Collaboration and Satisfaction About Care Decisions in Team questionnaire—Psychometric testing of the Norwegian version, and hospital healthcare personnel perceptions across hospital units

Husebø

et al. 2021

BMC Health Serv Res

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Background Patient safety in hospitals is being jeopardized, since too many patients experience adverse events. Most of these 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 this study was to evaluate the professional and organizational outcomes of a team training intervention among healthcare professionals in a surgical ward after 6 and 12 months. 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 and after 6 and 12 months of intervention. The intervention was conducted in a urology and gastrointestinal surgery ward in Norway, and the study site was selected based on convenience and the leaders’ willingness to participate in the project. Survey data from healthcare professionals were used to evaluate the intervention. The organizational outcomes were measured by the unit-based sections of the Hospital Survey of Patient Safety Culture Questionnaire, and professional outcomes were measured by the TeamSTEPPS Teamwork Perceptions Questionnaire and the Collaboration and Satisfaction about Care Decisions in Teams Questionnaire. 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 6 months, improvements were found in organizational outcomes in two patient safety dimensions. After 12 months, improvements were found in both organizational and professional outcomes, and these improvements occurred in three patient safety culture dimensions and in three teamwork dimensions. Furthermore, the results showed that one of the significant improved teamwork dimensions “Mutual Support” was associated with the Patient Safety Grade, after 12 months of intervention. Conclusion These results demonstrate that the team training program had effect after 12 months of intervention. Future studies with larger sample sizes and stronger study designs are necessary to examine the causal effect of a team training intervention in this context. Trial registration number ISRCTN13997367 (retrospectively registered).

Section: Measurementsmentioning

confidence: 99%

A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward

Aaberg

Husebø

et al. 2021

BMC Health Serv Res

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“…To allow patients to participate in decisions regarding medical treatment, it is important to inform them about the possible risks and side effects. In a study of collaboration between physicians and nurses, the item ‘patient participation in decision-making’ had the lowest score in medical/surgical wards ( Aaberg et al, 2019a ). On the other hand, another study found that the staff and especially the physicians in surgical care considered information to be the most important for patient involvement ( Andersson et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Patients’ Perceptions of Quality of Care: A Teamwork Intervention Study in a Surgical Ward

Ballangrud

2022

SAGE Open Nursing

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Introduction Improving teamwork competencies among health care professionals is important for patient safety. Few previous studies have investigated whether a teamwork intervention has an impact on patients’ perceptions of quality of care. Objective To investigate patients’ perceptions of quality of care before and after the implementation of a team training program in a surgical ward. Methods A quasi-experimental pre- and posttest design was used. The TeamSTEPPS® team training program was implemented in a surgical ward. Three groups of consecutively sampled patients responded to the Quality from the Patient's Perspective (QPP) questionnaire including four dimensions with 25 items. In addition to the QPP, six items were developed for this study. In total, 223 patients responded to the questionnaire. The mean age was 59.6 years, and there were 128 males and 94 females. Results The physical-technical condition dimension and four items showed significantly higher scores after six months of intervention. The majority of the patients scored quality of care in the four dimensions as very high at all three time points. Younger patients reported the lowest care quality. Conclusion The results in this study indicate that the teamwork intervention had a minimal impact on the patients’ perceptions of quality of care, with only significant differences between baseline and six months of intervention in one dimension and three items. At each data collection time point, the numbers of patients who perceived quality of care as modest decreased slightly. Younger patients were more likely to perceive care quality as modest.

“…All three questionnaires were translated into Norwegian and psychometrically tested [46][47][48]. In addition to the questionnaires, participants' background information was asked for (sex, age group, profession group, employee time in the unit).…”

Section: Phase 2 Make It Happen -Training Planning and Implementationmentioning

confidence: 99%

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

Aaberg

Husebø

et al. 2020

Preprint

Self Cite

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)