Implementing the TeamSTEPPS® team-training program in a Bachelor of Nursing program

ISRCTN	ISRCTN19311225
DOI	https://doi.org/10.1186/ISRCTN19311225

Submission date: 15/05/2020
Registration date: 28/05/2020
Last edited: 12/08/2022

Recruitment status: No longer recruiting
Overall study status: Completed
Condition category: Other

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Plain English summary of protocol

Background and study aims
Teamwork performance is a core competency for professional healthcare workers to offer safe and effective care and treatment. The healthcare system is rapidly changing, and the development of new technology, increased complexity and specialization create a need to work in teams. Teamwork must be focused on early in healthcare workers' education, in this context, both in theoretical and practical studies in nursing education.
The overall aim of the project is to evaluate the impact of the implementation of a teamwork program in a Bachelor of Nursing curriculum regarding students' attitudes toward teamwork, team performance, and perceptions of the teamwork program and transfer of learned teamwork skills to clinical placement.

Who can participate?
Bachelor of nursing students at a Norwegian multicampus university in their first, second, and third years of the bachelor’s program in Autumn 2018.

What does the study involve?
This study involves the implementation of the TeamSTEPPS® teamwork program in a Bachelor of Nursing program at one campus of a multicampus university. The intervention consists of training the students in teamwork skills using lectures, role play, digital learning tools, simulated patient scenarios, and hours of reflection in clinical placements over a two-and-a-half-year period of their three-year education program. Various instruments measure the outcome of the implementation. The students are invited to respond to the TeamSTEPPS Teamwork Attitude Questionnaire (T-TAQ) to measure their attitudes towards teamwork in healthcare. The survey is administered three times in all three groups of students: before the intervention, after one year of their bachelor's program, and after two years of their bachelor's program. Teamwork performance is measured using the TeamSTEPPS® teamwork performance observation tool (TPOT) by both students and expert raters. The students in the intervention group are invited to take part in a simulated patient scenario and score their own team's performance. Expert raters score the teams while watching videos of the scenarios. The simulated scenarios take place in the students' third year of the bachelor's program. Perceptions of teamwork program and the students' perceptions of the transfer of learned teamwork skills in clinical placements are described using focus group interviews after two and half years of the intervention.

What are the possible benefits and risks of participating?
The benefits of the participants are enhanced teamwork attitudes and skills.
There are no risks to participating.

Where is the study run from?
This study is run from the Norwegian University of Science and Technology (Norway) and takes place at three campuses.

When is the study starting and how long is it expected to run for?
November 2017 to December 2020

Who is the main contact?
1: Tore Karlsen, PhD student (public), tore.karlsen@ntnu.no
2: Randi Ballangrud, PhD (scientific), randi.ballangrud@ntnu.no

Contact information

Mr Tore Karlsen
Public

Teknologiveien 22
Gjoevik
2817
Norway

ORCID ID	0000-0002-1389-3472
Phone	+47 41464686
Email	tore.karlsen@ntnu.no

Dr Randi Ballangrud
Scientific

Teknologiveien 22
Gjoevik
2817
Norway

ORCID ID	0000-0003-0403-0509
Phone	+47 915 83697
Email	randi.ballangrud@ntnu.no

Study information

Study design	Quasi-experimental non-randomised study with qualitative follow up
Primary study design	Interventional
Secondary study design	Non randomised study
Study setting(s)	School
Study type	Other
Participant information sheet	Not available in web format, please use the contact details below to request a patient information sheet
Scientific title	Implementing a TeamSTEPPS® team-training program in a Bachelor of Nursing program to enhance teamwork attitudes and skills
Study objectives	The overall aim is to evaluate the impact of implementing a team training program among Bachelor of Nursing students regarding their attitudes toward teamwork, team performance and perceptions of teamwork in healthcare.
Ethics approval(s)	Approved 23/10/2019, Norwegian Centre for Research Data (Harald Hårfagres gate 29, N-5007 Bergen, Norway; +47 55 58 21 17; nsd@nsd.no), ref. 758392
Health condition(s) or problem(s) studied	Bachelor of Nursing students’ attitudes toward teamwork and teamwork performance in a simulated scenario. Students’ perceptions of the team training program and teamwork in clinical placements.
Intervention	A teamwork intervention based on the TeamSTEPPS® program is planned to be implemented among Bachelor of Nursing students. The educational methods used during the implementation of the program are based on the TeamSTEPPS® curriculum and the TeamSTEPPS® implementation guidelines. The intervention is planned and implemented in collaboration with a “change team” of faculty members and is carried out by the faculty. The intervention will last from the students’ first to fifth semesters. The interventions consist of lectures, workshops, use of video examples, discussion groups, briefings and debriefings during clinical placement, skills training and simulated patient scenarios. Most of the teamwork training is sought to be implemented as a natural part of the students’ scheduled educational activities. The aim is to evaluate the impact of the implementation of a team training program concerning Bachelor of Nursing students’ self-reported attitudes toward teamwork using the previously tested questionnaire (T-TAQ). This study involves students at the intervention campus and two control groups from the two other campuses within the university. The survey is administered on three occasions: before the intervention, after one year of the intervention, and after two years of the intervention. Study participants’ demographics were collected, such as age, gender, former higher education and working experience. Nursing students’ teamwork performance during a simulated patient scenario during their third year of the bachelor’s program will also be recorded. The students use the TeamSTEPPS® teamwork performance observational tool (TPOT) to rate the team performance. Experts rated the teamwork by watching videos of the scenarios. The Bachelor of Nursing students’ perceptions of the team training program and their perceptions of the use of learned teamwork skills in clinical placements are assessed at follow-up through focus group interviews and will be analyzed based on Elo and Kyngäs’ qualitative content analysis process.
Intervention type	Behavioural
Primary outcome measure	Self-reported attitudes toward teamwork measures, as reflected by the Norwegian version of the T-TAQ on three occasions: before the intervention, after one year of the intervention, and after two years of the intervention
Secondary outcome measures	1. Team performance, measured with the Team Performance Observation Tool (TPOT) during a simulated patient scenario during the third year of the bachelor’s program 2. Perceptions of the teamwork program measured by focus group interviews at the end of the study period with nursing students in the intervention group 3. Perceptions of the transfer of learned teamwork skills in clinical placements measured by focus group interviews with nursing students in the intervention group
Overall study start date	01/11/2017
Completion date	22/10/2020

Eligibility

Participant type(s)	Other
Age group	Adult
Sex	Both
Target number of participants	129 students in intervention and 129 in the control group
Key inclusion criteria	Bachelor of nursing students at a Norwegian multicampus university in their first, second, and third years of the bachelor’s program.
Key exclusion criteria	None
Date of first enrolment	24/08/2018
Date of final enrolment	22/10/2020

Locations

Countries of recruitment

Norway

Study participating centre

Norwegian University of Science and Technology

Teknologiveien 22
Gjøvik
2815
Norway

Sponsor information

Norwegian University of Science and Technology
University/education

Teknologiveien 22
Gjøvik
2815
Norway

Phone	+47 61135400
Email	heidi.vifladt@ntnu.no
Website	https://www.ntnu.no/gjovik
"ROR"	https://ror.org/05xg72x27

Funders

Funder type

University/education

Norwegian University of Science and Technology

No information available

Results and Publications

Intention to publish date	31/05/2022
Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
Publication and dissemination plan	Planned publication in a peer-reviewed journal.
IPD sharing plan	The current data sharing plans for this study are unknown and will be available at a later date.

Study outputs

Output type	Date created	Date added	Peer reviewed?	Patient-facing?
Results article	01/03/2021	08/11/2021	Yes	No
Results article	21/10/2021	08/11/2021	Yes	No
Protocol file	12/08/2022	12/08/2022	No	No

Additional files

ISRCTN19311225_Protocol_12Aug2022.pdf

Editorial Notes

12/08/2022: Protocol file uploaded.
08/11/2021: Publication references added.
28/05/2020: Trial’s existence confirmed by Norwegian Centre for Research Data.