A Leadership Challenge

Abstract

The purpose of this study was to measure RNs' perceptions of teamwork skills and behaviors in their work environment during a multiphase multisite nursing organizational teamwork development initiative. Teamwork is essential for patient safety in healthcare organizations and nursing teams. Organizational development supporting effective teamwork should include a just culture, engaged leadership, and teamwork training. A cross-sectional survey study of bedside RNs was conducted in one 5-hospital healthcare system after a TeamSTEPPS teamwork training initiative. TeamSTEPPS teamwork training related to improved RN perceptions of leadership. Initiatives to align the perspectives and teamwork efforts of leaders and bedside nurses are indicated and should involve charge nurses in the design.

Does classroom-based Crew Resource Management training improve patient safety culture? A systematic review

“…Other questionnaires used to assess the effect of team training on patient safety culture were a Brief Teamwork Perception Questionnaire, and the Team Assessment Questionnaire, in which we only considered the domains ‘Leadership’ and ‘Climate’ as relevant for patient safety culture. Castner et al 25 found a result on Leadership. Mahoney et al 29 found a positive improvement on Climate, where Armour et al 20 did not.…”

“…If attrition is a concern, missing data have to be handled appropriately according to the risk of bias assessment format. A high risk of attrition bias was found on eight occasions, 23 – 26 , 29 , 30 , 39 , 40 and in seven studies, it was unclear how missing data were handled and/or what the response rates were. 20 , 28 , 31 , 32 , 34 , 35 , 37 The risk of detection bias was considered high in five studies, 18 , 32 , 36 , 37 , 40 while it was considered low in seven.…”

“…The studies showed an average risk of bias percentage of 43.7% (standard deviation (SD) 15.3%), indicating that on average the studies had a moderate risk of bias. Seven studies had a low risk of bias (<33.3%), 21 , 22 , 25 , 27 , 31 , 38 , 39 but three of them did not describe all the bias criteria 31 , 38 , 39 ( Table 3 ); 14 studies had a moderate risk of bias (between 33.3% and 66.7%), 18 , 20 , 23 , 24 , 26 , 28 – 30 , 33 – 37 , 40 11 of which 18 , 20 , 23 , 24 , 28 , 30 , 34 – 37 , 40 did not describe all bias criteria (see Appendix 1 for criteria). One study had a high risk of bias (≥66.7%).…”

Liderazgo en los servicios de salud

“…Un estudio realizado en cinco hospitales del noreste de Estados Unidos describe el liderazgo como una variable que afecta la habilidad, el trabajo en equipo y que contribuye al desarrollo organizacional (4). Así mismo se han estudiado el rol de los líderes en la atención en salud, en cuanto a la contribución de la concepción positiva de la organización, planteando cinco temas claves, como son visión futura, capacidad de identificar y utilizar las habilidades complementarias de los demás y compromiso con el aprendizaje (5).…”

Team strategies and tools to enhance performance and patient safety training: The effect of training on both nursing staff perceptions regarding physician behaviors and patient satisfaction scores in the ED

“…[3,5,9,11,12] Castner et al reported that when assessing nurse perception of teamwork skills and behaviors, communication was observed to be the strongest component. [13] One of the medical training programs developed and implemented in response to the IOM report is called Team-STEPPS: Team Strategies and Tools to Enhance Performance and Patient Safety. TeamSTEPPS is a systematic approach that was developed in a collaborative effort by the Agency for Healthcare Research and Quality and the Department of Defense.…”