“Teamwork in hospitals”: a quasi-experimental study protocol applying a human factors approach

Ballangrud, Randi; Husebø, Sissel Iren Eikeland; Aase, Karina; Aaberg, Oddveig Reiersdal; Vifladt, Anne; Berg, Geir Vegard; Hall‐Lord, Marie‐Louise

doi:10.1186/s12912-017-0229-z

Cited by 21 publications

(20 citation statements)

References 41 publications

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“…A research group initiated the programme as part of a larger research project. 34 Two nurses (one leader) and two physicians (leaders) from the surgical ward had the main responsibility for the training and implementation of the programme. Before the training, the four healthcare professionals conducted the TeamSTEPPS V.2.0 Master Training Course and were certified as instructors.…”

Section: Methodsmentioning

confidence: 99%

Longitudinal team training programme in a Norwegian surgical ward: a qualitative study of nurses’ and physicians’ experiences with teamwork skills

2020

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ObjectivesTeamwork and interprofessional team training are fundamental to ensuring the continuity of care and high-quality outcomes for patients in a complex clinical environment. Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is an evidence-based team training programme intended to facilitate healthcare professionals’ teamwork skills. The aim of this study is to describe healthcare professionals’ experiences with teamwork in a surgical ward before and during the implementation of a longitudinal interprofessional team training programme.DesignA qualitative descriptive study based on follow-up focus group interviews.SettingA combined gastrointestinal surgery and urology ward at a hospital division in a Norwegian hospital trust.ParticipantsA convenience sample of 11 healthcare professionals divided into three professionally based focus groups comprising physicians (n=4), registered nurses (n=4) and certified nursing assistants (n=3).InterventionsThe TeamSTEPPS programme was implemented in the surgical ward from May 2016 to June 2017. The team training programme included the three phases: (1) assessment and planning, (2) training and implementation and (3) sustainment.ResultsBefore implementing the team training programme, healthcare professionals were essentially satisfied with the teamwork skills within the ward. During the implementation of the programme, they experienced that team training led to greater awareness and knowledge of their common teamwork skills. Improved teamwork skills were described in relation to a more systematic interprofessional information exchange, consciousness of leadership-balancing activities and resources, the use of situational monitoring tools and a shared understanding of accountability and transparency.ConclusionsThis study suggests that the team training programme provides healthcare professionals with a set of tools and terminology that promotes a common understanding of teamwork, hence affecting behaviour and communication in their daily clinical practice at the surgical ward.Trial registration numberNCT13997367.

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Section: Methodsmentioning

confidence: 99%

Longitudinal team training programme in a Norwegian surgical ward: a qualitative study of nurses’ and physicians’ experiences with teamwork skills

2020

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“…In this study, we used the SEIPS 2.0 model to conceptualize the intervention and the outcomes of the study from a system perspective [38]. Implementation of a team training program was regarded as an input in the organization element to strengthen the work system by attempting to improve healthcare professionals' team competencies and patient safety culture [20,36].…”

Section: Conceptual Frameworkmentioning

confidence: 99%

A Human Factors Intervention in Hospital - Evaluating Outcome of a TeamSTEPPS Program in a Surgical Ward

Aaberg

Hall‐Lord

Husebø

et al. 2020

Preprint

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Background Patient safety in hospitals is being jeopardized, as too many patients experience adverse events. Most of the adverse events arise from human factors, such as inefficient teamwork and communication failures, and the incidence of adverse events is greatest in the surgical area. Previous research has shown the effect of team training on patient safety culture and on different areas of teamwork. Limited research has investigated teamwork in surgical wards. The aim of the study was to evaluate the outcome of a team training intervention among healthcare professionals in a surgical ward after 6 and 12 months. The Systems Engineering Initiative for Patient Safety 2.0 was used as a conceptual framework for the study.Methods This study had a pre-post design with measurements at baseline, after 6 months and 12 months of intervention. The intervention was conducted in a urology and gastrointestinal surgery ward in Norway, and study site was selected based on the leaders’ willingness to participate in the project. Survey data from healthcare professionals, measured by the TeamSTEPPS Teamwork Perceptions Questionnaire, the Collaboration and Satisfaction about Care Decisions in Teams, and the unit-based sections of the Hospital Survey of Patient Safety Culture Questionnaire, were used to evaluate the intervention. A paired t-test, a Wilcoxon signed-rank test, a generalized linear mixed model and linear regression analysis were used to analyze the data.Results After six months, improvements were found in organizational outcomes in two patient safety dimensions. After 12 months improvements were found in both organizational and professional outcomes, that was in three patient safety culture dimensions and three teamwork dimensions. The generalized linear mixed model estimates demonstrated that physicians had effect on two patient safety culture measures. Furthermore, results showed that teamwork was associated with the organizational outcome Patient Safety Grade.Conclusion These results demonstrate that the team training program had an effect after 12 months of implementation. Future studies are recommended to examine the causal effect of a team training intervention in this context, preferably with studies with larger sample sizes and stronger study designs.Trial registration number:ISRCTN13997367 (retrospectively registered)

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“…Table 2 gives an overview of the evaluation methods in relation to the specific objectives, design and sample. For further details see the published study protocol [10]. Empowers all team members to "stop the line" if they sense or discover an essential safety breach.…”

Section: Evaluationsmentioning

confidence: 99%

A Complex Teamwork Intervention in a Surgical Ward in Norway

Aaberg

Hall‐Lord

Husebø

et al. 2019

Preprint

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Objectives: Interprofessional team training has a positive impact on team behavior and patient safety culture. The objective of the study was to explore the impact of an interprofessional teamwork intervention in a surgical ward on structure, process and outcome. In this paper, the implementation of the teamwork intervention is reported to expand the understanding of the future evaluation results of this study. Results: The evidence-based Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) program in the ward was implemented in three phases according to the program’s implementation plan, which are built on Kotter’s organizational change model. In the first phase, a project group with the leaders and researchers was established and information about the project was given to all health care personnel in the ward. The second phase comprised six hours interprofessional team training for all frontline health care personnel followed by 12 months implementation of TeamSTEPPS tools and strategies. In the third phase, the implementation of the tools and strategies continued, and refresher training was conducted. Trial registration: Trial registration number (TRN) is ISRCTN13997367. The study was registered retrospectively with registration date May 30, 2017. Keywords: Implementation, Inter-professional, Intervention, Patient safety, Surgical ward, Team training, TeamSTEPPS

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“Teamwork in hospitals”: a quasi-experimental study protocol applying a human factors approach

Cited by 21 publications

References 41 publications

Longitudinal team training programme in a Norwegian surgical ward: a qualitative study of nurses’ and physicians’ experiences with teamwork skills

Longitudinal team training programme in a Norwegian surgical ward: a qualitative study of nurses’ and physicians’ experiences with teamwork skills

A Human Factors Intervention in Hospital - Evaluating Outcome of a TeamSTEPPS Program in a Surgical Ward

A Complex Teamwork Intervention in a Surgical Ward in Norway

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