queensu.scholaris.ca/bitstreams/e3a8a56e-01d1-4024-b9b8-32f0f8a3c245/download","source":{"id":"https://openalex.org/S4306402568","display_name":"QSpace (Queen's University Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I204722609","host_organization_name":"Queen's University","host_organization_lineage":["https://openalex.org/I204722609"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"thesis"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://queensu.scholaris.ca/bitstreams/e3a8a56e-01d1-4024-b9b8-32f0f8a3c245/download","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160829322","display_name":"Ingrid de Vries","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I204722609","display_name":"Queen's University","ror":"https://ror.org/02y72wh86","country_code":"CA","type":"education","lineage":["https://openalex.org/I204722609"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"de Vries, Ingrid","raw_affiliation_strings":["Doctor of Philosophy Queen 's University Kingston , Ontario , Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Doctor of Philosophy Queen 's University Kingston , Ontario , Canada","institution_ids":["https://openalex.org/I204722609"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5160829322"],"corresponding_institution_ids":["https://openalex.org/I204722609"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10970","display_name":"Team Dynamics and Performance","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10970","display_name":"Team Dynamics and Performance","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11238","display_name":"Simulation-Based Education in Healthcare","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care-teams","display_name":"healthcare teams","score":0.800000011920929},{"id":"https://openalex.org/keywords/team-cognition","display_name":"team cognition","score":0.996999979019165},{"id":"https://openalex.org/keywords/team-performance","display_name":"team performance","score":0.9929999709129333},{"id":"https://openalex.org/keywords/case-complexity","display_name":"case complexity","score":0.9049999713897705},{"id":"https://openalex.org/keywords/dynamic-environments","display_name":"dynamic environments","score":0.8090000152587891},{"id":"https://openalex.org/keywords/team-communication","display_name":"team communication","score":0.8930000066757202},{"id":"https://openalex.org/keywords/adaptive-coordination","display_name":"adaptive coordination","score":0.7680000066757202},{"id":"https://openalex.org/keywords/shared-understanding","display_name":"mutual understanding","score":0.8180000185966492},{"id":"https://openalex.org/keywords/team-experience","display_name":"team experience","score":0.6959999799728394},{"id":"https://openalex.org/keywords/flight-paramedics","display_name":"flight paramedics","score":0.7760000228881836},{"id":"https://openalex.org/keywords/team-reflection","display_name":"team reflection","score":0.531000018119812},{"id":"https://openalex.org/keywords/lag-sequential-analysis","display_name":"lag sequential analysis","score":0.6679999828338623}],"concepts":[{"id":"https://openalex.org/C111226992","wikidata":"https://www.wikidata.org/wiki/Q626225","display_name":"Teamwork","level":2,"score":0.7016000151634216},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.654699981212616},{"id":"https://openalex.org/C128654540","wikidata":"https://www.wikidata.org/wiki/Q7691641","display_name":"Team composition","level":2,"score":0.6302000284194946},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5669000148773193},{"id":"https://openalex.org/C179420905","wikidata":"https://www.wikidata.org/wiki/Q223871","display_name":"Mediation","level":2,"score":0.5593000054359436},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.5529999732971191},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.5460000038146973},{"id":"https://openalex.org/C57035238","wikidata":"https://www.wikidata.org/wiki/Q16938583","display_name":"Team effectiveness","level":2,"score":0.4977000057697296},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.47530001401901245},{"id":"https://openalex.org/C36376990","wikidata":"https://www.wikidata.org/wiki/Q17150189","display_name":"Psychological safety","level":2,"score":0.43380001187324524},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.41600000858306885},{"id":"https://openalex.org/C13200473","wikidata":"https://www.wikidata.org/wiki/Q2747831","display_name":"Reflexivity","level":2,"score":0.3547999858856201},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.28119999170303345},{"id":"https://openalex.org/C2779351106","wikidata":"https://www.wikidata.org/wiki/Q24965456","display_name":"Decision quality","level":3,"score":0.2718999981880188},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.2655999958515167},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.2547999918460846},{"id":"https://openalex.org/C2780385302","wikidata":"https://www.wikidata.org/wiki/Q367158","display_name":"Protocol (science)","level":3,"score":0.2526000142097473}],"mesh":[],"locations_count":1,"locations":[{"id":"pmh:oai:queensu.scholaris.ca:1974/36994","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/1974/36994","pdf_url":"https://queensu.scholaris.ca/bitstreams/e3a8a56e-01d1-4024-b9b8-32f0f8a3c245/download","source":{"id":"https://openalex.org/S4306402568","display_name":"QSpace (Queen's University Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I204722609","host_organization_name":"Queen's University","host_organization_lineage":["https://openalex.org/I204722609"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"thesis"}],"best_oa_location":{"id":"pmh:oai:queensu.scholaris.ca:1974/36994","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/1974/36994","pdf_url":"https://queensu.scholaris.ca/bitstreams/e3a8a56e-01d1-4024-b9b8-32f0f8a3c245/download","source":{"id":"https://openalex.org/S4306402568","display_name":"QSpace (Queen's University Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I204722609","host_organization_name":"Queen's University","host_organization_lineage":["https://openalex.org/I204722609"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"thesis"},"sustainable_development_goals":[{"score":0.8371999859809875,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7214513145.pdf","grobid_xml":"https://content.openalex.org/works/W7214513145.grobid-xml"},"referenced_works_count":203,"referenced_works":["https://openalex.org/W79229537","https://openalex.org/W234849162","https://openalex.org/W622192890","https://openalex.org/W1141086006","https://openalex.org/W1521333632","https://openalex.org/W1644583703","https://openalex.org/W1687253533","https://openalex.org/W1767868569","https://openalex.org/W1861622277","https://openalex.org/W1964556317","https://openalex.org/W1969326925","https://openalex.org/W1970251998","https://openalex.org/W1976363506","https://openalex.org/W1977150104","https://openalex.org/W1981712955","https://openalex.org/W1984060887","https://openalex.org/W1988262213","https://openalex.org/W1991044014","https://openalex.org/W1994084271","https://openalex.org/W2000191857","https://openalex.org/W2007751898","https://openalex.org/W2011854261","https://openalex.org/W2016540947","https://openalex.org/W2016697128","https://openalex.org/W2019963249","https://openalex.org/W2026248601","https://openalex.org/W2028707177","https://openalex.org/W2030190122","https://openalex.org/W2030984807","https://openalex.org/W2031177377","https://openalex.org/W2046627276","https://openalex.org/W2047412862","https://openalex.org/W2052628508","https://openalex.org/W2055321492","https://openalex.org/W2057327092","https://openalex.org/W2062279403","https://openalex.org/W2071948451","https://openalex.org/W2073630867","https://openalex.org/W2078355704","https://openalex.org/W2085611735","https://openalex.org/W2089351326","https://openalex.org/W2089773578","https://openalex.org/W2090888613","https://openalex.org/W2095462521","https://openalex.org/W2100922849","https://openalex.org/W2107079631","https://openalex.org/W2111030379","https://openalex.org/W2111859378","https://openalex.org/W2114732155","https://openalex.org/W2115027971","https://openalex.org/W2115173015","https://openalex.org/W2115675313","https://openalex.org/W2116240446","https://openalex.org/W2121995961","https://openalex.org/W2123826060","https://openalex.org/W2124355949","https://openalex.org/W2132739296","https://openalex.org/W2134374403","https://openalex.org/W2135003856","https://openalex.org/W2136899341","https://openalex.org/W2138709149","https://openalex.org/W2138990761","https://openalex.org/W2139203848","https://openalex.org/W2139894798","https://openalex.org/W2143856037","https://openalex.org/W2146948159","https://openalex.org/W2149852843","https://openalex.org/W2151905266","https://openalex.org/W2151976185","https://openalex.org/W2156274117","https://openalex.org/W2156435103","https://openalex.org/W2157179980","https://openalex.org/W2162661914","https://openalex.org/W2164392040","https://openalex.org/W2166508287","https://openalex.org/W2169613734","https://openalex.org/W2171020951","https://openalex.org/W2171032518","https://openalex.org/W2184804741","https://openalex.org/W2191561654","https://openalex.org/W2191652390","https://openalex.org/W2204262283","https://openalex.org/W2245701220","https://openalex.org/W2273145855","https://openalex.org/W2277028877","https://openalex.org/W2315348417","https://openalex.org/W2315587423","https://openalex.org/W2317484485","https://openalex.org/W2317709502","https://openalex.org/W2322558727","https://openalex.org/W2329779338","https://openalex.org/W2346578806","https://openalex.org/W2463605260","https://openalex.org/W2510411449","https://openalex.org/W2528297165","https://openalex.org/W2536800748","https://openalex.org/W2572206333","https://openalex.org/W2587865696","https://openalex.org/W2588028888","https://openalex.org/W2604981644","https://openalex.org/W2609007945","https://openalex.org/W2626046228","https://openalex.org/W2735414129","https://openalex.org/W2739273293","https://openalex.org/W2740802268","https://openalex.org/W2755278867","https://openalex.org/W2762064429","https://openalex.org/W2766420476","https://openalex.org/W2775801178","https://openalex.org/W2786728283","https://openalex.org/W2793351282","https://openalex.org/W2803733393","https://openalex.org/W2806207353","https://openalex.org/W2807373790","https://openalex.org/W2808353110","https://openalex.org/W2883326551","https://openalex.org/W2885480655","https://openalex.org/W2890300981","https://openalex.org/W2896115054","https://openalex.org/W2901421443","https://openalex.org/W2911532044","https://openalex.org/W2914445602","https://openalex.org/W2914991015","https://openalex.org/W2919585777","https://openalex.org/W2944682626","https://openalex.org/W2948045494","https://openalex.org/W2950429023","https://openalex.org/W2951060653","https://openalex.org/W2952738885","https://openalex.org/W2954270560","https://openalex.org/W2955088294","https://openalex.org/W2966144560","https://openalex.org/W2968893422","https://openalex.org/W2972309377","https://openalex.org/W2972423395","https://openalex.org/W2983724946","https://openalex.org/W2985843821","https://openalex.org/W2991893235","https://openalex.org/W3020839064","https://openalex.org/W3027428178","https://openalex.org/W3029841721","https://openalex.org/W3035638419","https://openalex.org/W3083948085","https://openalex.org/W3094471903","https://openalex.org/W3108827943","https://openalex.org/W3110110236","https://openalex.org/W3111136268","https://openalex.org/W3127881438","https://openalex.org/W3137021154","https://openalex.org/W3138098079","https://openalex.org/W3140125547","https://openalex.org/W3154815557","https://openalex.org/W3157754124","https://openalex.org/W3157770266","https://openalex.org/W3179487754","https://openalex.org/W3186822911","https://openalex.org/W3186964846","https://openalex.org/W3188313192","https://openalex.org/W3191457248","https://openalex.org/W3197182080","https://openalex.org/W3205923966","https://openalex.org/W3206693213","https://openalex.org/W3208456977","https://openalex.org/W3210195302","https://openalex.org/W4210591564","https://openalex.org/W4224294090","https://openalex.org/W4225152728","https://openalex.org/W4231371247","https://openalex.org/W4232534544","https://openalex.org/W4242804850","https://openalex.org/W4281779338","https://openalex.org/W4282923585","https://openalex.org/W4283662806","https://openalex.org/W4293232038","https://openalex.org/W4293659833","https://openalex.org/W4294555464","https://openalex.org/W4304193672","https://openalex.org/W4308417042","https://openalex.org/W4313260070","https://openalex.org/W4316362985","https://openalex.org/W4319262153","https://openalex.org/W4319262220","https://openalex.org/W4324094233","https://openalex.org/W4365136391","https://openalex.org/W4379390386","https://openalex.org/W4385552709","https://openalex.org/W4386325907","https://openalex.org/W4386423164","https://openalex.org/W4387454699","https://openalex.org/W4388551347","https://openalex.org/W4390405211","https://openalex.org/W4391036357","https://openalex.org/W4391490345","https://openalex.org/W4394683512","https://openalex.org/W4398778635","https://openalex.org/W4399216775","https://openalex.org/W4401281164","https://openalex.org/W4403101363","https://openalex.org/W4404374638","https://openalex.org/W4408011609","https://openalex.org/W4412966493","https://openalex.org/W4415126445","https://openalex.org/W7155609488"],"related_works":["https://openalex.org/W2604981644","https://openalex.org/W4408757683","https://openalex.org/W6939638904","https://openalex.org/W2998355561","https://openalex.org/W2733705517","https://openalex.org/W2883710222","https://openalex.org/W7098320258","https://openalex.org/W7138037544","https://openalex.org/W2954270560","https://openalex.org/W1605052164"],"abstract_inverted_index":{"Healthcare":[0],"teams":[1,33,41,93,200],"play":[2],"a":[3,115,121,291,305],"central":[4,266],"role":[5,79],"in":[6,43,110,139,314],"delivering":[7],"care":[8],"to":[9,18,22,71,85,217,228,267,276,278],"patients":[10],"and":[11,25,38,54,142,145,153,170,179,208,223,242,297,311],"their":[12,189],"families.":[13],"Teamwork":[14],"has":[15],"been":[16],"shown":[17],"be":[19,61],"directly":[20],"related":[21],"clinical":[23,295],"performance":[24,88,100,209,313],"patient":[26],"outcomes,":[27],"making":[28],"it":[29,69],"essential":[30],"that":[31,59,187,263,285],"these":[32,148],"receive":[34],"appropriate":[35],"training,":[36],"feedback,":[37],"assessment.":[39],"These":[40,66,302],"work":[42],"complex,":[44,111],"dynamic":[45,112,315],"environments":[46],"characterized":[47],"by":[48,299],"changing":[49,280],"team":[50,87,108,140,151,162,171,234,243,259,300,309,312],"membership,":[51],"time":[52],"pressures,":[53],"large":[55],"amounts":[56],"of":[57,80,107,161,197,221,233,247,293],"information":[58],"may":[60],"ambiguous,":[62],"missing,":[63],"or":[64,98],"unknown.":[65],"characteristics":[67],"make":[68],"difficult":[70],"fully":[72],"capture":[73],"team-level":[74],"performance.":[75,190,244,260],"Despite":[76],"the":[77,105,126,159,165,184,231,237,248,255,279],"critical":[78],"healthcare":[81],"teams,":[82],"most":[83],"approaches":[84],"measuring":[86],"are":[89],"static,":[90],"capturing":[91],"what":[92],"do":[94,147,176],"rather":[95],"than":[96],"how":[97,146],"why":[99],"emerges.":[101],"This":[102],"study":[103,131],"investigated":[104],"dynamics":[106],"cognition":[109,163,235,310],"environments.":[113,316],"Using":[114],"concurrent":[116],"mixed":[117],"methods":[118],"design":[119],"with":[120,150],"qualitative":[122],"strand":[123],"nested":[124],"within":[125],"quantitative":[127],"strand,":[128],"this":[129],"observational":[130],"addressed":[132],"three":[133],"questions:":[134],"1)":[135],"What":[136,174],"patterns":[137,220],"exist":[138],"communication":[141,264],"coordination":[143,275],"behaviours,":[144],"vary":[149],"experience":[152],"case":[154,168,240],"complexity":[155,169,241],"2)":[156],"How":[157],"does":[158],"rate":[160,232],"mediate":[164],"relationship":[166,238],"between":[167,239],"performance,":[172],"3)":[173],"insights":[175],"teams\u2019":[177],"reflections":[178],"reflexive":[180],"practices":[181],"provide":[182,304],"into":[183,254],"cognitive":[185,256],"processes":[186,257],"shape":[188],"Data":[191],"were":[192,288],"collected":[193],"from":[194],"video":[195],"recordings":[196],"flight":[198],"paramedic":[199,294],"performing":[201],"simulated":[202],"scenarios,":[203],"demographic":[204],"surveys,":[205],"reflective":[206],"interviews,":[207],"scores.":[210],"Lag":[211],"sequential":[212],"analysis":[213,225,246],"(LSA)":[214],"was":[215,226],"used":[216,227],"identify":[218],"significant":[219],"behaviour,":[222],"mediation":[224],"determine":[229],"whether":[230],"mediated":[236],"Thematic":[245],"post-simulation":[249],"interviews":[250],"provided":[251],"additional":[252],"insight":[253],"underlying":[258],"Findings":[261],"showed":[262],"is":[265],"developing":[268],"shared":[269],"understanding.":[270],"Teams":[271],"relied":[272],"on":[273,308],"adaptive":[274],"respond":[277],"environment.":[281],"Empirical":[282],"evidence":[283],"shows":[284],"behavioural":[286],"sequences":[287],"observable,":[289],"forming":[290],"part":[292],"practice,":[296],"varying":[298],"experience.":[301],"findings":[303],"preliminary":[306],"perspective":[307]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-09-27T00:00:00"}
