Abstract
Objectives
Examine the impact of TeamSTEPPS® training and simulation experiences on student knowledge and teamwork attitudes in a baccalaureate-nursing program.
Methods
This study used a quasi-experimental, pre-test, post-test design. The intervention included a workshop followed by 2 days of simulation experiences. Participants included a total of 46 nursing students. Instruments included the TeamSTEPPS learning benchmark and the Teamwork Attitudes Questionnaire (T-TAQ).
Results
Scores on the learning benchmark increased following the intervention. In addition, changes in subscores of teamwork strategies, leadership, situation monitoring, and mutual support on the T-TAQ indicate an improvement in student attitudes toward teamwork.
Conclusions
Incorporating TeamSTEPPS® strategies into undergraduate education can be effective in increasing student knowledge and improving attitudes toward interdisciplinary teamwork.
Funding source: Georgia College & State University
Award Identifier / Grant number: Scholarship of Teaching & Learning Grant
Acknowledgments
The authors acknowledge the assistance of Tiffany Parrish MSN, RN in implementing the educational intervention in this project.
-
Research funding: This study was funded by an internal faculty research grant (SoTL grant [Scholarship of Teaching and Learning]) at Georgia College & State University. The funding organization played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.
-
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
-
Competing interests: Authors state no conflict of interest.
-
Informed consent: Informed consent was obtained from all individuals included in this study.
-
Ethical approval: The local Institutional Review Board deemed the study exempt from review.
References
Agency for Healthcare Research and Quality. (2016). TeamSTEPPS 2.0 curriculum. Retrieved from https://www.ahrq.gov/teamstepps/index.html.Search in Google Scholar
Baker, D. P., Amodeo, A. M., Krokos, K. J., Slonim, A., & Herrera, H. (2010). Assessing teamwork attitudes in healthcare: Development of the TeamSTEPPS teamwork attitudes questionnaire. Quality and Safety in Health Care, 19(6), e49. https://doi.org/10.1136/qshc.2009.036129.Search in Google Scholar PubMed
Borckardt, J. J., Annan-Coultas, D., Catchpole, K., Wise, H., Mauldin, M., Ragucci, K., … Kascak, K. (2020). Preliminary evaluation of the impact of TeamSTEPPS® training on hospital quality indicators. Journal of Interprofessional Education & Practice, 18, 100306. https://doi.org/10.1016/j.xjep.2019.100306.Search in Google Scholar
Buljac-Samardzic, M., Doekhie, K. D., & van Wijngaarden, J. D. (2020). Interventions to improve team effectiveness within health care: A systematic review of the past decade. Human Resources for Health, 18(1), 1–42. https://doi.org/10.1186/s12960-019-0411-3.Search in Google Scholar PubMed PubMed Central
Chen, A. S., Yau, B., Revere, L., & Swails, J. (2019). Implementation, evaluation, and outcome of TeamSTEPPS® in interprofessional education: A scoping review. Journal of Interprofessional Care, 33(6), 795–804. https://doi.org/10.1080/13561820.2019.1594729.Search in Google Scholar PubMed
Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/bf03193146.Search in Google Scholar PubMed
Foster, M., Gilbert, M., Hanson, D., Whitcomb, K., & Graham, C. (2018). Use of simulation to develop teamwork skills in prelicensure nursing students: An integrative review. Nurse Educator, 44(5), E7–E11. https://doi.org/10.1097/nne.0000000000000616.Search in Google Scholar
Gilbert, M., Prion, S., & Haerling, K. A. (2018). Assessing individual teamwork skills in entry-level nurses. Clinical Simulation in Nursing, 24, 9–13. https://doi.org/10.1016/j.ecns.2018.09.002.Search in Google Scholar
Goliat, L., Sharpnack, P., Madigan, E., Baker, J., & Trosclair, M. (2019). Using TeamSTEPPS® resources to enhance teamwork attitudes in baccalaureate nursing students. Western Journal of Nursing Research, 35(9), 1239–1240.10.1177/0193945913487682Search in Google Scholar
Harvey, E., Ranson Echols, S., Clark, R., & Lee, E. (2014). Comparison of two TeamSTEPPS® training methods on nurse failure-to-rescue performance. International Nursing Association for Clinical Simulation and Learning, 10, 57–64. https://doi.org/10.1016/j.ecns.2013.08.006.Search in Google Scholar
Health Research and Educational Trust. (2015). Improving patient safety culture through teamwork and communication: TeamSTEPPS®. Retrieved from https://www.aha.org/system/files/2018-01/2015_teamstepps_FINAL.pdf.Search in Google Scholar
Holtmann, M. (2018). Does the utilization of interactive learning during TeamSTEPPS SBAR, CUS, and debriefing tool sessions increase the perceptions of teamwork and communication in the hospital setting? Retrieved from https://www.proquest.com/openview/ac55c733669bfd00445276256159db27/.Search in Google Scholar
Jernigan, S., Magee, C., Graham, E., Johnston, K., Zaudke, J., & Shrader, S. (2016). Student outcomes associated with an interprofessional program incorporating TeamSTEPPS®. Journal of Allied Health, 45(2), 101–108.Search in Google Scholar
Kang, H. (2013). The prevention and handling of the missing data. Korean Journal of Anesthesiology, 64(5), 402–406. https://doi.org/10.4097/kjae.2013.64.5.402.Search in Google Scholar PubMed PubMed Central
Leonard, M., Graham, S., & Bonacum, D. (2004). The human factor: The critical importance of effective teamwork and communication in providing safe care. Quality and Safety in Health Care, 13(Suppl 1), i85–i90. https://doi.org/10.1136/qhc.13.suppl_1.i85.Search in Google Scholar PubMed PubMed Central
Maneval, R., Vermeesch, C., Poindexter, K., Lourens, G., & Ventura-Dipersia, C. (2020). Developing interprofessional competence: Results of embedding TeamSTEPPS® in all semesters of an accelerated and traditional BSN program. Nursing Education Perspectives, 41(4), 249–252. https://doi.org/10.1097/01.nep.0000000000000572.Search in Google Scholar
Munro, B. H. (2005). Statistical methods for health care research. Philadelphia: Lippincott Williams & Wilkins.Search in Google Scholar
Oxelmark, L., Nordahl Amorøe, T., Carlzon, L., & Rystedt, H. (2017). Students’ understanding of teamwork and professional roles after interprofessional simulation—a qualitative analysis. Advances in Simulation, 2, 8. https://doi.org/10.1186/s41077-017-0041-6.Search in Google Scholar PubMed PubMed Central
Razali, N. M., & Wah, Y. B. (2011). Power comparisons of Shapiro-Wilk, Kolmogorov-Smirnov, Lilliefors and Anderson-Darling tests. Journal of Statistical Modeling and Analytics, 2, 21–33.Search in Google Scholar
Robinson, J., Stevens, C., Dick, C., Ure, K., & Maendele, S. (2018). Implementation of TeamSTEPPS in a baccalaureate nursing program. Kansas Nurse, 93(1), 23–25.Search in Google Scholar
Schneider, E. C., Sarnak, D. O., Squires, D., Shah, A., & Doty, M. M. (2017). International comparison reflects flaws and opportunities for better U.S. health care. Mirror, Mirror: Commonwealth Fund. https://www.commonwealthfund.org/publications/fund-reports/2017/jul/mirror-mirror-2017-international-comparison-reflects-flaws-and.Search in Google Scholar
Shapiro, S. S., & Wilk, M. B. (1965). An analysis of variance test for normality (complete samples). Biometrika, 52(3-4), 591–611. https://doi.org/10.1093/biomet/52.3-4.591.Search in Google Scholar
U.S. Census Bureau (2019). Race [Data file]. Retrieved from https://data.census.gov/cedsci/table?q=Race%20and%20Ethnicity&tid=ACSDT1Y2019.B02001&hidePreview=true.Search in Google Scholar
© 2021 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Editorial
- Global inequity in nursing education: a call to action
- Research Articles
- Nursing students’ experiences and perceptions of an innovative graduate level healthcare grand challenge course: a qualitative study
- Quality of life and academic resilience of Filipino nursing students during the COVID-19 pandemic: a cross-sectional study
- Nursing students’ adverse childhood experience scores: a national survey
- Depression, anxiety and stress among Australian nursing and midwifery undergraduate students during the COVID-19 pandemic: a cross-sectional study
- Development and psychometric evaluation of the motivation for nursing student scale (MNSS): a cross sectional validation study
- The assessment and exploration of forensic nursing concepts in undergraduate nursing curricula: a mixed-methods study
- New nurse graduates and rapidly changing clinical situations: the role of expert critical care nurse mentors
- Nursing students’ experiences of virtual simulation when using a video conferencing system – a mixed methods study
- A mixed-methods assessment of the transition to a dedicated educational unit: nursing students’ perceptions and achievements
- Nursing student and faculty attitudes about a potential genomics-informed undergraduate curriculum
- Factors that influence the preceptor role: a comparative study of Saudi and expatriate nurses
- Testing and e-learning activity designed to enhance student nurses understanding of continence and mobility
- Incivility among Arabic-speaking nursing faculty: testing the psychometric properties of the Arabic version of incivility in nursing education-revised
- Understanding clinical leadership behaviors in practice to inform baccalaureate nursing curriculum: a comparative study between the United States and Australia novice nurses
- A deep learning approach to student registered nurse anesthetist (SRNA) education
- Developing teamwork skills in baccalaureate nursing students: impact of TeamSTEPPS® training and simulation
- Preparing ABSN students for early entry and success in the clinical setting: flipping both class and skills lab with the Socratic Method
- Virtual clinical simulation in nursing education: a concept analysis
- COVID-19 pandemic and remote teaching: transition and transformation in nursing education
- Development and validation of the nursing clinical assessment tool (NCAT): a psychometric research study
- Becoming scholars in an online cohort of a PhD in nursing program
- Senior BSN students’ confidence, comfort, and perception of readiness for clinical practice: the impacts of COVID-19
- Relational and caring partnerships: (re)creating equity, genuineness, and growth in mentoring faculty relationships
- Comparison of simulation observer tools on engagement and maximising learning: a pilot study
- Gamification in nursing literature: an integrative review
- A conceptual framework of student professionalization for health professional education and research
- Writing a compelling integrated discussion: a guide for integrated discussions in article-based theses and dissertations
- Teaching evidence-based practice piece by PEACE
- Educational Process, Issue, Trend
- Increasing student involvement in research: a collaborative approach between faculty and students
- Capacity building in nurse educators in a Global Leadership Mentoring Community
- Psychiatric mental health nurse practitioner student perceptions of integrated collaborative care
- Igniting the leadership spark in nursing students: leading the way
- Quilting emergent advanced practice nursing educator identity: an arts-informed approach
- The expanding role of telehealth in nursing: considerations for nursing education
- Literature Reviews
- What do novice faculty need to transition successfully to the nurse faculty role? An integrative review
- Reflective writing pedagogies in action: a qualitative systematic review
- Appraisal of disability attitudes and curriculum of nursing students: a literature review
Articles in the same Issue
- Editorial
- Global inequity in nursing education: a call to action
- Research Articles
- Nursing students’ experiences and perceptions of an innovative graduate level healthcare grand challenge course: a qualitative study
- Quality of life and academic resilience of Filipino nursing students during the COVID-19 pandemic: a cross-sectional study
- Nursing students’ adverse childhood experience scores: a national survey
- Depression, anxiety and stress among Australian nursing and midwifery undergraduate students during the COVID-19 pandemic: a cross-sectional study
- Development and psychometric evaluation of the motivation for nursing student scale (MNSS): a cross sectional validation study
- The assessment and exploration of forensic nursing concepts in undergraduate nursing curricula: a mixed-methods study
- New nurse graduates and rapidly changing clinical situations: the role of expert critical care nurse mentors
- Nursing students’ experiences of virtual simulation when using a video conferencing system – a mixed methods study
- A mixed-methods assessment of the transition to a dedicated educational unit: nursing students’ perceptions and achievements
- Nursing student and faculty attitudes about a potential genomics-informed undergraduate curriculum
- Factors that influence the preceptor role: a comparative study of Saudi and expatriate nurses
- Testing and e-learning activity designed to enhance student nurses understanding of continence and mobility
- Incivility among Arabic-speaking nursing faculty: testing the psychometric properties of the Arabic version of incivility in nursing education-revised
- Understanding clinical leadership behaviors in practice to inform baccalaureate nursing curriculum: a comparative study between the United States and Australia novice nurses
- A deep learning approach to student registered nurse anesthetist (SRNA) education
- Developing teamwork skills in baccalaureate nursing students: impact of TeamSTEPPS® training and simulation
- Preparing ABSN students for early entry and success in the clinical setting: flipping both class and skills lab with the Socratic Method
- Virtual clinical simulation in nursing education: a concept analysis
- COVID-19 pandemic and remote teaching: transition and transformation in nursing education
- Development and validation of the nursing clinical assessment tool (NCAT): a psychometric research study
- Becoming scholars in an online cohort of a PhD in nursing program
- Senior BSN students’ confidence, comfort, and perception of readiness for clinical practice: the impacts of COVID-19
- Relational and caring partnerships: (re)creating equity, genuineness, and growth in mentoring faculty relationships
- Comparison of simulation observer tools on engagement and maximising learning: a pilot study
- Gamification in nursing literature: an integrative review
- A conceptual framework of student professionalization for health professional education and research
- Writing a compelling integrated discussion: a guide for integrated discussions in article-based theses and dissertations
- Teaching evidence-based practice piece by PEACE
- Educational Process, Issue, Trend
- Increasing student involvement in research: a collaborative approach between faculty and students
- Capacity building in nurse educators in a Global Leadership Mentoring Community
- Psychiatric mental health nurse practitioner student perceptions of integrated collaborative care
- Igniting the leadership spark in nursing students: leading the way
- Quilting emergent advanced practice nursing educator identity: an arts-informed approach
- The expanding role of telehealth in nursing: considerations for nursing education
- Literature Reviews
- What do novice faculty need to transition successfully to the nurse faculty role? An integrative review
- Reflective writing pedagogies in action: a qualitative systematic review
- Appraisal of disability attitudes and curriculum of nursing students: a literature review