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 Previous training Nursing PT OT Existing KSAs Current Performance Preferences for learning strategies Characteristics of learners’ environments Resources 1 Action Plan: Integrating TeamSTEPPS into Health Professions Education 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 ProblemSolving 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 2 Action Plan: Integrating TeamSTEPPS into Health Professions Education 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 Individual Learner Program Exposure Formative Formative Immersion Formative Formative & Summative Competence 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 3 Action Plan: Integrating TeamSTEPPS into Health Professions Education 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. 4