Tools for Assessment of Communication Skills of Hospital Action Teams: A Systematic Review

Rehim, Shady A.; Demoor, Stephanie; Olmsted, Richard W.; Dent, Daniel L.; Parker-Raley, Jessica

doi:10.1016/j.jsurg.2016.09.008

Cited by 30 publications

(26 citation statements)

References 40 publications

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“…Furthermore, in a review of teamwork performance measurement tools in obstetrics, Fransen et al 12 evaluated six different frameworks available for simulated settings and noted both limited evidence for their psychometric properties as well as the general lack of a "gold standard" for teamwork performance. This mimics other critical reviews on performance measurements in healthcare 13,14 . We question whether this current approach to teach and 'improve' teamwork addresses the needs of practitioners in dynamic, resource-constrained and goal-conflicted work environments 5 .…”

Section: Introductionsupporting

confidence: 58%

Power and complexity in obstetric teamwork: an observational study.

Neuhaus¹,

Lutnæs²,

Bergström³

2019

Preprint

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Background In recent years, increasing attention has been paid to team processes in peripartum care settings with the aim to improve fetomaternal outcomes. However, we have yet to understand how the perception of teamwork in peripartum care is shaped in a complex, multi-disciplinary environment.Methods The aim of this study was to approach the question using a qualitative social-scientific methodology. The theoretical foundation of the study was that obstetric teamwork is the result of a balancing act in which multiple goal conflicts are continuously negotiated and managed right at the boundary of acceptable performance in a complex adaptive system. We explored this theory by gathering lived experiences, from multiple perspectives, of successful management of peripartum emergencies in the setting of a German university hospital. Based on our analysis we generated an understanding of teamwork as a phenomenon emerging from interpersonal relationships, complex relations of power, and the enactment of current quality management practices.Results Caregivers often define teamwork through the quality of their collaboration, defined by respect and appreciation, open communication, role distribution, and shared experiences. However, teamwork also becomes the framework for negotiation of many conflicts that originated elsewhere. Power, in various forms, was the core theme that emerged in the analysis of our participants’ narratives, which is in stark contrast to the otherwise promoted egalitarian rhetoric of team training. While our participants generally reverted to explanations based on their professional identities, traditions or cultures, interesting dynamics become visible when work is viewed through the power lens.Conclusions Our study paints the convoluted picture of a work environment with all its intricacies, constraints, interpersonal relations and hierarchical struggles that are much more representative of a complex system rather than the easily tractable environment that so many stakeholders would like healthcare practitioners to believe in. The issue of power emerged as a decisive factor in the social dynamics at the workplace, revealing hidden agendas in the teamwork discourse.

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Section: Introductionsupporting

confidence: 58%

Power and complexity in obstetric teamwork: an observational study.

Neuhaus¹,

Lutnæs²,

Bergström³

2019

Preprint

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“…In a recent systematic review investigating the "nontechnical" performance of hospital action teams, it was determined that most tools currently in use assess only 4 domains: communication, leadership, teamwork and situational awareness. 13 The several other more specific attributes discovered to be important to highfunctioning trauma teams in this study (role clarity, management, decisiveness, engagement, etc.) are rarely independently assessed in trauma teams.…”

Section: Discussionmentioning

confidence: 78%

“…Moreover, the systematic review found that the current assessment tools for team functioning lack field-testing and evidence of psychometric validity. 13 It is therefore vitally important to assess an adequate breadth of attributes necessary for highfunctioning trauma teams to create assessment tools that truly measure the intended objective accurately. The findings of this study are significant as they define a breadth of attributes identified by trauma practitioners as qualities that are needed to compose an excellent trauma team.…”

Section: Discussionmentioning

confidence: 99%

What attributes define excellence in a trauma team? A qualitative study

Kassam

Cheong

Evans

et al. 2019

cjs

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What attributes define excellence in a trauma team? A qualitative study Background: Hospital trauma teams consist of a diverse spectrum of health care professionals who work together to deliver quality care. Although the qualities of a wellperforming trauma team are often believed to be self-evident, there is little objective information about the most desirable personal and professional characteristics associated with quality trauma care. The aim of this study was to determine the traits and characteristics deemed of greatest value for a trauma team leader and a trauma team member in the adult trauma care setting. Methods: Semistructured interviews were conducted with trauma team leaders and trauma team members at a tertiary Canadian trauma centre. Standard qualitative research methodology was used. Interviews were recorded, transcribed and analyzed via an inductive analysis approach. Results: Thematic saturation was achieved after 5 interviews, and 6 further interviews were conducted to ensure that a breadth of trauma care disciplines were included. Six attributes were identified to be of greatest value for trauma team leaders: communication, role clarity, experience, anticipation, management and decisiveness. Four attributes were identified to be of greatest value for trauma team members: engagement, efficiency, experience and collaboration. We further characterized the language defining the ranking of performance for each of these attributes. Conclusion: Results of this qualitative study involving an experienced and diverse spectrum of trauma team practitioners provide insight into the characteristics that are critical to establishing a "good" trauma team. These findings can be used to inform future determinations of the quality of trauma teams, the education of trauma practitioners and continuing medical education training and assessment tools. Contexte : Les équipes de traumatologie des hôpitaux sont formées de professionnels de la santé de divers horizons qui travaillent ensemble pour offrir des soins de qualité. Bien que les attributs d'une bonne équipe de traumatologie soient souvent vus comme étant évidents, il existe peu de données objectives sur les caractéristiques personnelles et professionnelles les plus fortement associées à des soins traumatologiques de qua lité. Cette étude avait pour but de déterminer les traits et caractéristiques les plus recherchés chez les chefs et les membres d'équipes de traumatologie pour adultes. Méthodes : Nous avons mené des entrevues semi-structurées auprès de chefs et de membres d'équipes de traumatologie, dans un centre tertiaire de traumatologie canadien. Une méthode de recherche qualitative standard a été utilisée. Les entrevues ont été enregistrées et transcrites, puis analysées selon une approche inductive. Résultats : Le seuil de saturation thématique a été atteint après 5 entrevues, mais nous avons mené 6 entrevues supplémentaires pour garantir une variété dans les disciplines représentées. Six attributs ont été relevés pour les chefs d'équipe de traumatologi...

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“…Communication within hospital teams was assessed in various scenarios such as medical emergency team response, cardiopulmonary resuscitation and trauma teams. Only 1% of the searched papers were suitable for inclusion . Commonly assessed domains considered included those utilized in Non‐Operative Technical Skills for Surgeons (NOTSS) – leadership, teamwork, communication and situational awareness.…”

Section: Communication Within Healthcare Teamsmentioning

confidence: 99%

“…The review found that validity and reliability were limited and a need for more psychometric analysis, fieldwork and research. Once communication skills are better identified and how correlation with patient outcomes is evaluated, then further facilitation of such skills can be specifically fostered . Such skills include Identify, Situation, Background, Assessment and Recommendation (ISBAR), which has become more popular and is increasingly used in Australian jurisdictions…”

Section: Communication Within Healthcare Teamsmentioning

confidence: 99%