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Building collaborative teams in neonatal intensive care.
- Source :
- BMJ Quality & Safety; May2013, Vol. 22 Issue 5, p374-382, 9p, 5 Charts
- Publication Year :
- 2013
-
Abstract
- The complex multidisciplinary nature of neonatal intensive care combined with the numerous hand-offs occurring in this shift- based environment, requires efficient and clear communication and collaboration among staff to provide optimal care. However, the skills required to function as a team are not typically assessed, discussed, or even taught on a regular basis among neonatal personnel. We developed a multidisciplinary, small group, interactive workshop based on Team STEPPS to provide staff with formal teamwork skills, and to introduce new team-based practices; 129 (95%) of the eligible 136 staff were trained. We then compared the results of the pretraining survey (completed by 114 (84%) of staff ) with the post-training survey (completed by 104 (81%) of participants) 2 years later. We found an improvement in the overall teamwork score from 7.37 to 8.08 (p=<0.0001) based on a range of poor (1) to excellent (9). Respondents provided higher ratings in 9 out of 15 team-based categories after the training. Specifically, staff found improvements in communication (p=0.037), placed greater importance on situation awareness (p=<0.00010), and reported that they supported each other more (p=<0.0001). Staff satisfaction was rated higher post-training, with responses showing that staff had greater job fulfilment (p=<0.0001), believed that their abilities were being utilised properly (p=0.003), and felt more respected (p=0.0037). 90% of staff found the new practice of team meetings to help increase awareness of unit acuity, and 77% of staff noted that they had asked for help or offered assistance because of information shared during these meetings. In addition to summarising the results of our training programme, this paper also provides practical tools that may be of use in developing team training programmes in other neonatal units. [ABSTRACT FROM AUTHOR]
- Subjects :
- ABILITY
ATTITUDE (Psychology)
CHI-squared test
COMMUNICATIVE competence
CURRICULUM
HEALTH care teams
JOB satisfaction
LONGITUDINAL method
MEDICAL personnel
MEDICAL records
MEETINGS
NEONATAL intensive care
ORGANIZATIONAL change
RESPECT
SHIFT systems
STATISTICS
SURVEYS
TEAMS in the workplace
ADULT education workshops
TRAINING
SOCIAL support
NEONATAL intensive care units
PRE-tests & post-tests
EDUCATIONAL outcomes
Subjects
Details
- Language :
- English
- ISSN :
- 20445415
- Volume :
- 22
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- BMJ Quality & Safety
- Publication Type :
- Academic Journal
- Accession number :
- 87333070
- Full Text :
- https://doi.org/10.1136/bmjqs-2012-000909