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Development and Validation of an Instrument for Measuring the Quality of Teamwork in Teaching Teams in Postgraduate Medical Training (TeamQ)

BACKGROUND: Teamwork between clinical teachers is a challenge in postgraduate medical training. Although there are several instruments available for measuring teamwork in health care, none of them are appropriate for teaching teams. The aim of this study is to develop an instrument (TeamQ) for measu...

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Autores principales: Slootweg, Irene A., Lombarts, Kiki M. J. M. H., Boerebach, Benjamin C. M., Heineman, Maas Jan, Scherpbier, Albert J. J. A., van der Vleuten, Cees P. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4231160/
https://www.ncbi.nlm.nih.gov/pubmed/25393006
http://dx.doi.org/10.1371/journal.pone.0112805
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author Slootweg, Irene A.
Lombarts, Kiki M. J. M. H.
Boerebach, Benjamin C. M.
Heineman, Maas Jan
Scherpbier, Albert J. J. A.
van der Vleuten, Cees P. M.
author_facet Slootweg, Irene A.
Lombarts, Kiki M. J. M. H.
Boerebach, Benjamin C. M.
Heineman, Maas Jan
Scherpbier, Albert J. J. A.
van der Vleuten, Cees P. M.
author_sort Slootweg, Irene A.
collection PubMed
description BACKGROUND: Teamwork between clinical teachers is a challenge in postgraduate medical training. Although there are several instruments available for measuring teamwork in health care, none of them are appropriate for teaching teams. The aim of this study is to develop an instrument (TeamQ) for measuring teamwork, to investigate its psychometric properties and to explore how clinical teachers assess their teamwork. METHOD: To select the items to be included in the TeamQ questionnaire, we conducted a content validation in 2011, using a Delphi procedure in which 40 experts were invited. Next, for pilot testing the preliminary tool, 1446 clinical teachers from 116 teaching teams were requested to complete the TeamQ questionnaire. For data analyses we used statistical strategies: principal component analysis, internal consistency reliability coefficient, and the number of evaluations needed to obtain reliable estimates. Lastly, the median TeamQ scores were calculated for teams to explore the levels of teamwork. RESULTS: In total, 31 experts participated in the Delphi study. In total, 114 teams participated in the TeamQ pilot. The median team response was 7 evaluations per team. The principal component analysis revealed 11 factors; 8 were included. The reliability coefficients of the TeamQ scales ranged from 0.75 to 0.93. The generalizability analysis revealed that 5 to 7 evaluations were needed to obtain internal reliability coefficients of 0.70. In terms of teamwork, the clinical teachers scored residents' empowerment as the highest TeamQ scale and feedback culture as the area that would most benefit from improvement. CONCLUSIONS: This study provides initial evidence of the validity of an instrument for measuring teamwork in teaching teams. The high response rates and the low number of evaluations needed for reliably measuring teamwork indicate that TeamQ is feasible for use by teaching teams. Future research could explore the effectiveness of feedback on teamwork in follow up measurements.
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spelling pubmed-42311602014-11-18 Development and Validation of an Instrument for Measuring the Quality of Teamwork in Teaching Teams in Postgraduate Medical Training (TeamQ) Slootweg, Irene A. Lombarts, Kiki M. J. M. H. Boerebach, Benjamin C. M. Heineman, Maas Jan Scherpbier, Albert J. J. A. van der Vleuten, Cees P. M. PLoS One Research Article BACKGROUND: Teamwork between clinical teachers is a challenge in postgraduate medical training. Although there are several instruments available for measuring teamwork in health care, none of them are appropriate for teaching teams. The aim of this study is to develop an instrument (TeamQ) for measuring teamwork, to investigate its psychometric properties and to explore how clinical teachers assess their teamwork. METHOD: To select the items to be included in the TeamQ questionnaire, we conducted a content validation in 2011, using a Delphi procedure in which 40 experts were invited. Next, for pilot testing the preliminary tool, 1446 clinical teachers from 116 teaching teams were requested to complete the TeamQ questionnaire. For data analyses we used statistical strategies: principal component analysis, internal consistency reliability coefficient, and the number of evaluations needed to obtain reliable estimates. Lastly, the median TeamQ scores were calculated for teams to explore the levels of teamwork. RESULTS: In total, 31 experts participated in the Delphi study. In total, 114 teams participated in the TeamQ pilot. The median team response was 7 evaluations per team. The principal component analysis revealed 11 factors; 8 were included. The reliability coefficients of the TeamQ scales ranged from 0.75 to 0.93. The generalizability analysis revealed that 5 to 7 evaluations were needed to obtain internal reliability coefficients of 0.70. In terms of teamwork, the clinical teachers scored residents' empowerment as the highest TeamQ scale and feedback culture as the area that would most benefit from improvement. CONCLUSIONS: This study provides initial evidence of the validity of an instrument for measuring teamwork in teaching teams. The high response rates and the low number of evaluations needed for reliably measuring teamwork indicate that TeamQ is feasible for use by teaching teams. Future research could explore the effectiveness of feedback on teamwork in follow up measurements. Public Library of Science 2014-11-13 /pmc/articles/PMC4231160/ /pubmed/25393006 http://dx.doi.org/10.1371/journal.pone.0112805 Text en © 2014 Slootweg et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Slootweg, Irene A.
Lombarts, Kiki M. J. M. H.
Boerebach, Benjamin C. M.
Heineman, Maas Jan
Scherpbier, Albert J. J. A.
van der Vleuten, Cees P. M.
Development and Validation of an Instrument for Measuring the Quality of Teamwork in Teaching Teams in Postgraduate Medical Training (TeamQ)
title Development and Validation of an Instrument for Measuring the Quality of Teamwork in Teaching Teams in Postgraduate Medical Training (TeamQ)
title_full Development and Validation of an Instrument for Measuring the Quality of Teamwork in Teaching Teams in Postgraduate Medical Training (TeamQ)
title_fullStr Development and Validation of an Instrument for Measuring the Quality of Teamwork in Teaching Teams in Postgraduate Medical Training (TeamQ)
title_full_unstemmed Development and Validation of an Instrument for Measuring the Quality of Teamwork in Teaching Teams in Postgraduate Medical Training (TeamQ)
title_short Development and Validation of an Instrument for Measuring the Quality of Teamwork in Teaching Teams in Postgraduate Medical Training (TeamQ)
title_sort development and validation of an instrument for measuring the quality of teamwork in teaching teams in postgraduate medical training (teamq)
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4231160/
https://www.ncbi.nlm.nih.gov/pubmed/25393006
http://dx.doi.org/10.1371/journal.pone.0112805
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