"Measuring Nursing Students’ Perceptions of Teamwork in a Multiple Pati" by Christine Seaton, DNP, MSN

Document Type

DNP Project

Department

School of Nursing

Date of Degree

Spring 2018

Degree

Doctor of Nursing Practice (DNP)

Primary Advisor

Karen Wyche, PhD; Patricia Davis, DNP

Abstract

Background: Simulation based education offers safe, reflective learning opportunities. However, data had not been obtained of nursing students’ perceptions of teamwork performed during Virtual Hospital (VH), a multiple patient simulation.

Objectives: This evaluation gap was addressed using the Agency for Healthcare Research and Quality’s (AHRQ) TeamSTEPPS® Teamwork Perceptions Questionnaire (T-TPQ). The validated survey measures self-reported perceptions of teamwork in communication, mutual support, and situational awareness on a Likert scale from 1 to 5 (AHRQ, 2014).

Methods: A pre-and post, one group design was used to measure perceptions of teamwork. Twenty participants were recruited from students, enrolled in a second-degree undergraduate nursing program, scheduled to complete VH in ten predetermined clinical teams. Participants, dispersed among six of the teams, used the T-TPQ to rate perceptions of their teamwork before and after VH. Aggregated pre- and post-VH T-TPQ responses were compared for differences in total and subscale scores. These results were compared to faculty assessments of team communication using the traditional VH evaluation tool.

Results: Nonparametric analysis indicated significant differences between pre- and post-VH TTPQ total scores (p = 0.031), between pre- and post-VH communication subscale scores (p = 0.034), but no difference between scores for pre- and post-VH mutual support or situational awareness subscales (p = 0.059). Faculty evaluations reported three of six teams met communication expectations.

Conclusions: Overall, students perceived VH as an opportunity to practice and assess teamwork, and particularly communication, with a validated, self-report questionnaire (T-TPQ). These findings reinforced its integration in the learning environment.

Open Access

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