Management & Organisations Department, University of Western Australia Business School, Perth, Western Australia, Australia.
King Edward Memorial Hospital, Perth, Western Australia, Australia.
Aust N Z J Obstet Gynaecol. 2021 Dec;61(6):855-861. doi: 10.1111/ajo.13362. Epub 2021 Apr 27.
Simulation-based training is an effective method of enhancing the knowledge, skill, and technical abilities of individuals and teams encountering obstetric and gynaecologic emergencies. Simulation may also enhance the non-technical performance of teams resulting in improved patient outcomes. Although simulation-based training is widely recognised as an effective educational approach, issues around feasibility - the lack of simulation experts and malleable outcome measures of team performance - remain critical barriers to their implementation.
To evaluate the psychometric properties of the Team Emergency Assessment Measure (TEAM) when used by medical professionals in simulated obstetric and gynaecological emergencies.
There were 151 participants (63% female; 60% consultants; 69% no previous simulation-based training) who observed three live high-fidelity obstetric and gynaecological resuscitation simulations and completed the TEAM.
Confirmatory factor analysis evaluated the construct validity of the TEAM, yielding a second-order structure identified by 'leadership', 'teamwork', and 'team management'. Convergent validity was supported by the average item-to-scale total correlation which was 0.75, P < 0.001 and the average analysis of variance extracted (AVE) 0.88. The individual factors also yielded high factor-to-scale total correlations (mean [M] = 0.87), and AVE (M = 0.89). The internal reliability was high for the whole scale (average alpha = 0.92) and across the sub-factors (average alpha = 0.80). The inter-rater reliability was excellent (inter-class correlation coefficient 1 = 0.98). Participants with differing levels of simulation training experience did not significantly differ.
The TEAM is a viable instrument for the assessment of non-technical performance during simulated obstetric and gynaecologic emergencies, thus enhancing the feasibility of simulation-based training.
基于模拟的培训是增强个人和团队处理产科和妇科急症的知识、技能和技术能力的有效方法。模拟还可以提高团队的非技术表现，从而改善患者的结局。尽管基于模拟的培训被广泛认为是一种有效的教育方法，但在可行性方面仍存在问题——缺乏模拟专家和团队绩效的可塑衡量标准——这仍然是其实施的关键障碍。
评估医疗专业人员在模拟产科和妇科急症中使用团队紧急评估措施（TEAM）的心理测量学特性。
共有 151 名参与者（63%为女性；60%为顾问；69%没有接受过基于模拟的培训）观察了三个高保真产科和妇科复苏模拟，并完成了 TEAM。
验证性因素分析评估了 TEAM 的结构效度，得出了由“领导力”、“团队合作”和“团队管理”确定的二阶结构。平均项目与量表总分的相关性为 0.75（P<0.001），平均方差分析提取量（AVE）为 0.88，这支持了收敛效度。个体因素也产生了较高的因素与量表总分的相关性（平均值[M]=0.87）和 AVE（M=0.89）。整个量表的内部可靠性较高（平均α=0.92），子因素的内部可靠性也较高（平均α=0.80）。评分者间信度极好（组内相关系数 1=0.98）。具有不同模拟培训经验水平的参与者之间没有显著差异。
TEAM 是评估模拟产科和妇科急症中非技术表现的可行工具，从而提高了基于模拟的培训的可行性。
