Conclusions
With regard to practical implications of the results, managers of health care organizations are advised to increase their awareness concerning the importance of good organizational culture and interprofessional teamwork. Furthermore, the implementation of team development interventions can be recommended and should be supported. Any such intervention should be tailored to the needs of the teams, and further research should evaluate these interventions to find evidence-based best practices. The evaluation of these interventions should rely on a set of different assessment methods. It is desirable to put more weight on behavior, which might be assessed through observation and it would be interesting to consider additional economic and outcome parameters on the patient side (e.g., treatment success and patient satisfaction). In order to combine organizational, team and patient data, the multi-level-approaches are the state of the art. Our study results underpin the importance of investigating the characteristics and effects of working conditions in health care facilities more comprehensively. The study is a foundation for further longitudinal intervention studies and multi-level approaches.