Process Evaluation of Nebraska's Team Training Project

1994 ◽  
Vol 24 (3) ◽  
pp. 269-279 ◽  
Author(s):  
David M. Scott ◽  
Pamela A. Merkel ◽  
Thomas W. Barlow
Keyword(s):  
Process Evaluation ◽  
Planning Process ◽  
Team Training ◽  
Training Experience ◽  
Strategic Action ◽  
Team Members ◽  
Training Project ◽  
Positive Growth ◽  
Drug Free ◽  
Destructive Behaviors

Background. A process evaluation of the Nebraska Drug Free School/ Community Residential Team Training Project is described. This training project utilizes a “system approach” in the formation and implementation of localized strategic (action) plans targeting alcohol and other drug (AOD) abuse prevention. Methods. In June of 1990, training participants completed a pre-post survey in conjunction with the four-day training. The majority of the participants (51.2%) were teachers, 19.2 percent were parents, 13.6 percent administrators, and 9.6 percent were counselors. Results. Although the overall attitudes of the participants ( N = 125) were positive initially, they became even more so by the end of the training ( N = 121). Prior to training participants felt they could have a significant impact on their local AOD abuse problem, and this attitude became more positive by the completion of training ( p < 0.05). Conclusions. The Nebraska team training process immerses team members in an active planning process allowing teams to develop a plan of action for their school and community. During this process, participants experience a positive growth in attitudes reflecting not only the training experience itself, but even more importantly their ability to meaningfully affect AOD abuse and related destructive behaviors in their homes, schools, and community.

Abstract 15595: Improved Clinical Performance and Teamwork of Pediatric Interprofessional Resuscitation Teams With a Simulation-Based Educational Intervention

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Elaine Gilfoyle ◽  
Deanna Koot ◽  
John Annear ◽  
Farhan Bhanji ◽  
Adam Cheng ◽  
...  
Keyword(s):  
Educational Intervention ◽  
Strong Correlation ◽  
Clinical Performance ◽  
Team Training ◽  
Chest Compressions ◽  
Team Members ◽  
Pediatric Resuscitation ◽  
Time To Initiation ◽  
Simulation Based ◽  
Resuscitation Team

Introduction: Human errors occur during resuscitation despite individual knowledge of resuscitation guidelines. Poor teamwork has been implicated as a major source of such error; therefore interprofessional resuscitation teamwork training is essential. Hypothesis: A one-day team training course for pediatric interprofessional resuscitation team members improves adherence to PALS guidelines, team efficiency and teamwork in a simulated clinical environment. Methods: A prospective interventional study was conducted at 4 children’s hospitals in Canada with pediatric resuscitation team members (n=300, 51 teams). Educational intervention was a one-day simulation-based team training course involving interactive lecture, group discussions and 4 simulated resuscitation scenarios followed by debriefing. First scenario of the day was conducted prior to any training. Final scenario of the day was the same scenario, with modified patient history. Scenarios included standardized distractors designed to elicit and challenge specific teamwork behaviors. Primary outcome measure was change (before and after training) in adherence to PALS guidelines, as measured by the Clinical Performance Tool (CPT). Secondary outcome measures: change in times to initiation of chest compressions and defibrillation; and teamwork performance, as measured by the Clinical Teamwork Scale (CTS). Correlation between CPT and CTS scores was analyzed. Results: Teams significantly improved CPT scores (67.3% to 79.6%, P< 0.0001), time to initiation of chest compressions (60.8 sec to 27.1 sec, P<0.0001), time to defibrillation (164.8 sec to 122.0 sec, P<0.0001) and CTS scores (56.0% to 71.8%, P<0.0001). Significantly more teams defibrillated under AHA target of 2 minutes (10 vs. 27, P<0.01). A strong correlation was found between CPT and CTS (r=0.530, P<0.0001). Conclusions: Participation in a simulation-based team training educational intervention significantly improved surrogate measures of clinical performance, time to initiation of key clinical tasks, and teamwork during simulated pediatric resuscitation. A strong correlation between clinical and teamwork performance suggests that effective teamwork optimizes clinical performance of resuscitation teams.

Using Artificial Team Members for Team Training in Virtual Environments

2010 ◽  
pp. 28-34 ◽  
Author(s):  
Jurriaan van Diggelen ◽  
Tijmen Muller ◽  
Karel van den Bosch
Keyword(s):  
Virtual Environments ◽  
Team Training ◽  
Team Members

Applied Training in Virtual Environments

2011 ◽  
pp. 928-940
Author(s):  
Ken Hudson
Keyword(s):  
Virtual Environments ◽  
Virtual Worlds ◽  
Second Life ◽  
Real Life ◽  
Border Crossing ◽  
Corporate Education ◽  
Training Experience ◽  
Training Environment ◽  
Training Project ◽  
Carry Over

Virtual worlds hold enormous promise for corporate education and training. From distributed collaboration that facilitates participation at a distance, to allowing trainees to experience dangerous situations first-hand without threat to personal safety, virtual worlds are a solution that offers benefits for a multitude of applications. While related to videogames, virtual worlds have different parameters of interaction that make them useful for specific location or open-ended instructional exchanges. Research suggests that participants identify quickly with roles and situations they encounter in virtual environments, that they experience virtual interactions as real events, and that those experiences carry over into real life. This paper will evaluate the attributes of a successful applied training project, the Canadian border simulation at Loyalist College, conducted in the virtual world Second Life. This simulated border crossing is used to teach port of entry interview skills to students at the college, whose test scores, engagement level, and motivation have increased substantially by utilizing this training environment. The positive results of this training experience led the Canadian Border Services Agency (CBSA) to pilot the border environment for agency recruits, with comparable results. By analyzing the various elements of this simulation, and examining the process with which it was used in the classroom, a set of best practices emerge that have wide applicability to corporate training.

Implementation of team training in outpatient breast oncology.

2012 ◽  
Vol 30 (34_suppl) ◽  
pp. 83-83
Author(s):  
Craig A. Bunnell ◽  
Anne Gross ◽  
Michael Kalfin ◽  
Ann H. Partridge ◽  
Sharon Lane ◽  
...  
Keyword(s):  
Care Coordination ◽  
Team Training ◽  
Adverse Event Reporting ◽  
Change Orders ◽  
Team Members ◽  
Train The Trainer ◽  
Task Coordination ◽  
Communication Task ◽  
Significant Difference ◽  
Clinical Breast

83 Background: Team Training (TT) principles, used in high-risk industries to reduce errors and improve communication and task coordination, have been applied in several areas of medicine, but not in outpatient oncology. We piloted a TT program in a large, academic, clinical breast cancer program. Methods: Observations, interviews, and anonymous adverse event reporting systems were used to identify areas of vulnerability for intervention: Communication of changes in same-day chemotherapy orders (“change orders”); Missing treatment orders on days patients were not also scheduled with physician (“unlinked” visits); Follow-up and communication to other team members on important patient issues (e.g., pending test results or changes in patient status); Conflict resolution between providers and staff. Agreements about roles, responsibilities, and behaviors were made to address vulnerabilities. Using a train-the-trainer model, clinical leaders trained all providers and staff in TT principles, behavioral agreements, and the tools to support them. Results: The program was assessed six months after implementation. There was insufficient power to detect a significant difference in communication of change orders because of infrequency of events (< 2% pre- and post-training). However, 100% of providers reported it was easier to communicate change orders and 87% of infusion nurses reported a decrease in non-communicated changes. The incidence of missing orders for unlinked visits decreased from 38%to 2%. Press-Ganey patient satisfaction scores highlighted improvements in perception of care coordination. Providers, infusion nurses, and support staff all reported strongly positive perceptions of improvement in the efficiency (75%, 86%, 90%), quality (82%, 93%, 93%) and safety (92%, 92%, 90%) of patient care. Similarly, all groups reported improved relationships and more respectful behavior among team members (91%, 85%, 93%). Conclusions: Team Training improved communication, task coordination and perceptions of efficiency, quality, safety, and interactions among team members and patients’ perceptions of care coordination. Widespread implementation of TT across the entire Adult Service is ongoing at our institution.

scholarly journals Applied Learning Activity for Health and Fitness Students to Advocate for School Playground and Gymnasium Safety

2009 ◽  
Vol 7 (SI) ◽  
pp. 39-47
Author(s):  
Brian F. Geiger ◽  
Jane Roy ◽  
Sandra K. Sims ◽  
Jason S. Fulmore ◽  
Karen A. Werner
Keyword(s):  
Physical Education ◽  
School Health ◽  
Planning Process ◽  
Program Planning ◽  
Learning Activity ◽  
Team Members ◽  
Health And Physical Education ◽  
School Health Program ◽  
Systematic Planning ◽  
College Of Nursing

Playground accidents are a leading cause of injury to children at school and home. Health and physical education faculty and students from a university school of education and college of nursing collaborated with wellness team members in a public school system to complete a systematic planning process. The aim was to enhance the school health program and reduce risk of injuries. University faculty mentored health and physical education students as they developed professional competencies related to program planning and advocacy. Students identified safety hazards in 52 school/community playgrounds and 45 gymnasiums, and reported maintenance issues to reduce the risk of injuries. Teachers, parents, students and community residents can learn to assess playground and gymnasium safety, identify hazards, and plan improvements to the school health environment.

Examining interprofessional learning perceptions among students in a simulation-based operating room team training experience

2018 ◽  
Vol 33 (1) ◽  
pp. 26-31 ◽  
Author(s):  
James Leithead ◽  
Deborah D. Garbee ◽  
Qingzhao Yu ◽  
Vadym V. Rusnak ◽  
Vladimir J. Kiselov ◽  
...  
Keyword(s):  
Operating Room ◽  
Team Training ◽  
Training Experience ◽  
Interprofessional Learning ◽  
Learning Perceptions ◽  
Simulation Based ◽  
Operating Room Team

A Confident Measure of Teamwork: The Efficacy of Confidence Assessment and Feedback Enhancement for Collective Training

1993 ◽  
Vol 37 (17) ◽  
pp. 1181-1185
Author(s):  
Kenneth J. McKeever ◽  
Richard E. Christ
Keyword(s):  
Team Member ◽  
Team Training ◽  
Team Members ◽  
Confidence Assessment ◽  
Feedback Enhancement ◽  
And Performance

The perceptions that team members have of each other's capabilities and the accuracy of those perceptions are very important in determining how well a team will perform. This paper describes a method for assessing, and the consequences of, team members' confidence in the capabilities of their peers. The mutual judgments of confidence are derived from knowledge each team member has of the capabilities of others to perform their respective tasks and to coordinate their actions with those of other team members. Implications of the accuracy of this knowledge and its impact on collective team training and performance are discussed.

scholarly journals Feasibility study for supporting medication adherence for adults with cystic fibrosis: mixed-methods process evaluation

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e039089
Author(s):  
Daniel Hind ◽  
Sarah J Drabble ◽  
Madelynne A Arden ◽  
Laura Mandefield ◽  
Simon Waterhouse ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Medication Adherence ◽  
Process Evaluation ◽  
Working Hours ◽  
Prescription Data ◽  
Team Members ◽  
Treatment Regimens ◽  
Adherence Support ◽  
Adherence Data ◽  
Registration Number

ObjectivesTo undertake a process evaluation of an adherence support intervention for people with cystic fibrosis (PWCF), to assess its feasibility and acceptability.SettingTwo UK cystic fibrosis (CF) units.ParticipantsFourteen adult PWCF; three professionals delivering adherence support (‘interventionists’); five multi-disciplinary CF team members.InterventionsNebuliser with data recording and transfer capability, linked to a software platform, and strategies to support adherence to nebulised treatments facilitated by interventionists over 5 months (± 1 month).Primary and secondary measuresFeasibility and acceptability of the intervention, assessed through semistructured interviews, questionnaires, fidelity assessments and click analytics.ResultsInterventionists were complimentary about the intervention and training. Key barriers to intervention feasibility and acceptability were identified. Interventionists had difficulty finding clinic space and time in normal working hours to conduct review visits. As a result, fewer than expected intervention visits were conducted and interviews indicated this may explain low adherence in some intervention arm participants. Adherence levels appeared to be >100% for some patients, due to inaccurate prescription data, particularly in patients with complex treatment regimens. Flatlines in adherence data at the start of the study were linked to device connectivity problems. Content and delivery quality fidelity were 100% and 60%–92%, respectively, indicating that interventionists needed to focus more on intervention ‘active ingredients’ during sessions.ConclusionsThe process evaluation led to 14 key changes to intervention procedures to overcome barriers to intervention success. With the identified changes, it is feasible and acceptable to support medication adherence with this intervention.Trial registration numberISRCTN13076797; Results.

Feedback and Team Training: Exploring the Issues

1994 ◽  
Vol 38 (18) ◽  
pp. 1195-1199
Author(s):  
Elizabeth L. Blickensderfer ◽  
Janis A. Cannon-Bowers ◽  
Eduardo Salas
Keyword(s):  
Team Performance ◽  
Team Training ◽  
Team Process ◽  
Team Members ◽  
New Approaches ◽  
Team Environment ◽  
Task Team

As team researchers have endeavored to understand team performance and team training, feedback in the team environment has been a neglected topic. A number of issues are involved in the design and provision of feedback to teams. These include team process/outcome issues in addition to characteristics of the task, team as a whole, and the team members as individuals. The inherent problems in team feedback provide the impetus for considering new approaches to team feedback. One such approach, team self-correction, may be valuable in clarifying anticipations and explanations among team members.

scholarly journals Descriptive and process evaluation of a shared primary care program

2007 ◽  
Author(s):  
Evelyn Vingilis ◽  
Jann Paquette-Warren ◽  
Nick Kates ◽  
Anne-Marie Crustolo ◽  
Jaimi Greenslade ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Process Evaluation ◽  
Care Program ◽  
Shared Care ◽  
Team Members ◽  
Care Services ◽  
Health And Nutrition ◽  
Nutrition Care ◽  
Patient Database

Purpose: This study involved the conduct of a descriptive and process evaluation to examine the implementation and maintenance of an existing local shared care program: The Hamilton Health Service Organization Mental Health and Nutrition Program located in Hamilton, Ontario, Canada. The program was organized to strengthen links between mental health, nutrition, and primary care services, to improve access to mental health and nutrition care, and to realize the benefits of improved communication, collaboration and mutual support among multiple practitioners, increased continuity of care, and increased family physicians’ comfort and skill in handling more complex problems. Method: A mixed-method, multi-measures evaluation design was used. Data were gathered from the program’s central patient database and by conducting focus groups. Results: Teams of practitioners provide comprehensive primary mental health and nutrition care. Collaboration and education opportunities are extensive although time constraints are an issue. Patients with a range of problems were assessed, treated, and referred among team members. There appears to be a decreased burden on external services. Conclusions & Discussion: This evaluation suggests that implementation and maintenance of shared care programs are possible within community practices.

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