Implementation & Evaluation of an Interprofessional TeamSTEPPS Simulation Program

Joint Commission 2015 sentinel event data identified communication as the third leading cause of all medical errors in the United States. The complex delivery of health care requires teamwork; however, members of the health care team are rarely trained together and often come from different educational and cultural backgrounds. To improve communication, an interprofessional high fidelity simulation-based program that uses the Agency for Healthcare Research and Quality TeamSTEPPS® 2.0 Framework and associated communication tools was implemented and evaluated in a medium sized acute care community hospital. This quantitative descriptive correlational study addresses two research questions: (1) how does the implementation of a TeamSTEPPS® Simulation Program impact the communication between members of the interprofessional team? (2) How does the implementation of a TeamSTEPPS® Simulation Program impact individual’s attitudes, knowledge, and skills towards teamwork

Exploring Predictors of Teamwork Performance in an Interprofessional Education Setting

Abstract EXPLORING PREDICTORS OF TEAMWORK PERFORMANCE IN AN INTERPROFESSIONAL EDUCATION SETTING By Danah M. Alsane, MS. A thesis submitted in partial fulfillment of the requirements for the degree of Master of Pharmaceutical Science at Virginia Commonwealth University Virginia Commonwealth University, 2016 Advisor: Patricia Slattum, Pharm.D., Ph.D. Professor and Director of the Geriatric Pharmacotherapy Program Department of Pharmacotherapy and Outcomes Science Objectives: The primary objective of this study was to explain how individual characteristics influence teamwork development. In addition, it evaluated how teamwork development, in conjunction with content knowledge, impact students’ performance on a team-based project in an Interprofessional Quality Improvement and Patient Safety (IPQIPS) course. Methods: This cross sectional study included medical, pharmacy, and nursing students enrolled in an IPQIPS course offered for the first time at VCU. Predictors of teamwork development examined included collective orientation (measured using the Collective Orientation Scale, which included dominance and affiliation subscales), and prior interprofessional teamwork experience (measured using self-report). The Team Development Measure (TDM) was used to measure teamwork development. The Statistical Process Control Quiz (SPCQ) was used to assess content knowledge acquired during the course. The final project score was used to evaluate students’ performance on a team-based project. Structural equation modeling was used to test study hypotheses. Results: Among the proposed predictors (dominance, affiliation, and interprofessional teamwork experience), only dominance was related to TDM. No significant relationship was found between teamwork development combined with content knowledge and successful accomplishment of team-based project. Conclusion: This study was the first to our knowledge to simultaneously assess the impact of individual characteristics on teamwork development, and how teamwork development (combined with individual student knowledge) influences students’ performance on team-based project in an interprofessional education setting. Although findings were not conclusive, several potential avenues for future study are highlighted

The balanced scorecard logic in the management control and reporting of small business company networks: a case study

The purpose of this paper is to assess and integrate the application of the balance scorecard (BSC) logic into business networks identifying functions and use that such performance measuring tool may undertake for SME’s collaborative development. Thus, the paper analyses a successful case study regarding an Italian network of small companies, evaluating how the multidimensional perspective of BSC can support strategic and operational network management as well as communication of financial and extra financial performance to stakeholders. The study consists of a qualitative method, proposing the application of BSC model for business networks from international literature. Several meetings and interviews as well as triangulation with primary and secondary documents have been conducted. The case study allows to recognize how BSC network logic can play a fundamental role on defining network mission, supporting management control as well as measuring and reporting the intangible assets formation along the network development lifecycle. This is the first time application of a BSC integrated framework for business networks composed of SMEs. The case study demonstrates operational value of BSC for SME’s collaborative development and success

Assessing the structures and domains of wellness models: A systematic review

Objective: This study systematically identifies different wellness domains, explores whether we are reaching any consensus, and presents an archetype of a wellness model. Methods: Studies were selected for review if they proposed a model for assessing individuals’ wellness, the model was generic (i.e., non-context or disease-specific), designed for adults and included at least physical, psychological and social domains. Furthermore, the study needed to be peer-reviewed with a full-text available in English. Based on this, 44 models were identified and their domains were extracted and grouped using thematic analysis, and placed under themes that were created using quantitative methods. Publication year and formed groupings were used to examine the evolution of models. Median, mode, and percentages were used to form the archetype. Results: The investigated models included 379 unique domains that could be clustered into 70 groups and under 14 themes. While the numbers of published wellness models increased, no consensus on the domains was reached. The majority of the models were presented at one level with five domains. Conclusions: Incorporating wellness into everyday practice requires comparable measures to evaluate and benchmark outcomes. Hence, we need to reach a mutual understanding on the structure and domains of wellness

The Art of Knowledge Exchange: A Results-Focused Planning Guide for Development Practitioners

Designing and implementing knowledge exchange initiatives can be a big undertaking. This guide takes the guesswork out of the process by breaking it down into simple steps and providing tools to help you play a more effective role as knowledge connector and learning facilitator

Implementation and Evaluation of a Team Simulation Training Program

Trauma care, characterized by complex, shifting priorities, presents many challenges to providers. Traditionally, immediate trauma care has been provided in emergency departments. It has recently been recognized that severely injured patients receive better care with improved outcomes when they bypass the emergency department and are admitted directly to the trauma surgical intensive care unit (TSICU). To assure that TSICU nurses and interprofessional staff are prepared to handle such patients, all new registered nurses in the TSICU of a Level I Trauma Center participate in a one-day Trauma Boot Camp. Originally, the focus of the Trauma Boot Camp was solely on direct patient care. Recognition by The Joint Commission and the Institute of Medicine that successful teamwork is critical for positive patient outcomes; a team-training component was added to the Trauma Boot Camp curriculum and evaluation. The purpose of this capstone project was to implement a simulation-based team-training (SBTT) component as part of a comprehensive trauma nurse-training program. Evaluation of the team training included knowledge, nurse satisfaction, nurse self-confidence, and simulated team performance. Seven registered nurses in the TSICU received teamwork training during the Trauma Boot Camp. Total teamwork perceptions and attitudes scores improved (p=.041 and p=.021 respectively) after the training. Participants agreed or strongly agreed when rating satisfaction and self-confidence in learning after the SBTT. Observed team performance improved after the SBTT. The results indicate favorable outcomes for use of SBTT

Systematic overview of reviews of instruments that evaluate teamwork in healthcare

Healthcare professionals working in teams is necessary, since good teamwork among healthcare professionals has been found to improve patient outcomes and reduce burnout. Surveys provide a quick and efficient way to capture the various constructs of teamwork to understand team functioning, areas of strength, and the potential areas for improvement. However, not all surveys are useful as majority of them remain to be validated. In this research, a systematic overview of reviews is conducted to identify robust instruments that are frequently identified in the literature. The databases searched include MEDLINE, EMBASE, CINAHL, and PsycINFO. After excluding duplicates and irrelevant articles, there were 15 articles that met the inclusion criteria for full assessment. Surveys appropriate for measuring teamwork in various healthcare settings were reported. It was determined there were seven surveys that were validated and most frequently identified in the literature. This overview provides a narrative for researchers and clinicians in deciding on instruments that is most appropriate for their goals and practice. More research is required to develop surveys that include involving patients as part of the healthcare team