Parallel-group randomized study on the impact of a modified TeamSTEPPS training on resident and nurse attitudes toward teamwork and their adherence to patient safety protocols

• Published in: International journal of academic medicine 2016-07, Vol.2 (2), p.145-153
• Main Authors: Orlando, James, Joshi, Amit, Carter, Merle, May, Henry, Bortle, Charlie, White, Patricia
• Format: Article
• Language: English
• ISSN: 2455-5568; 2455-5568
• DOI: 10.4103/2455-5568.196870

Introduction: Gaps remain in what constitutes optimal healthcare team training in terms of design and impact. This study utilizes a parallel group randomized design to study the impact of a modified TeamSTEPPS training on resident and nurse attitudes toward teamwork and their adherence to patient safety (PS) protocols. Methods: The intervention randomized 76 participants (38 nurses and 38 1st year residents) equally into one of four parallel training groups to receive central venous catheter (CVC) lines simulation training with and without a modified 1-h TeamSTEPPS training. Both groups participated in video-based CVC instruction and a simulation CVC case scenario using high-fidelity mannequins. Participants were randomized twice: Initially into TeamSTEPPS and non-TeamSTEPPS training groups using a computer-generated randomization list, and then into resident-nurse pairs prior to the simulation CVC case scenario by selecting room assignments out of a hat. At the conclusion of a training session, participants completed the TeamSTEPPS questionnaire to measure perceptions for teamwork. Resident/nurse pairs' adherence to PS protocols during the simulation CVC case were recorded by the laboratory's audio/video system to measure team performance. Three trained and blinded postdoctoral research associates scored all recordings independently. Residents were eligible for the study if they were a 1st year postgraduate trainees with no prior TeamSTEPPS training. Nurses were eligible if they had