What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training

Siassakos, Dimitrios; Fox, Robert; Bristowe, Katherine; Angouri, Jo; Hambly, Helen F; Robson, Lauren; Draycott, Timothy

doi:10.1111/aogs.12248

Cited by 69 publications

(35 citation statements)

References 26 publications

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“…The study by Hamilton has the same limitation as the study by Malec of scenario selection bias representing a spectrum from ineffective to effective team behaviour. In our study, questions concerning situational awareness, errors and complications have a high percentage of answers rated “not applicable” (questions 9, 13, 14, 15) which is in agreement with other studies [11,31,32]. It is possible that these items were not understood by the learners or that our scenarios did not challenge participants in these areas.…”

Section: Discussionsupporting

confidence: 91%

“…It is possible that these items were not understood by the learners or that our scenarios did not challenge participants in these areas. The importance of situational awareness can be difficult to determine and this factor may be more prominent in the clinical context of real events [31,32]. Items concerning errors could have been infrequently answered due to emotional barriers or a lack of self-awareness.…”

Section: Discussionmentioning

confidence: 99%

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Reliability of team-based self-monitoring in critical events: a pilot study

et al. 2013

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BackgroundTeamwork is a critical component during critical events. Assessment is mandatory for remediation and to target training programmes for observed performance gaps.MethodsThe primary purpose was to test the feasibility of team-based self-monitoring of crisis resource management with a validated teamwork assessment tool. A secondary purpose was to assess item-specific reliability and content validity in order to develop a modified context-optimised assessment tool.We conducted a prospective, single-centre study to assess team-based self-monitoring of teamwork after in-situ inter-professional simulated critical events by comparison with an assessment by observers. The Mayo High Performance Teamwork Scale (MHPTS) was used as the assessment tool with evaluation of internal consistency, item-specific consensus estimates for agreement between participating teams and observers, and content validity.Results105 participants and 58 observers completed the MHPTS after a total of 16 simulated critical events over 8 months. Summative internal consistency of the MHPTS calculated as Cronbach’s alpha was acceptable with 0.712 for observers and 0.710 for participants. Overall consensus estimates for dichotomous data (agreement/non-agreement) was 0.62 (Cohen’s kappa; IQ-range 0.31-0.87). 6/16 items had excellent (kappa > 0.8) and 3/16 good reliability (kappa > 0.6). Short questions concerning easy to observe behaviours were more likely to be reliable. The MHPTS was modified using a threshold for good reliability of kappa > 0.6. The result is a 9 item self-assessment tool (TeamMonitor) with a calculated median kappa of 0.86 (IQ-range: 0.67-1.0) and good content validity.ConclusionsTeam-based self-monitoring with the MHPTS to assess team performance during simulated critical events is feasible. A context-based modification of the tool is achievable with good internal consistency and content validity. Further studies are needed to investigate if team-based self-monitoring may be used as part of a programme of assessment to target training programmes for observed performance gaps.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Reliability of team-based self-monitoring in critical events: a pilot study

et al. 2013

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“…The authors further described such communication as a three-step process whereby a message is generated by the sender, a receipt of the message is generated by a receiver, and finally, a subsequent check is generated by the sender to ensure the intended message was received. In healthcare institutions, such communication needs to keep both patients and colleagues informed while placing emphasis on the content of the message itself (Siassakos et al, 2013).…”

Section: Communicationmentioning

confidence: 99%

Influence of Teamwork Behaviors on Workplace Incivility as it Applies to Nurses

Logan¹

2016

CJIL

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Workplace incivility, or bullying, experienced by nurses has been shown to have negative consequences on nurses and the care they provide patients. Nurses' roles are being challenged in the healthcare environment because of incivility in the workplace. These negative outcomes exist despite the support provided by teams on which these nurses work. This literature review is focused on the prevalence and effect of nurse bullying (nurseon-nurse, as well as physician-on-nurse) and the influence of such incivility on healthcare teamwork. Specific attention is given to three important team behaviors: leadership, trust, and communication.

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“…The leader is not necessarily the most senior [18]. But whoever has experience at hand in organizing, staffing, controlling, directing and planning, knows team members and their roles/responsibilities and make and maintain channels that enables members to do their work [4].…”

Section: Team Leadership (Tl)mentioning

confidence: 99%

Detecting Total Quality Management Status and Teamwork Orientation in Al-Yarmouk Teaching Hospital

Khawka¹

2016

AJIBM

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Teamwork in hospitals has been recognized as an important contributor in providing high-quality healthcare for patients. However, it is imperative to understand the factors that affect the relationships among medical patient teams and their perceptions of patient's healthcare quality. The primary objective of this study is to detect the Total Quality Management (TQM) status and teamwork orientation in one of the main Healthcare organizations in Iraq named Al-Yarmouk Teaching Hospital. A questionnaire survey was specially designed as to achieve study objectives. The questionnaire is divided into (60) various items specifically developed to gather information about the study variables. This study was carried out using a cross-sectional survey in which (64) respondents from (Al-Yarmouk Teaching Hospital) had completed a newly developed survey with a response rate of 100%. Descriptive statistics, Pearson Correlation, and ANOVA were used for data analysis. The main result of this study was that there was a positive correlation between all TQM dimensions and Teamwork. The survey analysis in addition to survey sample investigation throughout researcher's own observations has revealed that the hospital does not meet TQM requirements. Moreover, the study result on one hand has shown that the impact of teamwork on staff Satisfaction value is 0.854, on the other hand it has proved the absence of impact between teamwork and staff perceptions on Quality of Patient Care.

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What makes maternity teams effective and safe? Lessons from a series of research on teamwork, leadership and team training

Cited by 69 publications

References 26 publications

Reliability of team-based self-monitoring in critical events: a pilot study

Reliability of team-based self-monitoring in critical events: a pilot study

Influence of Teamwork Behaviors on Workplace Incivility as it Applies to Nurses

Detecting Total Quality Management Status and Teamwork Orientation in Al-Yarmouk Teaching Hospital

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