https://orcid.org/0000-0002-4623-7594
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ABSTRACT
In healthcare, effective communication and teamwork are pivotal in reducing medical errors. Integrating team training into health professions education is crucial. Accurate measurement of team performance during training requires reliable assessment tools. The TeamSTEPPS® Team Performance Observation Tool (TPOT), recently updated by the Agency for Healthcare Research and Quality, serves this purpose. However, it had not been translated and validated for use in Thailand. We aimed to translate and assess the psychometric properties of the Thai version of TPOT. Employing a back-translation process, TPOT was adapted to the Thai context. The resulting Thai TPOT instrument was administered to 518 healthcare professionals who had undergone TeamSTEPPS® training. Participants were asked to evaluate two prerecorded, 7-minute simulated team emergency scenarios using the Thai TPOT instrument. Results exhibited high internal consistency (Cronbach’s alpha = .96) and inter-rater reliability (ICC = .98). Confirmatory factor analysis affirmed the construct validity of the Thai TPOT. These findings establish the Thai TPOT as useful for evaluating teamwork within healthcare teams.
Acknowledgments
The authors would like to express sincere gratitude to the participants, faculty observers, and experts who dedicated their time and insights to support the research. Additionally, the authors acknowledge the funding support provided by the Second Century Fund at Chulalongkorn University.
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No potential conflict of interest was reported by the author(s).
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Notes on contributors
Pataraporn Kheawwan
Dr. Pataraporn Kheawwan, PhD, RN, serves as the Senior Nurse Manager overseeing human resource development at King Chulalongkorn Memorial Hospital. In this role, Dr. Kheawwan is dedicated to advancing the professional development of nursing staff within the organization. Her responsibilities encompass evaluating the competency needs of nursing professionals, delivering competency-based training, engaging in scholarly activities, research activities, and participating as a member of the Continuing Nursing Education Committee of the Thailand Nursing and Midwifery Council. Dr. Kheawwan’s contributions extend beyond her hospital, as she pioneered the implementation of a nurse residency program, setting a national standard. She now serves as a consultant at the national level. Her areas of expertise include cardiothoracic surgery and critical care nursing, health behavior change, scale development, psychometric testing, and simulation training for patient safety.
Chanya Thanomlikhit
Chanya Thanomlikhit, MNS, RN, ENP, holds certification as a Nurse Specialty in Emergency Nurse Practitioner and serves as the Head of the Nursing Professional Development Center within the Human Resource Development division of the Nursing Department at King Chulalongkorn Memorial Hospital. In her role, she oversees clinical nurse practice within the hospital and is particularly dedicated to advancing the field through clinical teaching for nurse educators and the implementation of the Nurse Residency Program for newly graduated nurses. Ms. Thanomlikhit has contributed to this field with several publications on these topics.
Khuansiri Narajeeenron
Khuansiri Narajeenron, MD, MHPE, MSc, FTCEP, CHSE, is a faculty member specializing in emergency medicine and cardiology at the Emergency Department, Chulalongkorn University, and King Chulalongkorn Memorial Hospital in Bangkok, Thailand. As the Academic Director and a Certified Healthcare Simulation Educator, she instructs EM residents, medical students, EM nurses, pharmacists, and paramedics, focusing on non-technical skills enhancement, TeamSTEPPS, and simulation-based interprofessional education. Dr. Narajeenron actively contributes to the EM curriculum, serves on the Thai EM committee, and works on smartphone applications for national EM residency program evaluation. In 2023, she graduated with an MHPE from the University of Illinois at Chicago. She also engages in an international research and education fellowship at the University of California, Irvine, focusing on the development and validation of FEED-ER for feedback quality assessment in the ED workplace. Recognized for her dedication, she received the ACEP Teaching Fellowship certification in 2017. Dr. Narajeenron holds a Master of Science degree from Chulalongkorn University and achieved a gold medal, first-class honors in her Doctor of Medicine degree from Thammasat University.
Suwimon Rojnawee
Suwimon Rojnawee, PhD, RN, is a distinguished Assistant Professor at Chulalongkorn University’s Faculty of Nursing, celebrated for her dedication to education, research, and nursing service. Actively engaging in scholarly activities, she enriches both her knowledge and that of her students, specializing in children’s health with a focus on chronic respiratory and urinary conditions. Additionally, she is an expert in research instrument development. Her commitment to tobacco control reflects her dedication to creating a healthier society. With a wealth of knowledge and experience, she has authored several publications in her areas of expertise.