Armijo-Rivera Soledad, Ferrada-Rivera Sandra, Aliaga-Toledo Marcela, Pérez Leonardo A
Escuela de Medicina, Facultad de Medicina Clínica Alemana Universidad del Desarrollo, Santiago, Chile.
Unidad de Calidad y Seguridad del Paciente, Hospital Padre Hurtado, Santiago, Chile.
Front Med (Lausanne). 2023 Sep 13;10:1256982. doi: 10.3389/fmed.2023.1256982. eCollection 2023.
Teamwork is one of the competencies necessary for physicians to work effectively in health systems and is a competency that can be developed with simulation in professionals and medicine students. The Team Emergency Assessment Measurement (TEAM) was created to evaluate the non-technical performance of team members during resuscitation events in real teams. The TEAM scale includes items to assess leadership, teamwork, situational awareness, and task management. An objective evaluation tool in Spanish is valuable for training health professionals at all undergraduate and continuing education levels. This study aimed to generate evidence of the validity of the Team Emergency Assessment Measure (TEAM) in Spanish to measure the performance of medical students and adult, pediatric, and obstetric emergency clinical teams in simulated emergencies as a self-assessment tool.
To develop the Spanish version of the instrument, a forward and backward translation process was followed by independent translators, native and fluent in English and Spanish, and a review by a panel of Chilean experts comprising three trained simulation instructors to verify semantics and cultural equivalence. High-fidelity simulations with debriefing were conducted with 5th-year medical students, in which students and instructors applied the Spanish version of the TEAM scale. In the second stage, adult, pediatric, and obstetric emergency management simulations were conducted using the TEAM scale for real clinical teams as a self-assessment tool.
By applying the overall TEAM scale to medicine students and clinical teams, Cronbach's alpha was 0.921. For medical students' self-assessment, we obtained Cronbach's alpha of 0.869. No significant differences were found between the overall scores and the scores by dimensions evaluated by instructors and students ( > 0.05). In the case of clinical team training, Cronbach's alpha was 0.755 for adult emergency teams, 0.797 for pediatric emergency teams, and 0.853 for obstetric emergency teams.
The validated instrument is adequate for evaluating teamwork in medical student simulations by instructors and peers and for self-assessment in adult, pediatric, and obstetric emergency clinical teams.
团队合作是医生在卫生系统中有效工作所需的能力之一，并且是一种可以通过针对专业人员和医学生的模拟训练来培养的能力。团队应急评估测量（TEAM）工具旨在评估实际团队在复苏事件中团队成员的非技术表现。TEAM量表包括评估领导力、团队合作、态势感知和任务管理的项目。一个西班牙语的客观评估工具对于各级本科和继续教育阶段的卫生专业人员培训具有重要价值。本研究旨在提供证据，证明西班牙语版的团队应急评估测量（TEAM）工具作为一种自我评估工具，在测量医学生以及成人、儿科和产科急诊临床团队在模拟紧急情况下的表现方面的有效性。
为开发该工具的西班牙语版本，由精通英语和西班牙语的独立翻译人员进行了正向和反向翻译过程，并由一个由三名训练有素的模拟培训师组成的智利专家小组进行审核，以验证语义和文化等效性。对五年级医学生进行了带有汇报环节的高保真模拟，学生和培训师应用了西班牙语版的TEAM量表。在第二阶段，将TEAM量表作为自我评估工具，对成人、儿科和产科急诊管理模拟中的实际临床团队进行了测试。
将整体TEAM量表应用于医学生和临床团队时，克朗巴赫α系数为0.921。对于医学生的自我评估，我们得到的克朗巴赫α系数为0.869。培训师和学生评估的总分与各维度得分之间未发现显著差异（>0.05）。在临床团队培训中，成人急诊团队的克朗巴赫α系数为0.755，儿科急诊团队为0.797，产科急诊团队为0.853。
经验证的该工具适用于培训师和同伴对医学生模拟中的团队合作进行评估，以及适用于成人、儿科和产科急诊临床团队的自我评估。
