Confronted with the need to increase intershift cooperation and communication, one hospital experimented with a team-building effort to develop increased unit cohesiveness. This description of how their team-building program worked and the benefits it brought to the entire nursing departmentprovides a strategy that may be used or adapted in other settings to improve intershift cooperation and reinforce the head nurse in the role of 24-hour manager of the unit.
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Cohen et al. (1982) studied this question.