Validating Targeted Behavioral Markers for Teamwork Skill and Performance Outcomes in Simulation
Chisholm, Leann Jeanette
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The National Academy of Medicine, formerly the Institute of Medicine, asserts healthcare providers must demonstrate competency in teamwork (IOM, 2001). TeamSTEPPs® is a comprehensive instructional framework developed by the Agency for Healthcare Research and Quality and Department of Defense to teach and evaluate teamwork (King et al., 2008). TeamSTEPP’s® evaluation instruments include the Teamwork Attitudes Questionnaire, Teamwork Perceptions Questionnaire, and the Teamwork Performance Observation Tool (TPOT). Assessment of teamwork perceptions and attitudes can be used to indicate the effectiveness of team training (Brock et al., 2013). The TPOT (AHRQ, 2014a) was designed to objectively measure teamwork skill performance but has not been sufficiently studied. This methodological study seeks to demonstrate the viability of the Team Performance Observation Tool enhanced with Targeted Behavioral Markers (TBMs) as a sensitive and valid measure of teamwork performance and a superior approach to teamwork assessment without behavioral markers. A multitrait-multimethod research design will be used with an exemplar convenience sample of baccalaureate nursing students to correlate results from the TPOT and behavioral markers instruments, teamwork perceptions, teamwork attitudes, and the National League for Nursing (NLN) Simulation Checklist for convergent validity and with the Clinical Skills Self-efficacy Scale for divergent validity. Outcomes identified further needed refinement for rigorous psychometric evaluation for the TPOT and provided mixed support for validation of specific TBMs to measure desired teamwork performance outcomes.