Categories
Nursing

Article Critique: TeamSTEPPS communicaion in the operating room or in the hospital

Study #1

Full Reference for Research Study:

Setting It was a classroom training environment being mandatory for operating room staff.  As it relates to physicians and surgeons it was optional. Sessions lasted 4 hours
Purpose  To identify the how effective TeamSTEPPS have been implemented in operating rooms and how changes have been effected (Hurlbert & Garrett, 2009, p. 2).
Research Design This embodied a combination of official training, domestic research works reporting operating room safety problems and peer to peer counseling, Consequently it can be described as a qualitative study design (Hurlbert& Garrett, 2009, p. 2).
Sample Studied They were 200 perioperative staff and 60 physicians
Findings 1.       The briefing, was not accepted by surgeons even though they saw as being beneficial

2.      Physicians did not feel the preoperative briefing would significantly impact outcomes.

3.      Great improvement in setting that had a preoperative briefing was observed.

(Hurlbert& Garrett, 2009).

Level of evidence (IDENTIFY THE LEVEL AND WRITE A NARRATIVE JUSTIFYING YOUR CHOICE) Evidence Level V1

This article brings evidence from single a qualitative descriptive study. It embodies an editorial and expert opinion also.. There is no profound methodology. However, expert analysis is presented when evaluation of the outcomes of TeamSTEPPS training is described by the experts.

   

 Study #2

Full Reference for Research Study:

Setting Data base search for literature with studies pertaining to the subject.
Purpose The focus is on TeamSTEPPS, a training program developed and disseminated by the Department of Defense and the Agency for Healthcare Research and Quality (Coburn, 2011).
Research Design Qualitative study design
Sample Studied A  representative sample of evaluations with keywords/ concepts TeamSTEPPS, training program developed and disseminated by the Department of Defense; Healthcare Research and Quality
Findings 1.      TeamSTEPPS improve patient safety through team training

2.      Team training increases communications and reduces error

3.      TeamSTEPPS success depends on

designing appropriate expectations

4.      identifying  and cultivating internal

stalwarts within the organization is a successful team work strategy.

5. Providing a patient safety infrastructure can help maintain teamwork (Coburn, 2011, p 1).

Level of evidence (IDENTIFY THE LEVEL AND WRITE A NARRATIVE JUSTIFYING YOUR CHOICE) Level V

This study presents evidence from systematic reviews of descriptive or qualitative studies as an editorial, namely a project brief. It is presented from an expert perspective after reviewing data obtained through studies conducted between larger and smaller hospital implementing.

Study #3

Full Reference for Research Study:

Setting Data-based exploration for literature with keywords/concepts related to Team training; teamwork, TeamSTEPP implementation
Purpose To find out if team training works.
Research Design Qualitative study design
Sample Studied  3 articles
Findings Clinical outcomes and patient safety  were observed to be the great successes of the intervention (Salas et.al, 2011).
Level of evidence (IDENTIFY THE LEVEL AND WRITE A NARRATIVE JUSTIFYING YOUR CHOICE) Level V

 

This evidence emerged from descriptive qualitative review of three articles, pertaining to TeamSTEPPS and training outcomes.

 Study # 4

Full Reference for Research Study:

Setting Hospital perinatal unit
Purpose To evaluate ‘the cognitive and interpersonal skills, such as communication and teamwork, that supplement clinical and technical skills the necessary to ensure safe patient care’ (Riley et.al, 2011, p 357).
Research Design Cluster randomized clinical trial quantitative design.
Sample studied Three small sized community hospitals with 50-66 beds in a rural suburban community.
Findings Statically, the outcomes were beneficial regarding complementing teamSTEPPS in the clinical environment (Riley et.al, 2011, p 357).
Level of evidence (IDENTIFY THE LEVEL AND WRITE A NARRATIVE JUSTIFYING YOUR CHOICE) Level 11

 This study one well designed evidence obtained from at least one designed RCT

 Study # 5

Full Reference for Research Study:

Setting A combat theater of operations in U.S. Military Healthcare System in Iraq
Purpose To evaluate the effects of team work in movement of casualties when in combat from one military hospital to the next.
Research Design Qualitative study
Sample Studied Evaluation of 153 patient safety reports
Findings Marked increases in the correct medication management were observed among staff who were transmitting more accurate data from one section of the department to the other (Deering et.al, 2011, p 350).
Level of evidence (IDENTIFY THE LEVEL AND WRITE A NARRATIVE JUSTIFYING YOUR CHOICE Level V1

This study offers evidence from a single quantitative descriptive or qualitative study through 13 months evaluation of a TeamSTEPPS intervention in a military based operation theatre.

Study # 6

Full Reference for Research Study:

Setting PICU and SICU units within a hospital environment
Purpose To evaluate the efficacy of teamSTEPPS training in pediatric and surgical settings
Research Design Qualitative design
Sample Studied PICU and SICU hospital staff
Findings There was better collaboration in team work and participants learnt how to acknowledge teams work as a forces in achieving better patient outcomes
Level of evidence (IDENTIFY THE LEVEL AND WRITE A NARRATIVE JUSTIFYING YOUR CHOICE Levels V1

This study offers evidence from a single quantitative descriptive or qualitative study. The study relates to evaluation of a TeamSTEPPS training program

Summary

                The body of evidence derived from these six studies reviewed range from level 11 to level V1. Level 11 study encompassed a randomized controlled trial embracing three small sized community hospitals with 50-66 beds in a rural suburban community. Two level V studies were found tom be useful in showing the effectiveness of TeamSTEPS application training in improving communication in an operating room as well as hospital settings. One emerged from descriptive qualitative review of three articles, which undertook analysis of data on the issue. The second level V evidence presented a policy brief after reviewing a series of studies on TeamSTEPPS. Three studies emerged into level V1 because they presented findings obtained from a single study which was descriptive or qualitative in nature. Precise evidence pertained to independent evaluations of the effectiveness of teamSTEPSS programs.

References

Coburn, A. (2011). Improving Hospital Patient Safety Through Teamwork: The Use of TeamSTEPPS In Critical Access Hospitals. Maine Rural Health Research Center,University of Southern Maine.

Deering, S. Rosen, M.  Ludi, V.  Munroe, M. Pocrnich, A.  Laky,  C., & Napolitano, P.(2011).On the Front Lines of Patient Safety: Implementation and Evaluation of Team Training in Iraq. The Joint Commission Journal on Quality and Patient Safety. 37(8), 350-360

Hurlbert, S., & Garrett, J. (2009).Improving operating room safety. Patient Safety in Surgery, 3:25.

Mayer, C.  Cluff, L.  Lin, W.Willis, T. Stafford, E. Williams, C.Saunders, R. Short, k. Lenfestey, N. Kane, H. Amoozegar, J. (2011). The Joint Commission Journal on Quality and Patient Safety. 37(8), 367-370

Riley, W. Davis, S. Miller, K. Hansen, H. Sainfort, F., & Sweet, R. (2011). Didactic and Simulation Nontechnical Skills Team Training to Improve Perinatal Patient Outcomes in a Community Hospital. The Joint Commission Journal on Quality and Patient.

Salas, E. Gregory, M., King, H. (2011). Team Training Can Enhance Patient Safety—the Data, the Challenge Ahead. The Joint Commission Journal on Quality and Patient Safety.37(8), 339-340.

Links to research studies

1.http://www.med.unc.edu/cce/files/teamstepps/August%202011%20Joint%20Commission%20Journal.pdf

2.http://www.med.unc.edu/cce/files/teamstepps/August%202011%20Joint%20Commission%20Journal.pdf

3.http://www.med.unc.edu/cce/files/teamstepps/August%202011%20Joint%20Commission%20Journal.pdf

4.http://www.med.unc.edu/cce/files/teamstepps/August%202011%20Joint%20Commission%20Journal.pdf

5. http://flexmonitoring.org/documents/PolicyBrief21_TeamSTEPPS.pdf

6.http://www.pssjournal.com/content/3/1/25