Date of Award

January 2025

Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)

Department

Yale University School of Nursing

First Advisor

Mary Ann Camilleri

Abstract

Problem and Context: Preventable Patient Harm (PPH) continues to occur frequently in healthcare. Failures in communication, poorly functioning teams, and a lack of shared mental models (SMMs) continue to challenge healthcare organizations. The purpose of this PI project was to improve communication and teamwork, among team members in a Peri-Operative setting. TeamSTEPPS® was selected as the training curriculum. Multiple parameters, including perceptions of teamwork, and safety metrics were evaluated pre and post-intervention.

Intervention: TeamSTEPPS® was selected as the training curriculum. TeamSTEPPS® is a highly adaptable curriculum designed to address these gaps and to improve team function in the healthcare setting. Multiple parameters, including perceptions of teamwork, and safety metrics were evaluated pre and post-intervention.

Aims and Methods: The TeamSTEPPS® curriculum was adapted to the needs of the department and delivered to participants in a single 4-hour session. The TeamSTEPPS® Teamwork Perceptions Questionnaire (T-TPQ), was administered prior to the educational session and 60 days after.

Results: The T-TPQ total scores, and scores for each of 5 domains (Team Function, Team Leadership, Situation Monitoring, Mutual Support, and Communication) were calculated for both pre and post-intervention and analyzed for differences between them. While the scores trended positively, there was not a statistically significant difference between any of the domains pre and post-intervention.

Implications: Given the short length of time between pre and post T-TPQ measurement, there may not have been enough time elapsed to impact the outcomes, and measurement again in 6 months’ time may lead to different findings. While this project did not find a significant effect after this TeamSTEPPS® training, many studies have. This is true across many different types of departments and organizations globally, and TeamSTEPPS® should be considered as a tool to improve teamwork, safety culture, and teamwork.

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This is an Open Access Thesis.

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