Which of the following is a barrier to team-based care?

• A. Improved patient satisfaction
• B. Legislative ease
• C. High retention of training
• D. Rapid staff turnover

Answer: (D)

A barrier to team-based care is rapid staff turnover. Team-based care relies on stable, interprofessional collaboration where members know each other’s roles, share information smoothly, and develop a common approach to patient care. When staff leave or rotate quickly, continuity of care is disrupted, trust and communication among team members weaken, and essential knowledge isn’t consistently transferred. This makes coordinating care more difficult, increases onboarding time for new members, and can raise the risk of errors.

The other options aren’t barriers. Improved patient satisfaction is a positive outcome that team-based care aims to achieve. Legislative ease refers to supportive policies that facilitate teamwork, not hinder it. High retention of training means staff stay longer and remain proficient, which actually strengthens team performance.