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Despite limitations, our study indicates that the amended T-TPQ is sensitive to changes in teamwork perceptions in repeated measures design studies among nursing students.
Therefore, in order to improve patient safety, changes in teamwork practice are crucially important.
It also demonstrates that changes in teamwork practices do not automatically follow checklist introduction, even where non-technical items are included, but rather require explicit, interventional focus.
Changes in teamwork behaviours and processes are arguably the primary criteria by which the effectiveness of team-training programmes in healthcare has been evaluated.
Data was collected in twelve intervention facilities on process indicators, including pre/post changes in knowledge and self-efficacy of obstetric emergencies and neonatal resuscitation, achievement of strategic planning goals established during training and changes in teamwork scores.
Review of the grey literature around teamwork practices and patient safety further supports the conclusion that "only limited evidence exists regarding which process and outcome measures are most directly and strongly affected by changes in teamwork effectiveness" [ 6].
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Carney et al 43 found a positive change in teamwork climate for both physicians and nurses after implementation of a medical team training programme in 101 hospitals.
This change in teamwork points to the need for more precise teamwork coding and rating through the use of video analysis, a project currently underway by the research team.
After training in three scenarios, the participants' individual self-efficacy improved in the absence of changes in observable individual teamwork behaviours.
Most studies of this kind of training have shown positive changes in attitudes and teamwork behaviour, but changes in technical and clinical outcomes have been much less consistently reported.
By providing insights that deepen the understanding of Lithuanian PHC teams, this study could induce specific policy changes to tackle weak points in teamwork.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com