NRS 311 Study Guide - Final Guide: Crew Resource Management
Collaboration and Team Development
• Primary goal of the health care team is to provide safe and quality care
• 5 stages of team development
o Norming, storming, forming, and performing, Adjourning
• Forming
o Occurs when the team initial comes together
o Individuals may be curious to meet others in the group or reconnect with colleagues
they have worked with before
o The leader should be willing to answer your questions and hear concerns
o You should listen to the leaders and others introductions, share appropriate information
about themselves, and ask questions
• Storming
o Full of conflict, tension, and struggle
o Team looks deeply at objectives, members begin to challenge
o Individuals may be look for approval
o Team leaders should remain visible and accessible. Continue to portray a authoritarian
demeanor
o Unsolved conflict and unclear leadership are a combination that keeps the group stuck
• Norming
o Members begin to identify as part of team
o Members have agreed to take on challenges and goals
o Team leaders take on a more collaborative demeanor
• Performing
o Very rewarding
o Ideas flow freely and are normally critiqued without judgment or defensiveness.
o Co creative collaboration leads to new ways of thinking
• Adjourning
o Completion and closure
o Sense of loss in terms of belonging and purpose, relief that the demanding work is over,
and celebratory feelings over the teams accomplishment
• Improvement of team development
o A nurse team leader in her report with other team leaders addresses ongoing conflict
o An assistant nurse manager shares with his manager his concerns about the units
recruitment
o A nurse manager in a meeting with human resources suggests a teambuilding
opportunity
• Crew Resource Management
o An approach to optimizing teamwork and leadership that focuses on ensuring safety in
high risk situations
o Core principles
▪ Communication
▪ Workload management
▪ Teamwork
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