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Related Concept Videos

Nursing Interventions I: Taxonomy of Nursing Interventions01:03

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Updated: May 6, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Train-the-trainer intervention to increase nursing teamwork and decrease missed nursing care in acute care patient

Beatrice J Kalisch1, Boqin Xie, David L Ronis

  • 1Beatrice J. Kalisch, PhD, RN, FAAN, is Titus Distinguished Professor and Director, Innovation and Evaluation, University of Michigan, Ann Arbor. Boqin Xie, MS, RN, is PhD Student; and David L. Ronis, PhD, is Research Scientist, School of Nursing, University of Michigan, Ann Arbor.

Nursing Research
|October 30, 2013
PubMed
Summary
This summary is machine-generated.

A train-the-trainer intervention improved nursing teamwork and reduced missed nursing care. This approach enhanced staff satisfaction and knowledge, showing promise for patient safety.

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Area of Science:

  • Healthcare Management
  • Nursing Practice
  • Patient Safety

Background:

  • Effective teamwork is crucial for patient safety and minimizing missed nursing care.
  • Previous research highlights the link between strong nursing teamwork and improved patient outcomes.

Purpose of the Study:

  • To evaluate the impact of a train-the-trainer intervention on nursing teamwork satisfaction.
  • To assess the effect of this intervention on the incidence of missed nursing care.

Main Methods:

  • A quasiexperimental design with pretest, posttest, and delayed posttest measures was employed.
  • The intervention involved training key nurses who then educated their unit staff on teamwork behaviors and missed care reduction.
  • Data were collected using the Nursing Teamwork Survey, MISSCARE Survey, and knowledge/satisfaction questionnaires.

Main Results:

  • A statistically significant increase in nursing teamwork was observed over time (p = .001).
  • Missed nursing care significantly decreased following the intervention (p = .03).
  • Nursing staff reported enhanced satisfaction with teamwork and increased knowledge.

Conclusions:

  • The train-the-trainer intervention is a promising strategy for enhancing nursing teamwork.
  • This approach effectively reduces missed nursing care, contributing to improved patient safety.
  • The intervention offers an efficient method for improving teamwork in acute care settings.