Wespi Rafael, Schwendimann Lukas, Neher Andrea, Birrenbach Tanja, Schauber Stefan K, Manser Tanja, Sauter Thomas C, Kämmer Juliane E
Department of Emergency Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Graduate School for Health Sciences, University of Bern, Bern, Switzerland.
Adv Simul (Lond). 2024 Sep 11;9(1):38. doi: 10.1186/s41077-024-00309-z.
Inadequate collaboration in healthcare can lead to medical errors, highlighting the importance of interdisciplinary teamwork training. Virtual reality (VR) simulation-based training presents a promising, cost-effective approach. This study evaluates the effectiveness of the Team Emergency Assessment Measure (TEAM) for assessing healthcare student teams in VR environments to improve training methodologies.
Forty-two medical and nursing students participated in a VR-based neurological emergency scenario as part of an interprofessional team training program. Their performances were assessed using a modified TEAM tool by two trained coders. Reliability, internal consistency, and concurrent validity of the tool were evaluated using intraclass correlation coefficients (ICC) and Cronbach's alpha.
Rater agreement on TEAM's leadership, teamwork, and task management domains was high, with ICC values between 0.75 and 0.90. Leadership demonstrated strong internal consistency (Cronbach's alpha = 0.90), while teamwork and task management showed moderate to acceptable consistency (alpha = 0.78 and 0.72, respectively). Overall, the TEAM tool exhibited high internal consistency (alpha = 0.89) and strong concurrent validity with significant correlations to global performance ratings.
The TEAM tool proved to be a reliable and valid instrument for evaluating team dynamics in VR-based training scenarios. This study highlights VR's potential in enhancing medical education, especially in remote or distanced learning contexts. It demonstrates a dependable approach for team performance assessment, adding value to VR-based medical training. These findings pave the way for more effective, accessible interdisciplinary team assessments, contributing significantly to the advancement of medical education.
医疗保健领域合作不足会导致医疗差错，凸显了跨学科团队合作培训的重要性。基于虚拟现实（VR）模拟的培训是一种很有前景且具有成本效益的方法。本研究评估团队紧急评估量表（TEAM）在VR环境中评估医学生团队以改进培训方法的有效性。
42名医学生和护理学生参加了一个基于VR的神经科紧急情况模拟，作为跨专业团队培训项目的一部分。由两名经过培训的编码员使用改良后的TEAM工具对他们的表现进行评估。使用组内相关系数（ICC）和克朗巴哈系数评估该工具的信度、内部一致性和同时效度。
编码员在TEAM的领导力、团队合作和任务管理领域的一致性较高，ICC值在0.75至0.90之间。领导力表现出很强的内部一致性（克朗巴哈系数=0.90），而团队合作和任务管理表现出中等至可接受的一致性（分别为0.78和0.72）。总体而言，TEAM工具表现出较高的内部一致性（0.89）和很强的同时效度，与整体表现评分有显著相关性。
TEAM工具被证明是评估基于VR的培训场景中团队动态的可靠有效工具。本研究凸显了VR在加强医学教育方面的潜力，尤其是在远程或远距离学习环境中。它展示了一种可靠的团队表现评估方法，为基于VR的医学培训增添了价值。这些发现为更有效、更易获得的跨学科团队评估铺平了道路，对医学教育的进步做出了重大贡献。
