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Speaking up for safety: the impact of team training on effective communication
Dissertation   Open access

Speaking up for safety: the impact of team training on effective communication

Bernadette T. Weis
Doctor of Nursing Practice (D.N.P.), Drexel University
Aug 2019
DOI:
https://doi.org/10.17918/kcfw-ks94
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Abstract

Nursing--Practice Health care teams Teams in the workplace--Training of Nursing
Background: Ineffective teamwork dynamics and communication among team members is a common factor in adverse event root cause analysis. Communication failures directly or indirectly account for approximately 75% of preventable patient harm events in a community hospital. Current safety behaviors and tools have not demonstrated sustainable results after an initial decline in adverse patient safety events. Purpose: The purpose of this project was to improve the perception of teamwork and communication in the surgical services environment. Methods: This quality improvement project included the development of a team training program. The program was developed using the TeamSTEPPS® competencies and outcomes. All members of the surgical services team participated in training sessions. Implementation Plan/Procedure: The TeamSTEPPS® framework was used for the implementation of this project. The surgical services staff received a pre-teamwork perceptions questionnaire, participated in a team training session and then received a post- teamwork perceptions questionnaire. Implications/Conclusions: Although the team training sessions were appreciated by staff there was no statistical significance identified between the pre- and post-survey results. Staff has incorporated the safety behaviors and tools in their daily work. The effect of team training has been identified through decreased patient safety events.

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