Realistic evaluation of the Flexmonitor, a team program to maintain and reflect on flexibility.

PURPOSE Flexibility is necessary in a dynamic healthcare environment. However, balancing flexibility and consistency is difficult for healthcare teams, especially when working in threatening conditions. Methods are needed to help teams create, monitor and maintain flexibility. DESIGN/METHODOLOGY/APPROACH This study evaluates a practice-based program -- the Flexmonitor - which aims to help teams develop and maintain flexibility. Here, realistic evaluation was used to refine the program and define building blocks for future programs. FINDINGS The Flexmonitor can be used to monitor implicit criteria and differences in interpretation and beliefs among team members to promote flexibility. It also monitors team behavior and the effects of this behavior on self-defined indicators. Using the Flexmonitor, team members can discuss their beliefs and the definitions and criteria of flexibility. Strikingly, teams were not able to effectively self-manage their flexibility using the Flexmonitor. ORIGINALITY/VALUE This article contributes to our knowledge of self-managing teams, particularly the question of whether team members can take responsibility for team flexibility.

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