School of Nursing and Midwifery, Monash University, Gippsland Campus, Churchill, Victoria 3842, Australia.
Resuscitation. 2010 Apr;81(4):446-52. doi: 10.1016/j.resuscitation.2009.11.027. Epub 2010 Feb 1.
To develop a valid, reliable and feasible teamwork assessment measure for emergency resuscitation team performance.
Generic and profession specific team performance assessment measures are available (e.g. anaesthetics) but there are no specific measures for the assessment of emergency resuscitation team performance.
(1) An extensive review of the literature for teamwork instruments, and (2) development of a draft instrument with an expert clinical team. (3) Review by an international team of seven independent experts for face and content validity. (4) Instrument testing on 56 video-recorded hospital and simulated resuscitation events for construct, consistency, concurrent validity and reliability and (5) a final set of ratings for feasibility on fifteen simulated 'real time' events.
Following expert review, selected items were found to have a high total content validity index of 0.96. A single 'teamwork' construct was identified with an internal consistency of 0.89. Correlation between the total item score and global rating (rho 0.95; p<0.01) indicated concurrent validity. Inter-rater (k 0.55) and retest reliability (k 0.53) were 'fair', with positive feasibility ratings following 'real time' testing. The final 12 item (11 specific and 1 global rating) are rated using a five-point scale and cover three categories leadership, teamwork and task management.
In this primary study TEAM was found to be a valid and reliable instrument and should be a useful addition to clinicians' tool set for the measurement of teamwork during medical emergencies. Further evaluation of the instrument is warranted to fully determine its psychometric properties.
开发一种有效的、可靠的和可行的团队协作评估工具，用于评估急救复苏团队的表现。
现有的团队协作评估工具包括通用工具和特定专业领域的工具（如麻醉学），但针对急救复苏团队表现的评估工具尚未开发。
（1）对团队协作工具的文献进行广泛回顾；（2）与临床专家团队共同制定工具草案；（3）由七名独立的国际专家对其进行内容和表面效度的评估；（4）对 56 个医院和模拟复苏事件的视频记录进行工具测试，以评估其构建效度、一致性、同时效度和信度；（5）在 15 个模拟“实时”事件中进行最终的可行性评分。
经过专家评审，选择了一些具有高总内容效度指数（0.96）的项目。确定了一个单一的“团队协作”构念，其内部一致性为 0.89。总项目得分与整体评分之间的相关性（rho 0.95；p<0.01）表明具有同时效度。评分者间信度（k 值为 0.55）和重测信度（k 值为 0.53）为“中等”，“实时”测试后获得了积极的可行性评分。最终的 12 项（11 项具体评分和 1 项总体评分）采用 5 分制，涵盖领导力、团队协作和任务管理三个类别。
在这项初步研究中，TEAM 被证明是一种有效的、可靠的工具，它应该成为临床医生在医疗急救期间评估团队协作的工具集的有用补充。进一步评估该工具的心理测量学特性是有必要的。
