Validating the Team Emergency Assessment Measure (TEAM) in obstetric and gynaecologic resuscitation teams.

Aust N Z J Obstet Gynaecol

Department of the Western Australian Gynaecologic Cancer Service, King Edward Memorial Hospital, Perth, Western Australia, Australia.

Published: December 2021

AI Article Synopsis

  • - Simulation-based training improves knowledge and skills in obstetric and gynecologic emergencies, but challenges like the need for simulation experts and effective measurements of team performance exist.
  • - A study involving 151 medical professionals assessed the Team Emergency Assessment Measure (TEAM) during high-fidelity simulations, confirming its strong reliability and validity for evaluating teamwork components such as leadership and management.
  • - The TEAM shows promise as a useful tool for assessing non-technical performance in emergency scenarios, which can ultimately lead to better patient outcomes.

Article Abstract

Background: Simulation-based training is an effective method of enhancing the knowledge, skill, and technical abilities of individuals and teams encountering obstetric and gynaecologic emergencies. Simulation may also enhance the non-technical performance of teams resulting in improved patient outcomes. Although simulation-based training is widely recognised as an effective educational approach, issues around feasibility - the lack of simulation experts and malleable outcome measures of team performance - remain critical barriers to their implementation.

Aim: To evaluate the psychometric properties of the Team Emergency Assessment Measure (TEAM) when used by medical professionals in simulated obstetric and gynaecological emergencies.

Methods: There were 151 participants (63% female; 60% consultants; 69% no previous simulation-based training) who observed three live high-fidelity obstetric and gynaecological resuscitation simulations and completed the TEAM.

Results: Confirmatory factor analysis evaluated the construct validity of the TEAM, yielding a second-order structure identified by 'leadership', 'teamwork', and 'team management'. Convergent validity was supported by the average item-to-scale total correlation which was 0.75, P < 0.001 and the average analysis of variance extracted (AVE) 0.88. The individual factors also yielded high factor-to-scale total correlations (mean [M] = 0.87), and AVE (M = 0.89). The internal reliability was high for the whole scale (average alpha = 0.92) and across the sub-factors (average alpha = 0.80). The inter-rater reliability was excellent (inter-class correlation coefficient 1 = 0.98). Participants with differing levels of simulation training experience did not significantly differ.

Conclusion: The TEAM is a viable instrument for the assessment of non-technical performance during simulated obstetric and gynaecologic emergencies, thus enhancing the feasibility of simulation-based training.

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http://dx.doi.org/10.1111/ajo.13362DOI Listing

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