Functional diversity and team innovation: A study on the mediating role of social cohesion in primary care teams.

Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 7611530 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1550-5030 (Electronic) Linking ISSN: 03616274 NLM ISO Abbreviation: Health Care Manage Rev Subsets: MEDLINE

Publication: 2003- : Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Germantown, Md., Aspen Systems Corp.

Social Cohesion* ; Patient Care Team* ; Primary Health Care*; Humans ; Organizational Innovation ; Interprofessional Relations

Background: Bringing together professionals with different knowledge and skills comes with the opportunity to spur the innovativeness of primary care teams. Nevertheless, empirical evidence shows that it is not self-evident that these innovations are also realized. The social categorization theory suggests that a better understanding of whether these potential team innovations are realized can be obtained by looking at the social cohesion of such teams.
Purpose: The aim of this study was to study the relationship between functional diversity and team innovation in primary care teams by examining the mediating role of social cohesion.
Methodology: Survey responses and administrative data of 887 primary care professionals and 75 supervisors in 100 primary care teams were analyzed. Structural equation modeling was used to examine a curvilinear mediated relationship among functional diversity and team innovation through social cohesion.
Results: The findings show a positive relationship between social cohesion and team innovation as expected. Contrary to the expectations, the relationship between functional diversity and social cohesion is insignificant, and the results show an inverted U-shaped relationship between functional diversity and team innovation instead.
Conclusions: This study reveals an unexpected inverted U-shaped relationship between functional diversity and team innovation. This relationship is not mediated by social cohesion; however, social cohesion is still a significant predictor of team innovation.
Practice Implications: Policymakers should be aware of the relevance as well as the complexity of creating social cohesion in functionally diverse primary care teams. As long as it remains unknown how social cohesion is stimulated in functionally diverse teams, it seems best for the team innovation to prevent bringing together too many, but also too few, different functions.
(Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.)

Anderson J. C., Gerbing D. W. (1988). Structural equation modeling in practice: A review and recommended two-step approach. Psychological Bulletin , 103(3), 411–423.
Anderson N. R., Potočnik K., Zhou J. (2014). Innovation and creativity in organizations: A state-of-the-science review, prospective commentary, and guiding framework. Journal of Management , 40(5), 1297–1333.
Ashforth B. E., Mael F. (1989). Social identity theory and the organization. Academy of Management Review , 14(1), 20–39.
Bliese P. D., Halverson R. R. (1998). Group size and measures of group-level properties: An examination of eta-squared and ICC values. Journal of Management , 24, 157–172.
Brown T. A. (2015). Confirmatory factor analysis for applied research . Guilford Press.
Carless S. A., De Paola C. (2000). The measurement of cohesion in work teams. Small Group Research , 31(1), 71–88.
De Dreu C. K. W. (2002). Team innovation and team effectiveness: The importance of minority dissent and reflexivity. European Journal of Work and Organizational Psychology , 11(3), 285–298.
Dineen B. R. (2005). TeamXchange: A team project experience involving virtual teams and fluid team membership. Journal of Management Education , 29(4), 593–616.
Earley P. C., Mosakowski E. (2000). Creating hybrid team cultures: An empirical test of transnational team functioning. The Academy of Management Journal , 43(1), 26–49.
Edmondson A. C. (1999). Psychological safety and learning behavior in work teams. Administrative Science Quarterly , 44(2), 350–383.
Farrell A. M., Rudd J. M. (2009). Factor analysis and discriminant validity: A brief review of some practical issues. In D. Tojib (Ed.), ANZMAC 2009 conference proceedings . ANZMAC.
Gibson C., Vermeulen F. (2003). A healthy divide: Subgroups as a stimulus for team learning behavior. Administrative Science Quarterly , 48, 202–239.
Harris M. F., Advocat J., Crabtree B. F., Levesque J. F., Miller W. L., Gunn J. M., Hogg W., Scott C. M., Chase S. M., Halma L., Russell M. (2016). Interprofessional teamwork innovations for primary health care practices and practitioners: Evidence from a comparison of reform in three countries. Journal of Multidisciplinary Healthcare , 9, 35–46.
Haslam S. A., Reicher S. D. (2015). Self-categorization theory. In International encyclopedia of the social & behavioral sciences (2nd ed., pp. 455–459).
Hülsheger U. R., Anderson N., Salgado J. F. (2009). Team-level predictors of innovation at work: A comprehensive meta-analysis spanning three decades of research. Journal of Applied Psychology , 94(5), 1128–1145.
Jaiswal N. K., Dhar R. L. (2015). Transformational leadership, innovation climate, creative self-efficacy and employee creativity: A multilevel study. International Journal of Hospitality Management , 51, 30–41.
Janssen O., Van de Vliert E., West M. A. (2004). The bright and dark sides of individual and group innovation: A special issue introduction. Journal of Organizational Behavior , 25, 129–145.
Johnson A., Nguyen H., Groth M., White L. (2018). Reaping the rewards of functional diversity in healthcare teams: Why team processes improve performance. Group & Organization Management , 43, 440–474.
Keller R. T. (2001). Cross-functional project groups in research and new product development: Diversity, communications, job stress, and outcomes. The Academy of Management , 44(3), 547–555.
LeBreton J. M., Senter J. L. (2008). Answers to 20 questions about interrater reliability and interrater agreement. Organizational Research Methods , 11, 815–852.
Lovelace K., Shapiro D. L., Weingart L. R. (2001). Maximizing cross-functional new product teams’ innovativeness and constraint adherence: A conflict communications perspective. Academy of Management Journal , 44(4), 779–793.
Mayo M., Kakarika M., Mainemelis C., Deuschel N. T. (2017). A metatheoretical framework of diversity in teams. Human Relations , 70(8), 911–939.
Mitchell R. J., Boyle B. (2015). Professional diversity, identity salience and team innovation: The moderating role of openmindedness norms. Journal of Organizational Behavior , 36, 873–894.
Mitchell R. J., Boyle B. (2019). Inspirational leadership, positive mood, and team innovation: A moderated mediation investigation into the pivotal role of professional salience. Human Resource Management , 58(3), 269–283.
Mitchell R. J., Boyle B. (2021). Professional faultlines and interprofessional differentiation in multidisciplinary team innovation: The moderating role of inclusive leadership. Health Care Management Review , 46(4), 332–340.
Mitchell R. J., Boyle B., Snell L. (2022). The curvilinear effect of professional faultlines on team innovation: The pivotal role of professional identity threat. Applied Psychology , 71(1), 296–311.
Norful A. A., Swords K., Marichal M., Cho H., Poghosyan L. (2019). Nurse practitioner–physician comanagement of primary care patients: The promise of a new delivery care model to improve quality of care. Health Care Management Review , 44(3), 235–245.
Perry-Smith J. E. (2006). Social yet creative: The role of social relationships in facilitating individual creativity. Academy of Management , 49(1), 85–101.
Pituch K. A., Stevens J. P. (2016). Applied multivariate statistics for the social science . Taylor & Francis.
Riisla K., Wendt H., Babalola M. T., Euwema M. (2021). Building cohesive teams—the role of leaders’ bottom-line mentality and behavior. Sustainability , 13(14), 8047.
Smith K. G., Smith K. A., Olian J. D., Sims H. P., O’Bannon D. P., Scully J. A. (1994). Top management team demography and process: The role of social integration and communication. Administrative Science Quarterly , 39, 412–438.
Solanas A., Selvam R. M., Navarro J., Leiva D. (2012). Some common indices of group diversity: Upper boundaries. Psychological Reports , 111(3), 777–796.
Stroebel R. J., Obeidat B., Lim L., Mitchell J. D., Jasperson D. B., Zimring C. (2021). The impact of clinic design on teamwork development in primary care. Health Care Management Review , 46(3), 257–264.
Tajfel H., Turner J. C. (1979). An integrative theory of intergroup conflict. In W. G. Austin, S. Worchel (Eds.), The social psychology of intergroup relations (ed., pp. 33–47). Brooks/Cole.
Tekleab A. G., Karaca A., Quigley N. R., Tsang E. W. K. (2016). Re-examining the functional diversity–performance relationship: The roles of behavioral integration, team cohesion, and team learning. Journal of Business Research , 69(9), 3500–3507.
Van Dijk H., Meyer B., Van Engen M., Loyd D. L. (2017). Microdynamics in diverse teams: A review and integration of the diversity and stereotyping literatures. Academy of Management Annals , 11(1), 517–557.
Van Engen M., van Woerkom M. (2010). Learning from differences: The relationships between team expertise diversity, team learning, team performance, and team innovation. In M. van Woerkom, R. Poell (Eds.), Workplace learning: Concepts, measurement and application . (p. 272). Taylor & Francis.
Van Knippenberg D. (2017). Team innovation. Annual Review of Organizational Psychology and Organizational Behavior , 4(1), 211–233.
Van Rijn M. J., Teeven F. (2013). Kamerstuk 33684 10 (Issue 3).
Van Zijl A. L., Vermeeren B., Koster F., Steijn B. (2019). Towards sustainable local welfare systems: The effects of functional heterogeneity and team autonomy on team processes in Dutch neighbourhood teams. Health and Social Care in the Community , 27(1), 82–92.
Webber S. S., Donahue L. M. (2001). Impact of highly and less job-related diversity on work group cohesion and performance: A meta-analysis. Journal of Management , 27(2), 141–162.
Weiss M., Backmann J., Razinskas S., Hoegl M. (2018). Team diversity in innovation––Salient research in the Journal of Product Innovation Management . Journal of Product Innovation Management , 35(5), 839–850.
West M. A. (2002). Sparkling fountains or stagnant ponds: An integrative model of creativity and innovation implementation in work groups. Applied Psychology , 51, 355–387.
Wickham H. (2016). ggplot2: Elegant graphics for data analysis . Springer-Verlag.

Date Created: 20230327 Date Completed: 20230605 Latest Revision: 20231125

20231126

PMC10227926

10.1097/HMR.0000000000000369

36971509