Title

The Anatomy Of Health Care Team Training And The State Of Practice: A Critical Review

Abstract

PURPOSE: As the U.S. health care system enters a new era, the importance of team-based care approaches grows. How is the health care community ensuring that providers and administrators are equipped with the knowledge, skills, and attitudes (KSAs) foundational for effective teamwork? Are these KSAs transferring into daily practice? This review summarizes the present state of practice for health care team training described in published literature. Drawing from empirical investigations of training effectiveness, the authors explore training design, implementation, and evaluation to provide insight into the shape, structure, and anatomy of team training in health care. METHOD: A 2009 literature search yielded 40 peer-reviewed articles detailing health care team training evaluations. Guided by 11 focal questions, two trained raters extracted details regarding training design, implementation, evaluation metrics, and outcomes. RESULTS: Findings indicate that team training is being implemented across a wide spectrum of providers and is primarily targeting communication, situational awareness, leadership, and role clarity. Relatively few details indicate how training needs were established. Most studies collected data immediately posttraining; however, less than 30% collected data six months or more posttraining. Content analyses highlight the need for enhanced detail in published training evaluation reports. CONCLUSIONS: In many respects, health care team training implementation and evaluation align with best practices suggested from the science of training, adult learning, and human performance; however, opportunities for improvement exist. The authors suggest several mechanisms for furthering the health care team training evidence base to enhance patient safety and work environment quality for clinicians. Copyright © 2010 by the Association of American Medical Colleges.

Publication Date

1-1-2010

Publication Title

Academic Medicine

Volume

85

Issue

11

Number of Pages

1746-1760

Document Type

Article

Personal Identifier

scopus

DOI Link

https://doi.org/10.1097/ACM.0b013e3181f2e907

Socpus ID

78649324690 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/78649324690

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