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Why Your TeamSTEPPS Program May Not Be Working

  • Author Footnotes
    1 Current affiliation is University of Texas at Arlington, Arlington, TX 76019, USA, and the University of Colorado at Colorado Springs, Colorado Springs, CO 80918, USA.
    Timothy C. Clapper
    Correspondence
    Corresponding author
    Footnotes
    1 Current affiliation is University of Texas at Arlington, Arlington, TX 76019, USA, and the University of Colorado at Colorado Springs, Colorado Springs, CO 80918, USA.
    Affiliations
    American Public University, Charles Town, WV 25414, and the University of Colorado at Colorado Springs, Colorado Springs, CO 80918, USA
    Search for articles by this author
  • Grace M. Ng
    Affiliations
    New York Simulation Center for the Health Sciences, New York, NY 10016, USA
    Search for articles by this author
  • Author Footnotes
    1 Current affiliation is University of Texas at Arlington, Arlington, TX 76019, USA, and the University of Colorado at Colorado Springs, Colorado Springs, CO 80918, USA.

      Abstract

      Team Strategies and Tools to Enhance Performance and Patient Safety® (TeamSTEPPS) is a patient safety tool developed by the defense industry and based on four competencies: leadership, communication, situational monitoring, and mutual support. Unfortunately, there are barriers that prevent TeamSTEPPS from reaching its full potential, including: (a) lack of administrative support and resources, (b) lack of training focus to address hierarchal differences and incivility at all levels of health care practice and administration, (c) inadequate TeamSTEPPS instruction and simulation practices, and (d) educators' resistance to change from crew resource management concepts. Suggestions for improvement include providing command and health care agency emphasis for the TeamSTEPPS program, providing adequate material and personnel resources, designing training that is geared to trainer implementation at the departmental level, prioritizing and saturating training, and striving toward a just culture.

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      References

        • Abernathy D.J.
        A chat with Chris Argyris.
        T + D. 1999; 53: 80-84
        • Agency for Healthcare Research and Quality
        TeamSTEPPS® pocket guide.
        (AHRQ Publication No. 06-0020-2) Agency for Healthcare Research and Quality, Rockville, MD2006
        • Argyris C.
        • Schön D.A.
        Theory in practice: Increasing professional effectiveness.
        (Reprinted.) Jossey-Bass, San Francisco, CA1992 (Original work published 1974)
        • Baker D.P.
        • Amodeo A.M.
        • Krokos K.J.
        • Slonim A.
        • Herrera H.
        Assessing teamwork attitudes in healthcare: Development of the TeamSTEPPS teamwork attitudes questionnaire.
        Qual Saf Health Care. 2010; 19https://doi.org/10.1136/qshc.2009.036129
        • Branham L.
        Seven hidden reasons employees leave.
        AMACOM Books, New York, NY2005
        • Clancy C.M.
        TeamSTEPPS: Optimizing teamwork in the perioperative setting.
        AORN Journal. 2007; 86: 18-22https://doi.org/10.1016/j.aorn.2007.06.008
        • Clapper T.C.
        • Kong M.
        TeamSTEPPS: The patient safety tool that needs to be implemented.
        Clinical Simulation in Nursing. 2011; (Advance online publication. doi: 10.1016/j.ecns.2011.03.002)
        • Clark S.L.
        • Belfort M.A.
        • Dildy G.A.
        • Meyers J.A.
        Reducing obstetric litigation through alterations in practice patterns.
        Obstetrics & Gynecology. 2008; 112: 1279-1283https://doi.org/10.1097/AOG.0b013e31818da2c7
        • Ferguson M.
        You cannot leave it at the office: Spillover and crossover of coworker incivility.
        Journal of Organizational Behavior. 2011; 33: 571-588https://doi.org/10.1002/job.774
        • Ford R.
        Organizational learning, change and power: Toward a practice-theory framework.
        The Learning Organization. 2006; 13: 495-524https://doi.org/10.1108/09696470610680008
        • Ganske K.M.
        Moral distress in academia.
        Online Journal of Nursing. 2010; 15 (Manuscript 6. doi: 10.3912/OJIN.V0115N003Man06)
        • Garber J.S.
        • Madigan E.A.
        • Click E.R.
        • Fitzpatrick J.J.
        Attitudes towards collaboration and servant leadership among nurses, physicians and residents.
        Journal of Interprofessional Care. 2009; 23: 331-340https://doi.org/10.1080/13561820902886253
        • Helmreich R.L.
        • Merritt A.C.
        • Wilhelm J.A.
        The evolution of crew resource management training in commercial aviation.
        International Journal of Aviation Psychology. 1999; 9: 19-32https://doi.org/10.1207/s15327108ijap0901_2
      1. Jacobs, C. M. (2011). Improving patient safety by embedding TeamSTEPPS across the NYCHHC. PowerPoint presentation at the annual meeting of the National Association of Public Hospitals and Health Systems. Retrieved January 3, 2012, from http://www.naph.org/sp/Search.aspx?SearchMode=1&SearchPhrase=jacobs

        • Jameton A.
        Nursing practice: The ethical issues.
        Prentice Hall, Englewood Cliffs, NJ1984
        • Leiter M.P.
        • Price S.L.
        • Spence Lashinger H.K.
        Generational differences in distress, attitudes and incivility among nurses.
        Journal of Nursing management. 2010; 18: 970-980https://doi.org/10.1111/j.1365-2834.2010.01168.x
        • Porath C.
        • Macinnis D.
        • Folkes V.
        Witnessing incivility among employees: Effects on consumer anger and negative inferences about companies.
        Journal of Consumer Research. 2010; 37: 292-303https://doi.org/10.1086/651565
        • Sargeant J.
        • Loney E.
        • Murphy G.
        Effective interprofessional teams: “Contact is not enough” to build a team.
        Journal of Continuing Education in the Health Professions. 2008; 28: 228-234https://doi.org/10.1002/chp.189
        • Spreitzer G.
        • Porath C.
        Creating sustainable performance.
        Harvard Business Review. 2012; (Retreived March 2, 2012, from): 93-99
        • Vygotsky L.S.
        Mind in society: The development of higher psychological processes.
        Harvard University Press, Cambridge, MA1978