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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

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Published on: August 25, 2014

Building collaborative teams in neonatal intensive care.

Dara Brodsky¹, Munish Gupta, Mary Quinn

¹Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA. dbrodsky@bidmc.harvard.edu

BMJ Quality & Safety

|February 12, 2013

Summary

Neonatal intensive care staff teamwork and communication skills significantly improved after a Team Strategies and Performance to Enhance Professional Services (TeamSTEPPS) workshop. This training enhanced collaboration, job satisfaction, and overall unit care quality.

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Area of Science:

Healthcare Management
Medical Education
Teamwork and Communication

Background:

Neonatal intensive care units (NICUs) require effective communication and collaboration due to their complex, multidisciplinary nature and frequent staff hand-offs.
Essential teamwork skills are often not formally taught, assessed, or regularly discussed among NICU personnel.

Purpose of the Study:

To implement and evaluate a multidisciplinary, small-group, interactive workshop based on TeamSTEPPS to enhance teamwork skills and introduce new team-based practices in a NICU setting.
To assess the impact of formal teamwork training on staff communication, collaboration, situation awareness, and job satisfaction.

Main Methods:

A TeamSTEPPS-based workshop was delivered to 129 (95%) of 136 eligible NICU staff.
Pre-training and post-training surveys were administered to 114 (84%) and 104 (81%) of staff, respectively, two years after the intervention.
Surveys assessed overall teamwork scores and specific team-based categories, including communication, situation awareness, mutual support, and job satisfaction.

Main Results:

The overall teamwork score significantly improved from 7.37 to 8.08 (p<0.0001).
Staff reported significant improvements in communication (p=0.037), situation awareness (p<0.0001), and mutual support (p<0.0001).
Post-training, staff reported higher job fulfillment (p<0.0001), better utilization of abilities (p=0.003), and increased feelings of respect (p=0.0037).

Conclusions:

Formal teamwork training, such as the TeamSTEPPS program, can significantly enhance communication, collaboration, and overall teamwork in neonatal intensive care units.
The training positively impacted staff satisfaction, job fulfillment, and perceived respect, contributing to a more supportive work environment.
The study provides practical tools and evidence supporting the development of similar team training programs in other neonatal settings.