Action Plan: Integrating TeamSTEPPS into Health Professions Education

1. Problem Identification & General Needs Assessment

A. Define the Problem (why should you integrate team training into your curricula):

B. Describe your current approach to the problem:

C. What is the ideal approach to the problem?

D. What are your needs to close the gap between current and ideal?

2. Needs Assessment of Targeted Learners

A. Identify your learners:

___Deans ___Program Chairs ___Faculty ___Clinical Preceptors and Instructors ___Nursing Students ___PT Students ___OT Students ___Other:______

B. Describe relevant context:

Context Element / Nursing / PT / OT
Previous training
Existing KSAs
Current Performance
Preferences for learning strategies
Characteristics of learners’ environments
Resources

3. Objectives should be specific & measurable & informed by your goal of exposure, immersion or competence.

Who will do how much of what by when?

A. Decide on Goal of experience: Exposure, Immersion, and Competence.

B. Write one program level learning objective:

C. Write one program level process objective:

D. Write one program level outcome objective:

4. Educational Strategies. Choose an initial strategy to address your problem that matches your goal of exposure, immersion, or competence.

Method / Teamwork Knowledge / Problem-Solving using Team Skills / Attitudes toward IPE / Clinical Skills / Non-Clinical Behaviors
Readings
Lecture
Discussion
Problem-based Learning
Simulation
Reflection/Review of Simulation Video
Real Life Clinical Experience

5. Implementation Checklist

Resources

___Personnel/Faculty

___Personnel/Support

___Time/Faculty

___Facilities/Space/Equipment/Clinical Sites

___Funding

Support

___Internal/Deans

___Internal/Chairs

___External/ Clinical preceptors and Clinical Instructors

Structure to Support Curriculum Change

___Identify roles and responsibilities

___Identify content and sequence

___Communicate content, goals/objectives to all stakeholders

Anticipate Barriers

___Funding

___Competing demands

___Attitudes

6. Evaluation and Feedback

A.  Decide Type and Level of Evaluation

1.  Types = Formative and Summative

2.  Levels = Individual and Program

Exposure / Immersion / Competence
Individual Learner / Formative / Formative / Summative
Program / Formative / Formative & Summative

B.  Identify Evaluation Questions

1.  Relate to your objectives

2.  Evaluate KSAs

C.  Choose evaluation design

1.  Posttest only

2.  Pretest-posttest

3.  Pretest-posttest with a control group

4.  Randomized Pretest-posttest with a control group

D.  Choose Methods and Instruments

1.  Questionnaires using rating scales

2.  Open-ended comments

3.  Focus Groups

4.  Individual interviews

5.  Direct observation

E.  Ethical Concerns

Educational studies usually exempt except when videotaping…then need informed consent

F.  Data Collection

G.  Data Analysis

H.  Report Writing, Presentations and Dissemination

Put it all together in an elevator speech.

Elevator Speech: “TeamSTEPPS is an evidence-based team training program that is being implemented in hospitals and integrated into undergraduate health professions education.

We have chosen to focus on solving the problem of______

by exposing / immersing / ensuring competence of (who) ______in interprofessional teamwork.

We plan to use the educational strategy(s) of ______.

It is important that we integrate teamwork training as an interprofessional educational strategy because teamwork is a core competency of patient-centered care and lack of teamwork and poor communication puts patients at risk.

We need you to support our efforts by ______.”

Reference: Kern DE, Thomas PA, Howard DM, Bass EB. Curriculum Development for Medical Education: A Six-Step Approach. Baltimore, MD: The Johns Hopkins University Press; 1998.

1