TeamSTEPPS® Long-Term Care Version, Module 3
Leadership: Classroom Slides
Contents
Slide 1: Leadership

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- Describe different types of team leaders.
- Describe the roles and responsibilities of an effective team leader.
- Describe the leader's role in resource management.
- Describe the delegation process.
- Describe strategies for team leaders to use, including briefs, huddles, and debriefs.
- Describe how effective team leaders facilitate conflict resolution.
- Identify the barriers, tools, strategies, and outcomes of leadership.
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Slide 3: TeamSTEPPS Framework
![TeamSTEPPS logo. For details, go to [D] Text Description.](slltcleadershipsl03.jpg)
[D] Select for Text Description
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Slide 4: Team Leader

Two types of leaders:
- Designated—The person assigned to lead and organize a designated core team, establish clear goals, and facilitate open communication and teamwork among team members.
- Situational—Any team member who has the skills to manage the situation at hand.
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Slide 5: Effective Team Leaders

- Organize the team.
- Articulate clear goals.
- Make decisions through collective input of members.
- Empower members to speak up and challenge, when appropriate.
- Actively promote and facilitate good teamwork.
- Are skillful at conflict resolution.
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Slide 6: Resource Management Is...

A strategy for achieving workload balance within and across teams in a unit.
- Refers to people, knowledge or information, materials, and time that can be drawn upon to accomplish a task.
- Goal is to prevent work overload situations that compromise situation awareness and increase the risk of error.
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Slide 7: Resource Management
![Image: Penguin medical team in center of chart represents Human Capital. Surrounding Human Capital are Core Team Leader (Information [resident and family; plan of care; and facilities], time, and equipment), Coordinating Team Leader (information [administrative, facilities] time, equipment, resident flow, and other departments), FOCUS (team and your unit), and FOCUS (support units).](slltcleadershipsl07.jpg)
| Core Team Leader |
Coordinating Team Leader |
- Information:
- Resident and family.
- Plan of care.
- Facilities.
- Time.
- Equipment.
|
- Information:
- Administrative.
- Facilities.
- Time.
- Equipment.
- Resident flow.
- Other departments.
|
| Focus: Team & Your Unit |
Focus: Work Flow |
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Slide 8: Delegation

- Method of redistributing tasks or assignments.
- Process includes four steps:
- Decide what to delegate.
- Decide to whom to delegate.
- Communicate clear expectations.
- Request feedback.
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Slide 9: Promoting and Modeling Teamwork

Effective team leaders cultivate desired team behaviors and skills through:
- Open sharing of information.
- Role modeling and effective cuing of team members to use prescribed teamwork behaviors and skills.
- Constructive and timely feedback.
- Facilitation of briefs, huddles, debriefs, and conflict resolution.
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Slide 10: Exercise: Leadership

Instructions:
- Begin by selecting a leader and scribe for your group.
- The group will have 10 minutes to address the questions, record your answers, and report back to the group at large.
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Slide 11: Team Events

- Briefs—planning.
- Huddles—problem solving.
- Debriefs—process improvement.
Leaders are responsible to assemble the team and facilitate team events.
But remember...
Anyone can request a brief, huddle, or debrief.
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Slide 12: Briefs

Select the penguin director icon below to access the video.
Planning
- Form the team.
- Designate team roles and responsibilities.
- Establish climate and goals.
- Engage team in short-and long-term planning.
Brief (Flash video, 44 sec.; 8.8 MB (Plugin Software Help)
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Slide 13: Planning Essentials for Teams

- Leader usually initiates the planning process.
- Team members are included in the planning process.
- Team members have a common understanding of the problem and their roles.
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Slide 14: Briefing Checklist

| Topic | |
| Who is core team? |
X |
| All members understood and agree upon goals? |
X |
| Roles and responsibilities understood? |
X |
| Plan of care? |
X |
| Staff availability? |
X |
| Workload? |
X |
| Available resources? |
X |
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Slide 15: Huddle

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Problem Solving
- Hold ad hoc, "touch-base" meetings to regain situation awareness.
- Discuss critical issues and emerging events.
- Anticipate outcomes and likely contingencies.
- Assign resources.
- Express concerns.
Huddle (Flash video, 25 sec.; 5.1 MB) (Plugin Software Help)
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Slide 16: Debrief

Process Improvement
- Brief, informal information exchange and feedback sessions.
- Occur after an event or shift.
- Designed to improve teamwork skills.
- Designed to improve outcomes:
- An accurate reconstruction of key events.
- Analysis of why the event occurred.
- What should be done differently next time.
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Slide 17: Debrief Checklist

| Topic | |
| Communication clear? |
X |
| Roles and responsibilities understood? |
X |
| Situation awareness maintained? |
X |
| Workload distribution? |
X |
| Did we ask for or offer assistance? |
X |
| Were errors made or avoided? |
X |
| What went well, what should change, what can improve? |
X |
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Slide 18: Debrief Video

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Debrief (Flash video, 49 sec.; 9.9 MB) (Plugin Software Help)
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Slide 19: Facilitating Conflict Resolution

- Effective leaders facilitate conflict resolution techniques through invoking:
- Two-Challenge rule.
- DESC script.
- Effective leaders also assist by:
- Helping team members master conflict resolution techniques.
- Serving as a mediator.
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Slide 20: Team Formation Video (Optional)

Select a penguin director icon below to access the video.
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Slide 21: Leadership

Barriers
- Hierarchical Culture.
- Lack of Resources or Information.
- Ineffective Communication.
- Conflict.
Tools and Strategies
Outcomes
- Shared Mental Model.
- Adaptability.
- Team Orientation.
- Mutual Trust.
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Slide 22: Teamwork Actions

- Empower team members to speak freely and ask questions.
- Use resources efficiently to maximize team performance.
- Balance workload within the team.
- Promote and model teamwork.
- Delegate tasks or assignments, as appropriate.
- Conduct briefs, huddles, and debriefs.
- Use conflict resolution techniques (i.e., Two-Challenge rule and DESC script).
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Return to Index
Proceed to Module 4
Internet Citation:
TeamSTEPPS Long-Term Care Course, Module 3. Leadership. Classroom Slides. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/teamsteppstools/longtermcare/module3/slltcleadership.htm