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Practice Improvement| Volume 45, ISSUE 1, P31-37, January 2019

Changing Team Member Perceptions by Implementing TeamSTEPPS in an Emergency Department

Published:October 12, 2018DOI:https://doi.org/10.1016/j.jen.2018.08.006

      Abstract

      Introduction

      The emergency department is an environment where teamwork and communication are of utmost importance and are the foundation for improved patient satisfaction, staff satisfaction, patient safety, and the reduction of clinical errors. An ED staff perceptions of communication and teamwork influences their ability to provide efficient, high quality care to patients.

      Methods

      The ED team consisted of 57 employees, including nurses, mid-level providers, and non-licensed individuals, who work within, or directly with, the department. This quality improvement project trained 57 members of the ED staff using the TeamSTEPPS training program. Forty-six of the participants completed assessments at all 3 time points (baseline, 2 weeks and one month): Team STEPPS Teamwork Perceptions and Attitudes Questionnaires and The Nursing Culture Assessment Tool (NCAT).

      Results

      Formal group TeamSTEPPS training improved the emergency department team members’ perceptions of, and attitudes about, communication and teamwork. Discussion: As a result of TeamSTEPPS training in an Emergency Department, the staff of that department perceived that both teamwork and communication improved. The TeamSTEPPs program should be made sustainable by incorporating the verbiage and tools from the program into policy and culture within the department.

      Key words

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      References

        • Singer S.
        • Gaba D.
        • Geppert J.
        • Sinaiko A.
        • Howard S.
        • Park K.
        The culture of safety: results of an organization-wide survey in 15 California hospitals.
        Qual Saf Health Care. 2003; 12: 112-118
        • Armstrong K.
        • Laschinger H.
        Structural empowerment, magnet hospital characteristics and patient safety culture.
        J Nurs Care Qual. 2006; 21: 124-132
        • Guldenmund F.
        Misunderstanding safety culture and its relationship to safety management.
        Saf Sci. 2000; 34: 215-257
        • Kilner E.
        • Sheppard L.
        The role of teamwork and communication in the emergency department: a systematic review.
        Int Emerg Nurs. 2009; 18: 127-137
        • Association of Operating Room Nurses
        AORN Guidance Statement: Creating a Patient Safety Culture.
        AORN J. 2000; 83: 936-942
        • Clancy C.
        • Tornberg D.
        TeamSTEPPS: assuring optimal teamwork in clinical settings.
        Am J 241 Med Qual. 2007; 22: 214
        • Sutcliffe K.
        • Lewton E.
        • Rosenthal M.
        Communication failures: an insidious contributor to medical mishaps.
        Acad Med. 2004; 79: 186-194
        • Sitterding M.C.
        • Broome M.
        Information Overload: Framework, Tips, and Tools to Manage in Complex Healthcare Environments.
        American Nurses Association Publications, Silver Springs, MD2015
        • Agency for Healthcare Research and Quality
        AHRQ TeamSTEPPS Implementation Guide.
        (Retrieved from: Agency for Healthcare Research and Quality:) (Accessed June 1, 2016)
        • Jones K.
        • Skinner A.
        • High R.
        • Reiter-Palmon R.
        A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals.
        BMJ Qual Saf. 2013; 22: 394-404
        • Battles J.
        • King H.
        TeamSTEPPS Teamwork Perceptions Questionnaire Manual.
        American Institute for Research, Washington DC2010
        • Baker D.
        • Amodeo A.
        • Krokos K.
        • Stonim A.
        • Herrera H.
        Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire.
        Qual Saf Health Care. 2010; 19: e49
        • Kennerly S.
        • Yap T.
        • Hemmings A.
        • Beckett G.
        • Schafer J.
        • Borchers A.
        Development and psychometric testing of the nursing culture assessment tool.
        Clin Nurs Res. 2012; 21: 467-485
        • Kennerly S.
        • Heggstad E.
        • Myers H.
        • Yap T.
        Using the nursing culture assessment Tool (NCAT) in long-term care: an update on psychometrics scoring standardization.
        Healthcare. 2015; 3: 637-647
        • Yap T.
        • Kennerly S.
        • Flint E.
        Nursing culture assessment tool (NCAT): empirical validation for use in long-term care.
        Int J Nurs Sci. 2014; 1: 241-249
        • Sawyer T.
        • Laubach V.
        • Hudak J.
        • Yumamura K.
        • Pocrnich A.
        Improvements in teamwork during neonatal resuscitation after interprofessional TeamSTEPPS Training.
        Neonatal Network. 2013; 32: 26-34
        • Sweigart L.
        • Umoren R.
        • Scott P.
        • et al.
        Virtual TeamSTEPPS simulations produce teamwork attitude changes among health professions students.
        J Nurs Educ. 2016; 55: 31-35
        • Polit D.
        Statistics and Data Analysis for Nursing Research.
        2nd ed. Pearson, Upper Saddle River2010

      Biography

      Connie Obenrader is Nurse Practitioner at Northeastern Health System, Tahlequah, OK.

      Biography

      Marion E. Broome is Dean and Ruby F. Wilson Professor, School of Nursing, Duke University, Durham, NC.

      Biography

      Tracey L. Yap is Associate Professor, School of Nursing, Duke University, Durham, NC.

      Biography

      Florame Jamison is Nephrology Nurse Practitioner, Northeastern Health System, Tahlequah, OK.