Measuring Ward-Based Multidisciplinary Healthcare Team Functioning: A Validation Study of the Team Functioning Assessment Tool (TFAT)

Sutton, Gigi; Liao, Jenny; Jimmieson, Nerina L.; Restubog, Simon Lloyd D.

doi:10.1111/jhq.12010

Cited by 8 publications

(6 citation statements)

References 26 publications

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“…Although there are measurement tools to evaluate an individual's performance within a team, most tools have limitations in assessing the teamwork and communication behaviors exhibited by an interprofessional team as a whole. Several tools included elements for one specific setting, such as the emergency department or operating room 13,15,16,18,20,22–24 . Other tools focused only on the physician, 12–14,16,19,20,26 whereas others evaluated only students 11,19,21 .…”

Section: Methodsmentioning

confidence: 99%

“…Quality of behavioral elements-specifically quality of the shared mental model, quality of closed-loop communication, and overall team performance-was assessed using a 7-point, behaviorally anchored, rating scale. Using existing tools, 11,15,[23][24][25]27 we developed anchor descriptors for the 7-point scales. In addition, we measured the time taken to share a mental model.…”

Section: Evaluation Developmentmentioning

confidence: 99%

“…Based on review of existing assessment tools for nontechnical and communication skills, [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] our team developed an evaluation instrument (Fig. 1) to assess the presence or absence of specific desired behaviors needed to self-organize an ad hoc team and to evaluate these behaviors.…”

Section: Evaluation Developmentmentioning

confidence: 99%

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Evaluation of Communication and Safety Behaviors During Hospital-Wide Code Response Simulation

et al. 2021

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Introduction: To understand the baseline quality of team communication behaviors at our organization, we implemented institution-wide simulation training and measured the performance of safety behaviors of ad hoc teams in emergent situations. Methods: Clinicians participated in 2 interprofessional video-recorded simulation scenarios, each followed by debriefing. Using a standardized evaluation instrument, 2 reviewers independently evaluated the presence or absence of desired team safety behaviors, including escalating care, sharing a mental model, establishing leadership, thinking out loud, and identifying roles and responsibilities. We also scored the quality of sharing the mental model, closed-loop communication, and overall team performance on a 7-point scale. Discordant reviews were resolved with scoring by an additional reviewer. Results: A total of 1404 clinicians participated in 398 simulation scenarios, resulting in 257 usable videos. Overall, teams exhibited desired behaviors at the following frequencies: escalating care, 85%; sharing mental models, 66%; verbally establishing leadership, 6%; thinking out loud, 87%; and identifying roles and responsibilities, 27%. Across all reviews, the quality of the graded behaviors (of 7 points) was 2.8 for shared mental models, 3.3 for closed-loop communication, and 3.2 for overall team performance. Conclusions: In a simulation setting with ad hoc teams, there was variable performance on completing safety behaviors and only a fair quality of graded communication behaviors. These results establish a baseline assessment of communication and teamwork behaviors and will guide future quality improvement interventions.

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Section: Methodsmentioning

confidence: 99%

Section: Evaluation Developmentmentioning

confidence: 99%

Section: Evaluation Developmentmentioning

confidence: 99%

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Evaluation of Communication and Safety Behaviors During Hospital-Wide Code Response Simulation

et al. 2021

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“…Fifteen tools met initial inclusion criteria after the initial stage (TABLE 1). [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] After the second stage of review for adaptability of the tool, 5 tools remained. A total of 157 items were extracted and reduced to 81 discrete items for rating by Delphi panelists (FIGURE).…”

Section: Resultsmentioning

confidence: 99%

Development of a Simulation-Based Interprofessional Teamwork Assessment Tool

Bismilla

Boyle

Mangold

et al. 2019

Journal of Graduate Medical Education

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Background The Accreditation Council for Graduate Medical Education (ACGME) Milestone projects required each specialty to identify essential skills and develop means of assessment with supporting validity evidence for trainees. Several specialties rate trainees on a milestone subcompetency related to working in interprofessional teams. A tool to assess trainee competence in any role on an interprofessional team in a variety of scenarios would be valuable and suitable for simulation-based assessment.Objective We developed a tool for simulation settings that assesses interprofessional teamwork in trainees.Methods In 2015, existing tools that assess teamwork or interprofessionalism using direct observation were systematically reviewed for appropriateness, generalizability, adaptability, ease of use, and resources required. Items from these tools were included in a Delphi method with multidisciplinary pediatrics experts using an iterative process from June 2016 to January 2017 to develop an assessment tool.Results Thirty-one unique tools were identified. A 2-stage review narrowed this list to 5 tools, and 81 items were extracted. Twenty-two pediatrics experts participated in 4 rounds of Delphi surveys, with response rates ranging from 82% to 100%. Sixteen items reached consensus for inclusion in the final tool. A global 4-point rating scale from novice to proficient was developed.Conclusions A novel tool to assess interprofessional teamwork for individual trainees in a simulated setting was developed using a systematic review and Delphi methodology. This is the first step to establish the validity evidence necessary to use this tool for competency-based assessment. MethodsOur team included simulation experts from pediatric emergency medicine, pediatric hospital medicine, and graduate medical education from 7 institutions across

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“…Patient safety can best be improved through enactment of cultural change at the level of the team rather than the organization as a whole, thereby reflecting an increasing demand for the modern healthcare professional to develop a new set of nontechnical skills relating to team processes and functioning [11]. As such, the assessment of nontechnical skills relating to healthcare team functioning plays a critical step toward reducing errors in patient care delivery and promoting effective team outcomes in the healthcare sector [12]. In comparison, Leung et al reported that the medical students from Hong Kong and Singapore rated the importance of team functioning in patient safety relatively lower in the study [9].…”

Section: Discussionmentioning

confidence: 99%

Innovative Patient Safety Curriculum Using iPAD Game (PASSED) Improved Patient Safety Concepts in Undergraduate Medical Students

et al. 2016

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Measuring Ward-Based Multidisciplinary Healthcare Team Functioning: A Validation Study of the Team Functioning Assessment Tool (TFAT)

Cited by 8 publications

References 26 publications

Evaluation of Communication and Safety Behaviors During Hospital-Wide Code Response Simulation

Evaluation of Communication and Safety Behaviors During Hospital-Wide Code Response Simulation

Development of a Simulation-Based Interprofessional Teamwork Assessment Tool

Innovative Patient Safety Curriculum Using iPAD Game (PASSED) Improved Patient Safety Concepts in Undergraduate Medical Students

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