41 results on '"Ballangrud, Randi"'
Search Results
2. In situ simulation-based team training and its significance for transfer of learning to clinical practice—A qualitative focus group interview study of anaesthesia personnel
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Finstad, Anne Strand, Aase, Ingunn, Bjørshol, Conrad Arnfinn, and Ballangrud, Randi
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- 2023
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3. Effectiveness of the advisory display SmartPilot® view in the assessment of anesthetic depth in low risk gynecological surgery patients: a randomized controlled trial
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Strand, Hilde, Elshaug, Ann Charlott, Bernersen, Øyvind, and Ballangrud, Randi
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- 2022
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4. Nurses’ experience of incident reporting culture before and after implementing the Green Cross method: A quality improvement project
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Birkeli, Gørill Helen, Jacobsen, Hilde Kristin, and Ballangrud, Randi
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- 2022
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5. Bachelor of nursing students' attitudes toward teamwork in healthcare: The impact of implementing a teamSTEPPS® team training program — A longitudinal, quasi-experimental study
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Karlsen, Tore, Hall-Lord, Marie Louise, Wangensteen, Sigrid, and Ballangrud, Randi
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- 2022
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6. Assessment of Anaesthesia Teams' Non‐Technical Skills in Clinical Practice before and after Simulation‐Based Team Training: A Quasiexperimental Study.
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Finstad, Anne Strand, Bjørshol, Conrad Arnfinn, Aase, Ingunn, Røislien, Jo, Ballangrud, Randi, and Pearl, Ronald G.
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MEDICAL personnel ,CLINICAL competence ,KNOWLEDGE transfer ,OPERATING rooms ,VIDEO recording - Abstract
Background. In situ simulation‐based team training of non‐technical skills is considered an important initiative for preventing adverse events caused by poor teamwork among healthcare personnel. This study aimed to assess the non‐technical skills of anaesthesia personnel before and after in situ simulation‐based team training in a clinical setting. Methods. The study was conducted from October 2020 to June 2021 using a quasiexperimental before and after design based on video‐recorded observations and ratings of anaesthesia teams' non‐technical skills during anaesthesia induction in the operating room before and shortly after in situ simulation‐based team training. Anaesthesia personnel were divided into 20 teams and video recorded during anaesthesia induction. The Anaesthetists' Non‐technical Skills (ANTS) system was used to score the teams' non‐technical skills. A paired‐sample t‐test was used to assess the impact of the intervention on the anaesthesia teams' scores on the various ANTS categories. Interrater agreement between the two ANTS raters was assessed using weighted kappa. Results. At the category level, the overall scores had a statistically significant increase in performance after simulation‐based team training (3.48 vs. 3.71; p < 0.001). Furthermore, scores of five of the 15 elements were significantly different. Interrater agreement revealed moderate agreement between the two raters (weighted kappa = 0.51, p value <0.001). Conclusion. The anaesthesia teams' increased non‐technical skills after simulation‐based team training may indicate the transfer of knowledge from training to clinical practice. The moderate agreement between the raters could be attributed to the subjective nature of the evaluation procedure. The ANTS was originally used as an individual assessment tool; however, this study has demonstrated its potential as a team assessment tool. [ABSTRACT FROM AUTHOR]
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- 2024
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7. Learning from patient safety incidents: The Green Cross method.
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Jacobsen, Hilde Kristin, Ballangrud, Randi, and Birkeli, Gørill Helen
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PATIENT safety , *ORGANIZATIONAL learning , *CRITICAL care nurses , *NURSES as patients , *NURSE-patient relationships - Abstract
Background Aim Study Design Results Conclusions Relevance to Clinical Practice Hospitals can improve how they learn from patient safety incidents. The Green Cross method, a proactive reporting and learning method, is one strategy to meet this challenge. In it, nurses play a key role. However, describing its impact on learning from the users' perspective is important.This study aimed to describe nurses' experiences of learning from patient safety incidents before and 3 months after implementing the Green Cross method in a postanaesthesia care unit.A qualitative study with an inductive descriptive design with focus group interviews was conducted before and 3 months after implementing the Green Cross method to assess its impact. The data were analysed using qualitative content analysis. The study was conducted in a postanaesthesia care unit in a Norwegian hospital trust.Before implementing the Green Cross method, participants indicated limited openness and learning, including the subcategories ‘Lack of openness hampers learning’, ‘Adverse events were taken seriously’ and ‘Insufficient visible improvements’. After implementing the Green Cross method, participants indicated the emergence of a learning environment, including the subcategories ‘Transparency increases learning’, ‘Increased patient safety awareness’ and ‘Committed to quality improvements’.Implementing the Green Cross method in a postanaesthesia care unit positively impacted openness and nurses' patient safety awareness, which is crucial for learning and improving quality.The Green Cross method could be useful for organizational learning and facilitating learning from patient safety incidents through transparency, discussion and involvement of nursing staff. [ABSTRACT FROM AUTHOR]
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- 2024
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8. Is simulation-based team training performed by personnel in accordance with the INACSL Standards of Best Practice: SimulationSM?—a qualitative interview study
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Finstad, Anne Strand, Ballangrud, Randi, Aase, Ingunn, Wisborg, Torben, Romundstad, Luis Georg, and Bjørshol, Conrad Arnfinn
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- 2021
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9. The Swedish version of the TeamSTEPPS® teamwork attitudes questionnaire (T-TAQ): A validation study
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Hall-Lord, Marie Louise, Bååth, Carina, Ballangrud, Randi, and Nordin, Anna
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- 2021
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10. Longitudinal team training program in a Norwegian surgical ward: a qualitative study of nurses’ and physicians’ experiences with implementation
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Ballangrud, Randi, Aase, Karina, and Vifladt, Anne
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- 2021
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11. A human factors intervention in a hospital - evaluating the outcome of a TeamSTEPPS program in a surgical ward
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Aaberg, Oddveig Reiersdal, Hall-Lord, Marie Louise, Husebø, Sissel Iren Eikeland, and Ballangrud, Randi
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- 2021
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12. Aiming for excellence – A simulation-based study on adapting and testing an instrument for developing non-technical skills in Norwegian student nurse anaesthetists
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Flynn, Fiona M., Sandaker, Kjersti, and Ballangrud, Randi
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- 2017
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13. A complex teamwork intervention in a surgical ward in Norway
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Aaberg, Oddveig Reiersdal, Hall-Lord, Marie Louise, Husebø, Sissel Iren Eikeland, and Ballangrud, Randi
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- 2019
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14. Bachelor of nursing students' experiences of a longitudinal team training intervention and the use of teamwork skills in clinical practice—A qualitative descriptive study.
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Karlsen, Tore, Hall‐Lord, Marie Louise, Wangensteen, Sigrid, and Ballangrud, Randi
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PSYCHOLOGY of college students ,TEAMS in the workplace ,NURSING ,FOCUS groups ,RESEARCH methodology ,INTERVIEWING ,EXPERIENCE ,NURSING practice ,QUALITATIVE research ,STUDENTS ,SOUND recordings ,RESEARCH funding ,NURSING students ,CONTENT analysis ,THEMATIC analysis ,EDUCATIONAL outcomes ,TEAM nursing - Abstract
Aims: To describe nursing students' experiences of a TeamSTEPPS® longitudinal team training program and the application of teamwork skills in clinical practice. Design: A descriptive qualitative design. Methods: Overall, 22 nursing students participated in six online focus group interviews after attending a TeamSTEPPS® team training program from their first semester. The data were audio‐recorded, transcribed and analysed using inductive content analysis and reported following the COREQ guidelines. The focus group interviews took place in the students' fifth's semester. Results: The main category "Learning teamwork is not an event; it's a journey" emerged from 3 generic categories and 12 subcategories. The participants reported that grasping the relevance of team training and the use of teamwork skills takes time. Utilizing these skills improved their awareness of being a team member and facilitated learning. Conclusion: Team training raised the participants' awareness of teamwork as an essential component of being a professional nurse. Additionally, understanding the complexity of teamwork takes time. [ABSTRACT FROM AUTHOR]
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- 2023
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15. Intensive care nurses’ perceptions of simulation-based team training for building patient safety in intensive care: A descriptive qualitative study
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Ballangrud, Randi, Hall-Lord, Marie Louise, Persenius, Mona, and Hedelin, Birgitta
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- 2014
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16. Nurses’ perceptions of patient safety climate in intensive care units: A cross-sectional study
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Ballangrud, Randi, Hedelin, Birgitta, and Hall-Lord, Marie Louise
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- 2012
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17. An Interregional Survey on Critical Care Nurses' Perceptions of Psychological and Social Factors Related to their Working Environment.
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Stomlien, Tone, Julusmoen, Siri, and Ballangrud, Randi
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- 2023
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18. Intensive care unit nursesʼ evaluation of simulation used for team training
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Ballangrud, Randi, Hall-Lord, Marie Louise, Hedelin, Birgitta, and Persenius, Mona
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- 2014
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19. The Swedish Version of the TeamSTEPPS® Teamwork Perceptions Questionnaire (T-TPQ): A Validation Study
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Hall-Lord,Marie Louise, Skoogh,Annika, Ballangrud,Randi, Nordin,Anna, and Bååth,Carina
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Journal of Multidisciplinary Healthcare ,education - Abstract
Marie Louise Hall-Lord,1,2 Annika Skoogh,1 Randi Ballangrud,2 Anna Nordin,1 Carina Bååth1,3 1Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, Karlstad, Sweden; 2Department of Health Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Gjøvik, Norway; 3Faculty of Health and Welfare, Østfold University College, Fredrikstad, NorwayCorrespondence: Carina BååthDepartment of Health Sciences, Faculty of Health, Science and Technology, Karlstad University, Universitetsgatan 2, Karlstad 651 88, SwedenTel +46 54 7002089Email carina.baath@kau.sePurpose: The delivery of effective and safe healthcare to patients is highly dependent on careful collaboration between healthcare professionals. Although teamwork is an important component for patient safety, effective teamwork is not always carried out in hospital wards, leading to negative consequences for the patients. Teamwork measurements can be used to evaluate and provide feedback to healthcare professionals to support team performance and to identify areas for improvement. The TeamSTEPPS® Teamwork Perceptions Questionnaire (T-TPQ) evaluates Team Structure and four core competences of teamwork (Leadership, Situation Monitoring, Mutual Support, and Communication) among healthcare professionals in various healthcare settings. The questionnaire was judged to be relevant in a Swedish healthcare context and was translated into Swedish. This study aimed to test the reliability and construct validity of the Swedish version of the T-TPQ.Methods: A total of 450 (of 1176) frontline healthcare professionals working at four hospitals responded to the questionnaire. A confirmatory factor analysis was carried out to test the factor structure. Cronbach’s alpha was used to measure internal consistency.Results: The hypothesized five-factor model of the five dimensions showed acceptable goodness-of-fit indexes. Cronbach’s alpha coefficient for the total T-TPQ was 0.94, and the Cronbach’s alpha coefficients for the dimensions ranged from 0.79 to 0.92. The intercorrelation coefficients ranged from 0.27 to 0.74.Conclusion: The Swedish version of the T-TPQ showed acceptable reliability and validity for measuring healthcare professionals’ individual perceptions of teamwork at the group level. Due to the low response rate, further studies are required to test the validity of the Swedish T-TPQ.Keywords: healthcare professionals, perceptions, questionnaire, teamwork performance, validation study
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- 2020
20. The Swedish Version of the TeamSTEPPS® Teamwork Perceptions Questionnaire (T-TPQ): A Validation Study
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Hall-Lord, Marie Louise, Skoogh, Annika, Ballangrud, Randi, Nordin, Anna, and Bååth, Carina Barbro
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perceptions ,teamwork performance ,Medisinske Fag: 700::Helsefag: 800 [VDP] ,validation study ,questionnaire ,education ,healthcare professionals ,health care economics and organizations - Abstract
Purpose: The delivery of effective and safe healthcare to patients is highly dependent on careful collaboration between healthcare professionals. Although teamwork is an important component for patient safety, effective teamwork is not always carried out in hospital wards, leading to negative consequences for the patients. Teamwork measurements can be used to evaluate and provide feedback to healthcare professionals to support team performance and to identify areas for improvement. The TeamSTEPPS® Teamwork Perceptions Questionnaire (T-TPQ) evaluates Team Structure and four core competences of teamwork (Leadership, Situation Monitoring, Mutual Support, and Communication) among healthcare professionals in various healthcare settings. The questionnaire was judged to be relevant in a Swedish healthcare context and was translated into Swedish. This study aimed to test the reliability and construct validity of the Swedish version of the T-TPQ. Methods: A total of 450 (of 1176) frontline healthcare professionals working at four hospitals responded to the questionnaire. A confirmatory factor analysis was carried out to test the factor structure. Cronbach’s alpha was used to measure internal consistency. Results: The hypothesized five-factor model of the five dimensions showed acceptable goodness-of-fit indexes. Cronbach’s alpha coefficient for the total T-TPQ was 0.94, and the Cronbach’s alpha coefficients for the dimensions ranged from 0.79 to 0.92. The intercorrelation coefficients ranged from 0.27 to 0.74. Conclusion: The Swedish version of the T-TPQ showed acceptable reliability and validity for measuring healthcare professionals’ individual perceptions of teamwork at the group level. Due to the low response rate, further studies are required to test the validity of the Swedish T-TPQ. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.
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- 2020
21. The Swedish Version of the TeamSTEPPS (R) Teamwork Perceptions Questionnaire (T-TPQ) : A Validation Study
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Hall-Lord, Marie Louise, Skoogh, Annika, Ballangrud, Randi, Nordin, Anna, and Bååth, Carina
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perceptions ,teamwork performance ,validation study ,questionnaire ,Omvårdnad ,education ,Nursing ,healthcare professionals ,health care economics and organizations - Abstract
Purpose: The delivery of effective and safe healthcare to patients is highly dependent on careful collaboration between healthcare professionals. Although teamwork is an important component for patient safety, effective teamwork is not always carried out in hospital wards, leading to negative consequences for the patients. Teamwork measurements can be used to evaluate and provide feedback to healthcare professionals to support team performance and to identify areas for improvement. The TeamSTEPPS (R) Teamwork Perceptions Questionnaire (T-TPQ) evaluates Team Structure and four core competences of teamwork (Leadership, Situation Monitoring, Mutual Support, and Communication) among healthcare professionals in various healthcare settings. The questionnaire was judged to be relevant in a Swedish healthcare context and was translated into Swedish. This study aimed to test the reliability and construct validity of the Swedish version of the T-TPQ. Methods: A total of 450 (of 1176) frontline healthcare professionals working at four hospitals responded to the questionnaire. A confirmatory factor analysis was carried out to test the factor structure. Cronbach's alpha was used to measure internal consistency. Results: The hypothesized five-factor model of the five dimensions showed acceptable goodness-of-fit indexes. Cronbach's alpha coefficient for the total T-TPQ was 0.94, and the Cronbach's alpha coefficients for the dimensions ranged from 0.79 to 0.92. The intercorrelation coefficients ranged from 0.27 to 0.74. Conclusion: The Swedish version of the T-TPQ showed acceptable reliability and validity for measuring healthcare professionals' individual perceptions of teamwork at the group level. Due to the low response rate, further studies are required to test the validity of the Swedish T-TPQ.
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- 2020
22. Patients' Perceptions of Quality of Care: A Teamwork Intervention Study in a Surgical Ward.
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Hall-Lord, Marie Louise and Ballangrud, Randi
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MEDICAL quality control ,TEAMS in the workplace ,EVALUATION of human services programs ,RESEARCH methodology ,SURGICAL clinics ,MANN Whitney U Test ,PATIENTS' attitudes ,HUMAN services programs ,PRE-tests & post-tests ,HOSPITAL wards ,DESCRIPTIVE statistics ,DATA analysis software ,EDUCATIONAL outcomes - Abstract
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. [ABSTRACT FROM AUTHOR]- Published
- 2022
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23. Clients’ experiences of living at home with a mechanical ventilator
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Ballangrud, Randi, Bogsti, Wenche Bergseth, and Johansson, Inger Signe
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- 2009
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24. Is simulation-based team training performed by personnel in accordance with the INACSL Standards of Best Practice: SimulationSM?—a qualitative interview study.
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Finstad, Anne Strand, Ballangrud, Randi, Aase, Ingunn, Wisborg, Torben, Romundstad, Luis Georg, and Bjørshol, Conrad Arnfinn
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- 2021
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25. Reliability and structural validity of the Norwegian version of the TeamSTEPPS Teamwork Attitudes Questionnaire: A cross‐sectional study among Bachelor of Nursing students.
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Karlsen, Tore, Hall‐Lord, Marie Louise, Wangensteen, Sigrid, and Ballangrud, Randi
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- 2021
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26. The Swedish Version of the TeamSTEPPS® Teamwork Perceptions Questionnaire (T-TPQ): A Validation Study.
- Author
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Hall-Lord, Marie Louise, Skoogh, Annika, Ballangrud, Randi, Nordin, Anna, and Bååth, Carina
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CRONBACH'S alpha ,MEDICAL personnel ,CONFIRMATORY factor analysis ,HOSPITAL wards ,CORE competencies - Abstract
Purpose: The delivery of effective and safe healthcare to patients is highly dependent on careful collaboration between healthcare professionals. Although teamwork is an important component for patient safety, effective teamwork is not always carried out in hospital wards, leading to negative consequences for the patients. Teamwork measurements can be used to evaluate and provide feedback to healthcare professionals to support team performance and to identify areas for improvement. The TeamSTEPPS
® Teamwork Perceptions Questionnaire (T-TPQ) evaluates Team Structure and four core competences of teamwork (Leadership, Situation Monitoring, Mutual Support, and Communication) among healthcare professionals in various healthcare settings. The questionnaire was judged to be relevant in a Swedish healthcare context and was translated into Swedish. This study aimed to test the reliability and construct validity of the Swedish version of the T-TPQ. Methods: A total of 450 (of 1176) frontline healthcare professionals working at four hospitals responded to the questionnaire. A confirmatory factor analysis was carried out to test the factor structure. Cronbach's alpha was used to measure internal consistency. Results: The hypothesized five-factor model of the five dimensions showed acceptable goodness-of-fit indexes. Cronbach's alpha coefficient for the total T-TPQ was 0.94, and the Cronbach's alpha coefficients for the dimensions ranged from 0.79 to 0.92. The intercorrelation coefficients ranged from 0.27 to 0.74. Conclusion: The Swedish version of the T-TPQ showed acceptable reliability and validity for measuring healthcare professionals' individual perceptions of teamwork at the group level. Due to the low response rate, further studies are required to test the validity of the Swedish T-TPQ. [ABSTRACT FROM AUTHOR]- Published
- 2020
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27. Longitudinal team training programme in a Norwegian surgical ward: a qualitative study of nurses’ and physicians’ experiences with teamwork skills.
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Ballangrud, Randi, Aase, Karina, and Vifladt, Anne
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Objectives Teamwork and interprofessional team training are fundamental to ensuring the continuity of care and high-quality outcomes for patients in a complex clinical environment. Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is an evidence-based team training programme intended to facilitate healthcare professionals’ teamwork skills. The aim of this study is to describe healthcare professionals’ experiences with teamwork in a surgical ward before and during the implementation of a longitudinal interprofessional team training programme. Design A qualitative descriptive study based on follow-up focus group interviews. Setting A combined gastrointestinal surgery and urology ward at a hospital division in a Norwegian hospital trust. Participants A convenience sample of 11 healthcare professionals divided into three professionally based focus groups comprising physicians (n=4), registered nurses (n=4) and certified nursing assistants (n=3). Interventions The Team STEPPS programme was implemented in the surgical ward from May 2016 to June 2017. The team training programme included the three phases: (1) assessment and planning, (2) training and implementation and (3) sustainment. results Before implementing the team training programme, healthcare professionals were essentially satisfied with the teamwork skills within the ward. During the implementation of the programme, they experienced that team training led to greater awareness and knowledge of their common teamwork skills. Improved teamwork skills were described in relation to a more systematic interprofessional information exchange, consciousness of leadership-balancing activities and resources, the use of situational monitoring tools and a shared understanding of accountability and transparency. Conclusions This study suggests that the team training programme provides healthcare professionals with a set of tools and terminology that promotes a common understanding of teamwork, hence affecting behaviour and communication in their daily clinical practice at the surgical ward. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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28. A qualitative study of how inter‐professional teamwork influences perioperative nursing.
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Holmes, Thekla, Vifladt, Anne, and Ballangrud, Randi
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- 2020
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29. Cross-cultural validation and psychometric testing of the Norwegian version of TeamSTEPPS teamwork attitude questionnaire.
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Ballangrud, Randi, Husebø, Sissel Eikeland, and Hall-Lord, Marie Louise
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ATTITUDE (Psychology) , *STATISTICAL correlation , *FACTOR analysis , *RESEARCH methodology , *MEDICAL personnel , *PATIENT safety , *PSYCHOMETRICS , *QUESTIONNAIRES , *TEAMS in the workplace , *STATISTICAL reliability , *CROSS-sectional method , *RESEARCH methodology evaluation , *DATA analysis software , *DESCRIPTIVE statistics , *INTRACLASS correlation - Abstract
Healthcare professionals' attitudes play a significant role in influencing team behavior, and thereby affect the quality and safety of patient care. Culturally adapted and validated questionnaires may contribute valuable knowledge of professionals' attitudes toward teamwork. The aim of the study was to translate and cross-validate the TeamSTEPPS Teamwork Attitude Questionnaire (T-TAQ) into Norwegian, and to test the questionnaire for psychometric properties among Norwegian healthcare professionals. The T-TAQ, measuring five dimensions of attitude towards teamwork, was translated according to a model of back translation. Healthcare professionals (N = 247) from various hospital settings responded. A Pearson correlation coefficient, confirmatory factor analysis (CFA), test–retest reliability, Cronbach's alpha, and McDonald's omega were conducted. The inter-correlation test of the T-TAQ dimensions ranged from 0.16 to 0.54. The CFA showed a Root Mean Square Error of Approximation of (RMSEA) = 0.061. Test-retest showed Intraclass Correlation Coefficient scores from 0.73 to 0.86, with Cronbach's alpha and McDonald's omega demonstrating values from 0.53 to 0.76 (alpha) and 0.57 to 0.76 (omega) on the five dimensions. The Norwegian version of T-TAQ revealed potential concerning the psychometric property for measuring healthcare professionals' attitudes toward teamwork in hospital settings. Further testing with a sample that is more proportionally composed in terms of an interprofessional mix is therefore proposed. [ABSTRACT FROM AUTHOR]
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- 2020
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30. An interprofessional team training intervention with an implementation phase in a surgical ward: A controlled quasi-experimental study.
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Aaberg, Oddveig Reiersdal, Ballangrud, Randi, Husebø, Sissel Iren Eikeland, and Hall-Lord, Marie Louise
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Despite a growing awareness of the importance of interprofessional teamwork in relation to patient safety, many hospital units lack effective teamwork. The aim of this study was to explore if an interprofessional teamwork intervention in a surgical ward changed the healthcare personnel’s perceptions of patient safety culture, perceptions of teamwork, and attitudes toward teamwork over 12 months. Healthcare personnel from surgical wards at two hospitals participated in a controlled quasi-experimental study. The intervention consisted of six hours of TeamSTEPPS team training and 12 months for the implementation of teamwork tools and strategies. The data collection was conducted among the healthcare personnel in the intervention group and the control group at baseline and at the end of the 12 month study period. The results within the intervention group showed that there were significantly improved scores in three of 12 patient safety culture dimensions and in three of five perceptions of teamwork dimensions after 12 months. When comparing between groups, significant differences were found in three patient safety culture measures in favor of the intervention group. The results of the study suggest that the teamwork intervention had a positive impact on patient safety culture and teamwork in the surgical ward. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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31. Collaboration and Satisfaction About Care Decisions in Team questionnaire—Psychometric testing of the Norwegian version, and hospital healthcare personnel perceptions across hospital units.
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Aaberg, Oddveig Reiersdal, Hall‐Lord, Marie Louise, Husebø, Sissel Iren Eikeland, and Ballangrud, Randi
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- 2019
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32. Building patient safety in intensive care nursing : Patient safety culture, team performance and simulation-based training
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Ballangrud, Randi
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safety culture ,nursing ,Omvårdnad ,education ,patient safety ,team training ,simulation ,team performance ,intensive care - Abstract
Aim: The overall aim of the thesis was to investigate patient safety culture, team performance and the use of simulation-based team training for building patient safety in intensive care nursing. Methods: Quantitative and qualitative methods were used. In Study I, 220 RNs from ten ICUs responded to a patient safety culture questionnaire analysed with statistics. Studies II-IV were based on an evaluation of a simulation-based team training programme. Studies II-III included 53 RNs from seven ICUs and ten RNs from a post-graduate programme (II). The data were collected with questionnaires (II) and measurement scales (III), and analysed with statistics. In Study IV, 18 RNs were interviewed and the data were analysed with a qualitative content analysis. Main findings: The RNs had positive perceptions of the overall patient safety culture in the ICUs. Hence, a potential for improvements was identified at both the unit and hospital level. Differences between types of ICUs and between hospitals were found. The dimensions at the unit level were predictors for the outcome dimensions (I). The RNs evaluated the simulation-based team training programme in a positive way. Differences with regard to scenario roles, prior simulation experience and area of intensive care practice were found (II). The expert raters assessed the teams’ performance as advanced novice or competent. There were differences between the expert raters’ assessments and the RNs’ self-assessments (III). One main category emerged to illuminate the RNs’ perceptions of simulation-based team training for building patient safety: Regular training increases the awareness of clinical practice and acknowledges the importance of structured work in teams (IV). Conclusions: Patient safety culture measurements have the potential to identify areas in need of improvement, and simulation-based team training is appropriate to create a common understanding of structured work in teams with regard to patient safety. Baksidestext Intensive care represents potential patient safety challenges for critically ill patients. Human errors are the most common cause of incidents, and failures in team performance are identified as contributory factors. The measurements of patient safety culture and simulation-based team training are recommended initiatives to improve patient safety. The aim of the thesis was to investigate patient safety culture, team performance and the use of simulation-based team training for building patient safety in intensive care nursing. The nurses had a positive perception of the overall patient safety culture. A potential for improvements were found in incident reporting, feedback and communication about errors and organizational learning. The RNs evaluated the simulation-based team training programme in a positive way. The assessments of nurses’ team performance with respect to communication, leadership and decision-making in a simulation-based emergency situation showed a variation in competencies from advanced novice to competent. There were differences between expert raters’ assessments and nurses’ self-assessments. The nurses perceived that simulation-based team training on a regular basis increases the awareness of clinical practice and acknowledges the importance of structured teamwork.
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- 2013
33. Cross-cultural validation and psychometric testing of the Norwegian version of the TeamSTEPPS® teamwork perceptions questionnaire.
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Ballangrud, Randi, Husebø, Sissel Eikeland, and Hall-Lord, Marie Louise
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PSYCHOMETRICS , *PSYCHOLOGICAL tests , *MEDICAL personnel , *CRONBACH'S alpha , *INTRACLASS correlation , *STANDARD deviations , *ATTITUDE (Psychology) , *FACTOR analysis , *HEALTH care teams , *PATIENT safety , *SENSORY perception , *QUESTIONNAIRES , *RESEARCH funding , *TRANSLATIONS ,RESEARCH evaluation - Abstract
Background: Teamwork is an integrated part of today's specialized and complex healthcare and essential to patient safety, and is considered as a core competency to improve twenty-first century healthcare. Teamwork measurements and evaluations show promising results to promote good team performance, and are recommended for identifying areas for improvement. The validated TeamSTEPPS® Teamwork Perception Questionnaire (T-TPQ) was found suitable for cross-cultural validation and testing in a Norwegian context. T-TPQ is a self-report survey that examines five dimensions of perception of teamwork within healthcare settings. The aim of the study was to translate and cross-validate the T-TPQ into Norwegian, and test the questionnaire for psychometric properties among healthcare personnel.Methods: The T-TPQ was translated and adapted to a Norwegian context according to a model of a back-translation process. A total of 247 healthcare personnel representing different professionals and hospital settings responded to the questionnaire. A confirmatory factor analysis was carried out to test the factor structure. Cronbach's alpha was used to establish internal consistency, and an Intraclass Correlation Coefficient was used to assess the test - retest reliability.Result: A confirmatory factor analysis showed an acceptable fitting model (χ2 (df) 969.46 (546), p < 0.001, Root Mean Square Error of Approximation (RMSEA) = 0.056, Tucker-Lewis Index (TLI) = 0.88, Comparative fit index (CFI) = 0.89, which indicates that each set of the items that was supposed to accompany each teamwork dimension clearly represents that specific construct. The Cronbach's alpha demonstrated acceptable values on the five subscales (0.786-0.844), and test-retest showed a reliability parameter, with Intraclass Correlation Coefficient scores from 0.672 to 0.852.Conclusion: The Norwegian version of T-TPQ was considered to be acceptable regarding the validity and reliability for measuring Norwegian individual healthcare personnel's perception of group level teamwork within their unit. However, it needs to be further tested, preferably in a larger sample and in different clinical settings. [ABSTRACT FROM AUTHOR]- Published
- 2017
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34. "Teamwork in hospitals": a quasi-experimental study protocol applying a human factors approach.
- Author
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Ballangrud, Randi, Husebø, Sissel Eikeland, Aase, Karina, Aaberg, Oddveig Reiersdal, Vifladt, Anne, Berg, Geir Vegard, and Hall-Lord, Marie Louise
- Subjects
- *
ATTITUDE (Psychology) , *HOSPITALS , *INTERPROFESSIONAL relations , *RESEARCH methodology , *EVALUATION of medical care , *MEDICAL personnel , *PATIENT safety , *QUESTIONNAIRES , *TEAMS in the workplace , *RESEARCH methodology evaluation - Abstract
Background: Effective teamwork and sufficient communication are critical components essential to patient safety in today's specialized and complex healthcare services. Team training is important for an improved efficiency in inter-professional teamwork within hospitals, however the scientific rigor of studies must be strengthen and more research is required to compare studies across samples, settings and countries. The aims of the study are to translate and validate teamwork questionnaires and investigate healthcare personnel's perception of teamwork in hospitals (Part 1). Further to explore the impact of an inter-professional teamwork intervention in a surgical ward on structure, process and outcome (Part 2). Methods: To address the aims, a descriptive, and explorative design (Part 1), and a quasi-experimental interventional design will be applied (Part 2). The study will be carried out in five different hospitals (A-E) in three hospital trusts in Norway. Frontline healthcare personnel in Hospitals A and B, from both acute and non-acute departments, will be invited to respond to three Norwegian translated teamwork questionnaires (Part 1). An inter-professional teamwork intervention in line with the TeamSTEPPS recommend Model of Change will be implemented in a surgical ward at Hospital C. All physicians, registered nurses and assistant nurses in the intervention ward and two control wards (Hospitals D and E) will be invited to to survey their perception of teamwork, team decision making, safety culture and attitude towards teamwork before intervention and after six and 12 months. Adult patients admitted to the intervention surgical unit will be invited to survey their perception of quality of care during their hospital stay before intervention and after six and 12 month. Moreover, anonymous patient registry data from local registers and data from patients' medical records will be collected (Part 2). Discussion: This study will help to understand the impact of an inter-professional teamwork intervention in a surgical ward and contribute to promote healthcare personnel's team competences with an opportunity to achieve changes in work processes and patient safety. Trial registration: Trial registration number (TRN) is ISRCTN13997367. The study was registered retrospectively with registration date 30.05.2017. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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35. Exploring intensive care nurses’ team performance in a simulation-based emergency situation, -− expert raters’ assessments versus self-assessments: an explorative study.
- Author
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Ballangrud, Randi, Persenius, Mona, Hedelin, Birgitta, and Hall-Lord, Marie Louise
- Subjects
- *
CARDIAC arrest , *THERAPEUTICS , *TEAMS in the workplace , *CHI-squared test , *COMMUNICATION , *COMPUTER simulation , *CARDIOPULMONARY resuscitation , *EDUCATION research , *EMPLOYEES , *EXPERIENCE , *HUMAN anatomical models , *INTENSIVE care nursing , *INTENSIVE care units , *LEADERSHIP , *CASE studies , *NURSES , *NURSING , *CONTINUING education of nurses , *PERSONNEL management , *PROBABILITY theory , *PROBLEM solving , *RESEARCH , *RESEARCH funding , *STATISTICAL sampling , *SCALE analysis (Psychology) , *SELF-evaluation , *STATISTICAL hypothesis testing , *STATISTICS , *UNIVERSITIES & colleges , *VIDEO recording , *DATA analysis , *EDUCATIONAL attainment , *INTER-observer reliability , *NATIONAL competency-based educational tests , *DATA analysis software , *DESCRIPTIVE statistics , *HOSPITAL nursing staff , *MANN Whitney U Test - Abstract
Background: Effective teamwork has proven to be crucial for providing safe care. The performance of emergencies in general and cardiac arrest situations in particular, has been criticized for primarily focusing on the individual’s technical skills and too little on the teams’ performance of non-technical skills. The aim of the study was to explore intensive care nurses’ team performance in a simulation-based emergency situation by using expert raters’ assessments and nurses’ self-assessments in relation to different intensive care specialties. Methods: The study used an explorative design based on laboratory high-fidelity simulation. Fifty-three registered nurses, who were allocated into 11 teams representing two intensive care specialties, participated in a videotaped simulation-based cardiac arrest setting. The expert raters used the Ottawa Crisis Resource Management Global Rating Scale and the first part of the Mayo High Performance Teamwork Scale to assess the teams’ performance. The registered nurses used the first part of the Mayo High Performance Teamwork Scale for their self-assessments, and the analyses used were Chi-square tests, Mann–Whitney U tests, Spearman’s rho and Intraclass Correlation Coefficient Type III. Results: The expert raters assessed the teams’ performance as either advanced novice or competent, with significant differences being found between the teams from different specialties. Significant differences were found between the expert raters’ assessments and the registered nurses’ self-assessments. Conclusions: Teams of registered nurses representing specialties with coronary patients exhibit a higher competence in non-technical skills compared to team performance regarding a simulated cardiac arrest. The use of expert raters’ assessments and registered nurses’ self-assessments are useful in raising awareness of team performance with regard to patient safety. [ABSTRACT FROM AUTHOR]
- Published
- 2014
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36. Intensive care nurses' perceptions of simulation-based team training for building patient safety in intensive care: A descriptive qualitative study.
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Ballangrud, Randi, Hall-Lord, Marie Louise, Persenius, Mona, and Hedelin, Birgitta
- Abstract
Objectives: To describe intensive care nurses' perceptions of simulation-based team training for building patient safety in intensive care. Background: Failures in team processes are found to be contributory factors to incidents in an intensive care environment. Simulation-based training is recommended as a method to make health-care personnel aware of the importance of team working and to improve their competencies. Design: The study uses a qualitative descriptive design. Methods: Individual qualitative interviews were conducted with 18 intensive care nurses from May to December 2009, all of which had attended a simulation-based team training programme. The interviews were analysed by qualitative content analysis. Results: One main category emerged to illuminate the intensive care nurse perception: 'training increases awareness of clinical practice and acknowledges the importance of structured work in teams''. Three generic categories were found: 'realistic training contributes to safe care'', 'reflection and openness motivates learning'' and 'finding a common understanding of team performance''. Conclusions: Simulation-based team training makes intensive care nurses more prepared to care for severely ill patients. Team training creates a common understanding of how to work in teams with regard to patient safety. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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37. LEARNING TEAMWORK IS NOT AN EVENT; IT’S A JOURNEY: IMPLEMENTING THE TEAMSTEPPS® TEAM TRAINING PROGRAM IN BACHELOR OF NURSING EDUCATION TO ENHANCE PATIENT SAFETY
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Karlsen, Tore, Hall-Lord, Marie-Louise, Wangensteen, Sigrid, and Ballangrud, Randi
- Subjects
Medical disciplines: 700 [VDP] - Abstract
Aim: The overall aim of the thesis was to implement a longitudinal team training intervention in bachelor of nursing education and describe students’ reactions to team training, explore changes in their attitudes toward teamwork, and describe how they experienced teamwork skills in practice. Methods: This thesis is based on three studies, using quantitative and qualitative methods. Study Ⅰ investigated the validity and reliability of the Norwegian version of the Teamwork Attitudes Questionnaire (T-TAQ) when used in a sample of nursing students (n = 509). Data were analyzed via confirmatory factor analysis (CFA) (Ⅰ). In study Ⅱ and Ⅲ a team training intervention was conducted in a cohort of nursing students over 26 months. In Study Ⅱ, attitudes to teamwork were measured using the TTAQ at baseline (T0) and after the passage of 10 months (T1) and 24 months (T2) in the intervention and control groups. A total of 295 students participated. Data were analyzed using inferential and descriptive statistics (Ⅱ). In Study Ⅲ, students’ team training experiences and their use of teamwork skills in practice were examined via focus group interviews (n = 22). Data were analyzed via inductive content analysis (Ⅲ). Main results: The Norwegian version of the T-TAQ has some potential to display reliable and valid answers when used in a sample of nursing students (Ⅰ). Nursing students who participated in the team training showed significantly positive attitudinal changes with regard to teamwork (Ⅱ). Students initially experienced team training as complex and theoretical, but team training gradually increased their awareness that the practical application of teamwork skills facilitates the sense of being a team member, while also enhancing learning and patient safety in clinical practice (Ⅲ). Conclusion: It is recommended that the Norwegian version of the T-TAQ be considered unidimensional when used in a sample of nursing students. Team training positively affects students’ attitudes toward teamwork. However, grasping the principles of teamwork and the relevance of team training requires repeated training. The use of teamwork skills enhances students’ experiences of belonging to a team, enhance learning and patient safety in clinical placements. Team training should be an integrated part of the bachelor of nursing program to enhance patient safety. Norsk sammendrag Hensikt: Avhandlingens overordnede hensikt var å implementere et team trenings program i en bachelor i sykepleie utdanning og beskrive studentenes reaksjoner på å delta i team treningen, utforske i hvilken grad team trening førte til endring i studentenes holdninger til teamarbeid, samt beskrive deres erfaringer med bruk av teamarbeids ferdigheter i praksis. Metode: Avhandlingen bygger på tre studier hvor kvalitativ og kvantitativ metode ble benyttet. Studie Ⅰ undersøkte i hvilken grad den norske versjonen av Teamwork Attitudes Questionnaire (T-TAQ) hadde en gyldig struktur og ga pålitelige svar når det ble brukt i et utvalg av sykepleiestudenter (n = 509). Data ble analysert ved hjelp av bekreftende faktor analyse (CFA) (Ⅰ). I studie Ⅱ og Ⅲ ble en teamtrenings intervensjon gjennomført for et kull av sykepleiestudenter i en periode på 26 måneder. I studie Ⅱ ble holdninger til teamarbeid målt ved hjelp av T-TAQ før oppstart (T0), etter ti måneder (T1) og 24 måneder (T2) i en intervensjonsgruppe og i en kontrollgruppe. Totalt 295 studenter deltok. Data ble analysert med bruk av beskrivende og hypotesetestende statistikk (Ⅱ). I studie Ⅲ ble sykepleiestudenters erfaringer med team treningen og bruk av teamarbeids ferdigheter i praksis undersøkt ved hjelp av seks fokusgruppe intervjuer (n = 22), og analysert ved hjelp av induktive innholdsanalyse (Ⅲ). Resultat: Den norske versjonen av T-TAQ har noe potensiale til å vise pålitelige og gyldige svar når det brukes ovenfor sykepleiestudenter (Ⅰ). Studenter som fikk team trening viste tydelige positive endringer i holdninger til teamarbeid. Studenter erfarte teamtreningen som kompleks og teoretisk i starten. Etter hvert ga team treningen økt bevissthet om at bruk av teamarbeids ferdigheter i praksis fremmet opplevelsen av å være et team medlem, fremmet læring og pasientsikkerhet i praksis (Ⅲ). Konklusjon: Den norske versjonen av T-TAQ anbefales å anse som et en-dimensjonalt spørreskjema når den brukes ovenfor sykepleiestudenter. Team trening bidrar til positive endringer i holdninger til teamarbeid hos sykepleiestudenter. Det å lære teamarbeid er ikke en enkeltstående hendelse, det krever læring over tid. Bruk av teamarbeidsferdigheter øker studentenes opplevelse av å høre til et team, forbedrer læring og pasientsikkerheten i klinisk praksis. Team trening bør være en integrert del av en bachelor i sykepleie utdanning for å fremme pasientsikkerhet.
- Published
- 2022
38. Green Cross method in a postanaesthesia care unit: a qualitative study of the healthcare professionals' experiences after 3 years, including the COVID-19 pandemic period.
- Author
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Birkeli GH, Ballangrud R, Jacobsen HK, Tveter Deilkas EC, and Lindahl AK
- Subjects
- Humans, Health Personnel, Qualitative Research, Delivery of Health Care, Pandemics, COVID-19
- Abstract
Objectives: Unsafe medical care causes morbidity and mortality among the hospital patients. In a postanaesthesia care unit (PACU), increasing patient safety is a joint effort between different professions. The Green Cross (GC) method is a user-friendly incident reporting method that incorporates daily safety briefings to support healthcare professionals in their daily patient safety work. Thus, this study aimed to describe healthcare professionals' experiences with the GC method in a PACU setting 3 years after its implementation, including the period of the coronavirus disease 2019 pandemic's three waves., Design: An inductive, descriptive qualitative study was conducted. The data were analysed using qualitative content analysis., Setting: The study was conducted at a PACU of a university hospital in South-Eastern Norway., Participants: Five semistructured focus group interviews were conducted in March and April 2022. The informants (n=23) were PACU nurses (n=18) and collaborative healthcare professionals (n=5) including physicians, nurses and a pharmacist., Results: The theme 'still active, but in need of revitalisation' was created, describing the healthcare professionals' experiences with the GC method, 3 years post implementation. The following five categories were found: 'continuing to facilitate open communication', 'expressing a desire for more interprofessional collaboration regarding improvements', 'increasing reluctance to report', 'downscaling due to the pandemic' and 'expressing a desire to share more of what went well'., Conclusions: This study offers information regarding the healthcare professionals' experiences with the GC method in a PACU setting; further, it deepens the understanding of the daily patient safety work using this incident reporting method., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2023
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39. Team training program's impact on medication administration, teamwork and patient safety culture in an ambulance service (TEAM-AMB): a longitudinal multimethod study protocol.
- Author
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Vifladt A, Ballangrud R, Myhr K, Grusd E, Porthun J, Mæhlum PA, Aase K, Sollid SJM, and Odberg KR
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- Humans, Safety Management, Focus Groups, Norway, Patient Care Team, Review Literature as Topic, Patient Safety, Ambulances
- Abstract
Introduction: Medication administration errors (MAEs) have the potential for significant patient harm, and the frequency of MAEs in the ambulance services is not well known. Effective teamwork is paramount for providing safe and effective patient care, especially in a time-sensitive, high-risk environment such as the ambulance services. Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) is an evidence-based team training programme that, to our knowledge, has not been studied in the ambulance services previously. TeamSTEPPS is based on the five principles: team structure, communication, leadership, situation monitoring and mutual support. This study aims to advance the knowledge of the medication administration process in the ambulance services and study the impact of a team training programme on the frequency of MAEs, and the perception of teamwork, and patient safety culture., Methods and Analysis: This study uses a longitudinal multimethod design to evaluate medication administration and the implementation of the team training programme TeamSTEPPS in an ambulance service. A review of electronic patient journals 6 months prior to the intervention, and 12 months after the intervention will provide data on the frequency of MAEs. Focus group interviews and questionnaires will be carried out before and after the intervention to describe the perception of teamwork and patient safety culture among ambulance professionals. Observations, individual interviews and a review of guidelines will be conducted in the first and second quarters of 2022 to study the medication administration process in ambulance services., Ethics and Dissemination: The study protocol was reviewed by the Regional Committees for Medical and Health Research Ethics Central Norway and approved by the Hospital Trust data protection officer, and the head of the Prehospital Division at the Hospital Trust. The data material will be managed confidentially and stored according to regulations. The results will be disseminated through scientific papers, reports, conference presentations, popular press, and social media., Trial Registration Number: NCT05244928., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2023
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40. The Swedish Version of the TeamSTEPPS ® Teamwork Perceptions Questionnaire (T-TPQ): A Validation Study.
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Hall-Lord ML, Skoogh A, Ballangrud R, Nordin A, and Bååth C
- Abstract
Purpose: The delivery of effective and safe healthcare to patients is highly dependent on careful collaboration between healthcare professionals. Although teamwork is an important component for patient safety, effective teamwork is not always carried out in hospital wards, leading to negative consequences for the patients. Teamwork measurements can be used to evaluate and provide feedback to healthcare professionals to support team performance and to identify areas for improvement. The TeamSTEPPS
® Teamwork Perceptions Questionnaire (T-TPQ) evaluates Team Structure and four core competences of teamwork (Leadership, Situation Monitoring, Mutual Support, and Communication) among healthcare professionals in various healthcare settings. The questionnaire was judged to be relevant in a Swedish healthcare context and was translated into Swedish. This study aimed to test the reliability and construct validity of the Swedish version of the T-TPQ., Methods: A total of 450 (of 1176) frontline healthcare professionals working at four hospitals responded to the questionnaire. A confirmatory factor analysis was carried out to test the factor structure. Cronbach's alpha was used to measure internal consistency., Results: The hypothesized five-factor model of the five dimensions showed acceptable goodness-of-fit indexes. Cronbach's alpha coefficient for the total T-TPQ was 0.94, and the Cronbach's alpha coefficients for the dimensions ranged from 0.79 to 0.92. The intercorrelation coefficients ranged from 0.27 to 0.74., Conclusion: The Swedish version of the T-TPQ showed acceptable reliability and validity for measuring healthcare professionals' individual perceptions of teamwork at the group level. Due to the low response rate, further studies are required to test the validity of the Swedish T-TPQ., Competing Interests: The authors report no conflicts of interest in this work., (© 2020 Hall-Lord et al.)- Published
- 2020
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41. A qualitative study of how inter-professional teamwork influences perioperative nursing.
- Author
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Holmes T, Vifladt A, and Ballangrud R
- Subjects
- Humans, Norway, Operating Rooms, Qualitative Research, Job Satisfaction, Perioperative Nursing
- Abstract
Aim: To explore Norwegian operating room nurses' perceptions of how team skills in the inter-professional operating room team influence perioperative nursing in relation to patient safety., Design: A qualitative, descriptive study based on interviews., Methods: Ten operating room nurses ( N = 10) employed in four Norwegian hospitals were interviewed individually. A qualitative inductive content analysis was conducted. The study was reported adhering to the Consolidated Criteria for Reporting Qualitative Research Checklist., Results: Three generic categories, containing three subcategories each, were identified illuminate the operating room nurses' perceptions. The operating room team's team skills influence on (a) the quality of perioperative nursing, about task performance, result for the patient and learning; (b) the progress of perioperative nursing, by keeping focus on the task, being prepared and task distribution and (c) the operating room nurses' work environment in the operating room, including confidence, stress and energy use and irritation or job satisfaction., Competing Interests: All authors declare no conflict of interest., (© 2019 The Authors. Nursing Open published by John Wiley & Sons Ltd.)
- Published
- 2019
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