School of Nursing and Midwifery, Federation University, Gippsland Campus, Northways Road, Churchill 3842, Australia; School of Nursing and Midwifery, University of Brighton, Sussex, United Kingdom; School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China.
School of Nursing and Midwifery, Monash University, PO Box 1071, Narre Warren 3805, VIC, Australia.
Resuscitation. 2016 Apr;101:97-101. doi: 10.1016/j.resuscitation.2016.01.026. Epub 2016 Feb 11.
To test the resuscitation non-technical Team Emergency Assessment Measure (TEAM) for feasibility, validity and reliability, in two Australian Emergency Departments (ED).
Non-technical (teamwork) skills have been identified as inadequate and as such have a significant impact on patient safety. Valid and reliable teamwork assessment tools are an important element of performance assessment and debriefing processes.
A quasi experimental design based on observational ratings of resuscitation non-technical skills in two metropolitan ED. Senior nursing staff rated 106 adult resuscitation team events over a ten month period where three or more resuscitation team members attended. Resuscitation events, team performance and validity and reliability data was collected for the TEAM.
Most rated events were for full cardiac resuscitation (43%) with 3-15 team members present for an average of 45 min. The TEAM was found to be feasible and quickly completed with minimal or no training. Discriminant validity was good as was internal consistency with a Cronbach alpha of 0.94. Uni-dimensional and concurrent validity also reached acceptable standards, 0.94 and >0.63 (p=<0.001), respectively, and a single 'teamwork' construct was identified. Non-technical skills overall were good but leadership was rated notably lower than task and teamwork performance indicating a need for leadership training.
The TEAM is a feasible, valid and reliable non-technical assessment measure in simulated and real clinical settings. Emergency teams need to develop leadership skills through training and reflective debriefing.
在澳大利亚的两个急诊部（ED）中测试复苏非技术团队紧急评估措施（TEAM）的可行性、有效性和可靠性。
非技术（团队合作）技能被认为是不足的，因此对患者安全有重大影响。有效的和可靠的团队合作评估工具是绩效评估和汇报过程的重要组成部分。
一项基于对两个大都市 ED 复苏非技术技能的观察性评分的准实验设计。高级护理人员在十个月的时间里对 106 例成人复苏团队事件进行了评分，其中有三名或更多的复苏团队成员参加。收集了 TEAM 的复苏事件、团队表现以及有效性和可靠性数据。
大多数评分的事件都是完全的心脏复苏（43%），有 3-15 名团队成员参加，平均持续 45 分钟。TEAM 被发现是可行的，并且在没有或几乎没有培训的情况下很快完成。判别有效性很好，内部一致性也很好，Cronbach 阿尔法系数为 0.94。单维性和同时有效性也达到了可接受的标准，分别为 0.94 和>0.63（p<0.001），并确定了一个单一的“团队合作”结构。非技术技能总体上很好，但领导力的评分明显低于任务和团队合作表现，表明需要领导力培训。
TEAM 是一种在模拟和真实临床环境中可行、有效和可靠的非技术评估措施。急救团队需要通过培训和反思性汇报来发展领导力技能。
