Implementation of the team training program TeamSTEPPS® for bachelor students in nursing

– teachers' experiences

Authors

DOI:

https://doi.org/10.7557/14.7370

Keywords:

Implementering, sykepleie, sykepleierutdanning, teamarbeid, TeamSTEPPS®, kvalitativ studie

Abstract

In today's health service, most work takes place in teams. Effective and efficient teamwork is essential to ensure quality in a specialized and complex health service. In 2018 to 2020, teachers in a Bachelor of Nursing Education took part in an implementation of the TeamSTEPPS team training program. The program emphasis to train and practice four essential teamwork skills; communication, leadership, situation monitoring and mutual support. This study aims to explore teachers' experiences of implementing a team training program for a cohort of nursing students. The study used a qualitative exploratory design. The sample consisted of 11 teachers in the bachelor's degree program in nursing, divided into three focus groups. An inductive content analysis was conducted. The analysis resulted in one overarching theme, "learning yourself in order to learn further". This was generated from two categories: Category 1) "Contributes to professional confidence", based on the three subcategories "useful in a professional formation process", "provides common language and understanding", and "challenges to guidance in both procedural training and team skills". Category 2) "Follow-up is of great importance", based on the two subcategories "opportunity to make your own choices as a teacher is important" and "implementation requires resources and training".

Metrics

PDF views
2

Author Biographies

Tone Stomlien, NTNU- Norwegian University of Science and Technology, University Lecturer

NTNU- Norwegian University of Science and Technology, University lecturer

Marit Helene Sund Storlien, NTNU- Norwegian University of Science and Technology, University Lecturer

Institutt for helsevitenskap, universitetslektor

Randi Ballangrud, NTNU- Norwegian University of Science and Technology, Professor

Institute for Health Sciences, Professor

Tore Karlsen, NTNU- Norwegian University of Science and Technology, Associate Professor

NTNU- Norwegian University of Science and Technology, associate professor

References

AHRQ. (2014). TeamTEPPS® 2.0: core curriculum. agency for healthcare research and quality. Rockville, MD. USA: https://www.ahrq.gov/research/index.html

AHRQ. (2019). TeamSTEPPS® 2.0: Agency for healthcare research and quality. Rockville, MD. USA: https://www.ahrq.gov/teamstepps/curriculum-materials.html

Alonso, A., Baker, D. P., Holtzman, A., Day, R., King, H., Toomey, L., & Salas, E. (2006). Reducing medical error in the Military Health System: How can team training help? Human resource management review, 16(3), 396-415. https://doi.org/10.1016/j.hrmr.2006.05.006

Andersen, L. L., Fishwick, D., Robinson, E., Wiezer, N. M., Mockałło, Z., & Grosjean, V. (2017). Job satisfaction is more than a fruit basket, health checks and free exercise: Cross-sectional study among 10,000 wage earners. Scandinavian Journal of Public Health, 45(5), 476-484. https://doi.org/10.1177/1403494817698891

Averill, R. M., & Major, J. (2020). What motivates higher education educators to innovate? Exploring competence, autonomy, and relatedness - and connections with wellbeing. Educational research (Windsor), 62(2), 146-161. https://doi.org/10.1080/00131881.2020.1755877

Ballangrud, R., Karlsen, T., Hall-Lord, M.-L., & Aaberg, O. R. (2021). TeamSTEPPS i Norge. In S. E. Husebø, & Ballangrud, R. (Ed.), Teamarbeid i helsetjenesten- fra et kvalitets-og pasientsikkerhetsperspektiv. (pp. 258-278). Universitetsforl.

Ballangrud, R., Aase, K., & Vifladt, A. (2020). Longitudinal team training programme in a Norwegian surgical ward: a qualitative study of nurses’ and physicians’ experiences with teamwork skills. BMJ Open, 10(7), e035432-e035432. https://doi.org/10.1136/bmjopen-2019-035432 (Original research)

Ballangrud, R., Aase, K., & Vifladt, A. (2021). Longitudinal team training program in a Norwegian surgical ward: a qualitative study of nurses’ and physicians’ experiences with implementation. BMC Health Services. https://doi.org/https://doi.org/10.1186/s12913-021-06732-6

Brown, P. C. R. I., Henry. McDaniel, Mark. 2014. Make it stick: The science of successful learning, Belknap Press Cambridge MA.

Costar, D.M., & Hall, K.K. (2020). Improving Team Performance and Patient Safety on the Job Through Team Training and Performance Support Tools: A Systematic Review. Journal of Patient Safety, 16(3), S48-S56. https://doi.org/10.1097/pts.0000000000000746

Dallner, M., Elo, A.-L., Gamberale, F., Hottinen, V., Knardahl, S., Lindstrøm, K., Skogstad, A., & Ørhede, E. (2000). Validation of the General Nordic Questionnaire (QPSNordic) for psychological and social factors at work (Vol. 2000:12). Nordisk Ministerråd.

Dewey, J. (1990). Experience and education. Philosophy and religion, 99-134.

Engelsen, B.U. (2020). Lærer – kjenn ditt læreplanfag? Norsk pedagogisk tidsskrift vol. 94(1), 41-52 https://doi.org/10.18261/ISSN1504-2987-2010-01-05

Engelstad, F., Svalund, J.,Hagen, I.M.. & Storvik, Aa.E. (2003). Makt og demokrati i arbeidslivet. Gyldendal akademisk.

Fixsen, D., Naoom, S., Blasé, K., Friedman, R. & Wallace, F. (2005). Implementation research: A Synthesis of the Literature Vol. (231). University of South Florida. https://www.researchgate.net/publication/242511155

Gordon, K. A., Carmany, K. E., Baker, J. R., & Goliat, L. M. (2018). Innovative Teaching for Undergraduate Nursing Students Through Mastery Modeling. Nurs Educ Perspect, 39(3), 184-186. https://doi.org/10.1097/01.NEP.0000000000000234

Graneheim, U. H., Lindgren, B.-M., & Lundman, B. (2017). Methodological challenges in qualitative content analysis: A discussion paper. Nurse Educ Today, 56, 29-34. https://doi.org/10.1016/j.nedt.2017.06.002

Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today, 24(2), 105-112. https://doi.org/10.1016/j.nedt.2003.10.001

Greiner, A. C. E., & Knebel, E. E. (2003). Health Professions Education: A Bridge to Quality. National Academies Press. https://doi.org/10.17226/10681

Helsedirektoratet. (2019). Nasjonal handlingsplan for pasientsikkerhet og kvalitetsforbedring (2019-2023). Helsedirektoratet. Hdir_Rapportmal 15.11.18 (helsedirektoratet.no)

Hovdhaugen, E., Aamodt, P.O., Reymert, I. & Stensaker, B. (2016). Indikatorer på kvalitet i høyere utdanning. Nordisk institutt for studier av innovasjon, forskning og utdanning. Indikatorer på kvalitet i høyere utdanning (unit.no)

Hughes, A. M., Gregory, M. E., Joseph, D. L., Sonesh, S. C., Marlow, S. L., Lacerenza, C. N., Benishek, L. E., King, H. B., & Salas, E. (2016). Saving Lives: A Meta-Analysis of Team Training in Healthcare. J Appl Psychol, 101(9), 1266-1304. https://doi.org/10.1037/apl0000120

Husebø, S.I.E. & Ballangrud, R. (2021). Teamarbeid i helsetjenesten. s. 24. Universitetsforlaget.

Iflaifel, M., Lim, R.H., Ryan, K. & Crowley, C. (2020). Resilient Health Care: a systematic review of conceptualisations, study methods and factors that develop resilience. BMC Health Services Research, 20(1), 324. https://doi.org/10.1186/s12913-020-05208-3

Jensen, D. A., Tuten, J. A., Hu, Y., & Eldridge, D. B. (2010). Teaching and Learning in the (dis)Comfort Zone (1th ed.). Palgrave Macmillan.

Johannessen, A., Christoffersen, L., & Tufte, P. A. (2021). Introduksjon til samfunnsvitenskapelig metode (6. utgave. ed.). Abstrakt forlag.

Jurado, M. d. M., Martos Martínez, Á., Pérez-Fuentes, M. d. C., Castiñeira López, H., & Gázquez Linares, J. J. (2022). Job strain and burnout in Spanish nurses during the COVID-19: resilience as a protective factor in a cross-sectional study. Hum Resour Health, 20(1), 79-79. https://doi.org/10.1186/s12960-022-00776-3

Karasek, R., & Theorell, T. (1990). Healthy work : stress, productivity, and the reconstruction of working life. Basic Books.

Karlsen, T., Hall-Lord, M. L., Wangensteen, S., & Ballangrud, R. (2022). Bachelor of nursing students' attitudes toward teamwork in healthcare: The impact of implementing a teamSTEPPS® team training program — A longitudinal, quasi-experimental study. Nurse Educ Today, 108, 105180-105180. https://doi.org/10.1016/j.nedt.2021.105180

Karlsen, T., Hall-Lord, M. L., Wangensteen, S., & Ballangrud, R. (2023). Bachelor of nursing students' experiences of a longitudinal team training intervention and the use of teamwork skills in clinical practice-A qualitative descriptive study. Nurs Open. https://doi.org/10.1002/nop2.1806

King HB, B. J., Baker DP, et al. (2008). TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety. In B. J. Henriksen K, Keyes MA, et al. (Ed.), Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools). Agency for Healthcare Research and Quality (US). https://www.ncbi.nlm.nih.gov/books/NBK43686

Knardahl, S., Sterud, T., Birkeland, M., & Nordby, K. (2016). Arbeidsplassen og sykefravær - Arbeidsforhold av betydning for sykefravær. Tidsskrift for velferdsforskning, 19, 179-199. https://doi.org/10.18261/issn.2464-3076-2016-02-05

Kohanová, D., Solgajová, A., & Cubelo, F. (2024). The association of teamwork and missed nursing care in acute care setting: A mixed‐methods systematic review. Journal of Clinical Nursing, 33(9), 3399-3413. https://doi.org/10.1111/jocn.17182

Kotter, J. P. (2012). Leading change. Harvard Business Review Press.

Källberg, A.-S., Göransson, K. E., Florin, J., Östergren, J., Brixey, J. J., & Ehrenberg, A. (2015). Contributing factors to errors in Swedish emergency departments. International emergency nursing, 23(2), 156-161. https://doi.org/10.1016/j.ienj.2014.10.002

Lindgren, B.-M., Lundman, B., & Graneheim, U. H. (2020). Abstraction and interpretation during the qualitative content analysis process. Int J Nurs Stud, 108, 103632-103632. https://doi.org/10.1016/j.ijnurstu.2020.103632

Lund, L. (2016). How Teachers Reflect on Their Pedagogy: Learning from Teachers' Pedagogical Vocabulary. Journal of the International Society for Teacher Education, 20(2),, 22-35.

Maguire, M., Bremner, M., Bennett, D., & Vanbrackle, L. (2015). Evaluation of TeamSTEPPS integration across a curriculum regarding team attitudes: A longitudinal study. Journal of Nursing Education and Practice, 5. https://doi.org/10.5430/jnep.v5n7p131

Malterud, K. (2017). Kvalitative forskningsmetoder for medisin og helsefag. Universitetsforlaget.

Maneval, R. E., & Kurz, J. (2016). “Nursing Students Assaulted”: Considering Student Safety in Community-Focused Experiences. J Prof Nurs, 32(3), 246-251. https://doi.org/10.1016/j.profnurs.2015.11.001

Meld. St. 10 (2012-2013). God kvalitet – Trygge tjenester – Kvalitet og pasientsikkerhet i helse- og omsorgstjenesten, Helse- og omsorgsdepartementet. Meld. St. 10 (2012–2013) - regjeringen.no

Meld. St. 11 (2015-2016). Nasjonal helse- og sykehusplan. Helse- og omsorgsdepartementet. Meld. St. 11 (2015–2016) - regjeringen.no

Meld. St. 13 (2011-2012). Utdanning for velferd, Kunnskapsdepartementet. https://www.regjeringen.no/no/dokumenter/meld-st-13-20112012/id672836

Meld. St. 16 (2016–2017). Kultur for kvalitet i høyere utdanning. Kunnskapsdepartementet. https://www.regjeringen.no/no/dokumenter/meld.-st.-16-20162017/id2536007

Nasrabadi, A. N., Mohammadi, N., Rooddehghan, Z., Shabani, E. A., Bakhshi, F., & Ghorbani, A. (2021). The stakeholders’ perceptions of the requirements of implementing innovative educational approaches in nursing: a qualitative content analysis study. BMC nursing, 20(1), 1-131. https://doi.org/10.1186/s12912-021-00647-7

Nobahar, M., Ameri, M., & Goli, S. (2023). The relationship between teamwork, moral sensitivity, and missed nursing care in intensive care unit nurses. BMC Nursing, 22(1), 241-undefined. https://doi.org/10.1186/s12912-023-01400-y

Norges teknisk-naturvitenskapelige universitet (NTNU). (u.å.) Håndtering av forskningsdata fra helseforskning. Intranett NTNU. https://i.ntnu.no/wiki/ /wiki/Norsk/H%C3%A5ndtering+av+forskningsdata+fra+helseforskning

Polit, D. F., & Beck, C. T. (2004). Nursing research : principles and methods (7th ed.). Lippincott Williams & Wilkins.

Rafter, N., Hickey, A., Conroy, R. M., Condell, S., O'Connor, P., Vaughan, D., Walsh, G., & Williams, D. J. (2017). The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review study. BMJ Qual Saf, 26(2), 111-119. https://doi.org/10.1136/bmjqs-2015-004828

Rosen, M. A., DiazGranados, D., Dietz, A. S., Benishek, L. E., Thompson, D., Pronovost, P. J., & Weaver, S. J. (2018). Teamwork in Healthcare: Key Discoveries Enabling Safer, High-Quality Care. Am Psychol, 73(4), 433-450. https://doi.org/10.1037/amp0000298

Ross, J. G., Latz, E., Meakim, C. H., & Mariani, B. (2021). TeamSTEPPS Curricular-Wide Integration: Baccalaureate Nursing Students' Knowledge, Attitudes, and Perceptions. Nurse Educator, 46(6), 355-360. https://doi.org/10.1097/nne.0000000000000999

Salas, E., Sims, D. E., & Burke, C. S. (2005). Is there a “Big Five” in Teamwork? Small group research, 36(5), 555-599. https://doi.org/10.1177/1046496405277134

Schmutz, J.B., Meier, L.L. & Manser, T. (2019). How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. BMJ Open, 9(9). https://doi.org/10.1136/bmjopen-2018-028280

The Joint Commission (2022). Sentinel Event Data - Event Type by Year. https://www.ahrq.gov/research/index.html

WHO. (2001). World medical association declaration of helsinki: Ethical principles for medical research involving human subjects. Bull World Health Organ, 79(4), 373-374. https://doi.org/10.1590/S0042-96862001000400016

WHO. (2011). Patient safety curriculum guide: multi-professional edition. https://www.who.int/publications/i/item/9789241501958

WHO. (2016). Nurse educator core competencies. https://www.who.int/publications/i/item/nurse-educator-core-competencies

Aaberg, O. R., Hall-Lord, M. L., Husebø, S. I. E., & Ballangrud, R. (2019). A complex teamwork intervention in a surgical ward in Norway. BMC Res Notes, 12(1), 582-582. https://doi.org/10.1186/s13104-019-4619-z

Aagestad, C., Tynes, T., Sterud, T., Johannesen, H., Gravseth, H., Løvseth, E., & Alfonso, J. (2015). Factbook om working environment and health 2015: status and trends. Statens arbeidsmiljøinstitutt.

Aase, I., Hansen, B. S., Aase, K., & Reeves, S. (2015). Interprofessional training for nursing and medical students in Norway: Exploring different professional perspectives. Journal of Interprofessional Care, 30(1), 109–115. https://doi.org/10.3109/13561820.2015.1054478

Downloads

Published

2025-03-07

How to Cite

Stomlien, T., Storlien, M. H. S., Ballangrud, R., & Karlsen, T. (2025). Implementation of the team training program TeamSTEPPS® for bachelor students in nursing : – teachers’ experiences. Nordisk Tidsskrift for Helseforskning, 21(1). https://doi.org/10.7557/14.7370

Issue

Section

Refereebedømte artikler
Crossref
0
Scopus
0