Team Structure: Classroom Slides

TeamSTEPPS Long-Term Care Version: Module 2

The Long-Term Care version of TeamSTEPPS adapts the core concepts of the TeamSTEPPS program to reflect the environment of nursing homes and other other long-term care settings such as assisted living and continuing care retirement communities. The examples, discussions, and exercises below are tailored to the long-term care environment.

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Team Structure: Classroom Slides

Slide 1: Team Structure

Text Description is below the image. Images show penguin residents with penguin staff.

The ratio of We's to I's is the best indicator of the development of a team.

—Lewis B. Ergen

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Slide 2: Objectives

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  • Identify the characteristics of high-performing teams.
  • Discuss the benefits of teamwork and team structure.
  • Describe the components and composition of a multi-team system (e.g., Core Team, Coordinating Team, Contingency Team, Ancillary Services, and Administration).
  • Understand what defines a team.
  • Define the roles and effectiveness of team members.

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Slide 3: TeamSTEPPS Logo

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Image: The TeamSTEPPS logo is shown; arrows point from three text boxes to the pertinent sections of the logo: Knowledge, Cognitions, 'Think'; Attitudes, Affect, 'Feel'; Skills, Behaviors, 'Do'. Text: Team performance is a science... consequences of errors are great.

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Slide 4: Partnering With the Resident

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Embrace residents as valuable and contributing partners in their care.

  • Learn to listen to residents and their families.
  • Assess the resident's preferences regarding involvement.
  • Ask residents about their concerns.
  • Speak to them in lay terms.
  • Ask for their feedback.
  • Give them access to relevant information.
  • Encourage residents and their families to proactively participate in resident care.

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Slide 5: Why Teamwork?

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  • Reduce clinical errors.
  • Improve resident outcomes.
  • Improve process outcomes.
  • Increase resident satisfaction.
  • Increase staff satisfaction.
  • Reduce staff turnover.
  • Reduce resident and family grievances and complaints.

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Slide 6: High-Performing Teams

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Teams that perform well:

  • Hold shared mental models.
  • Have clear roles and responsibilities.
  • Have clear, valued, and shared vision.
  • Optimize resources.
  • Have strong team leadership.
  • Engage in a regular discipline of feedback.
  • Develop a strong sense of collective trust and confidence.
  • Create mechanisms to cooperate and coordinate.
  • Manage and optimize performance outcomes.

(Salas, et al., 2004)

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Slide 7: Barriers to Team Performance

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  • Inconsistency in team membership.
  • Lack of time.
  • Lack of information sharing.
  • Hierarchy.
  • Defensiveness.
  • Conventional thinking.
  • Varying communication styles.
  • Conflict.
  • Lack of coordination and followup.
  • Distractions.
  • Fatigue.
  • Workload.
  • Misinterpretation of cues.
  • Lack of role clarity.

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Slide 8: Exercise Teams and Teamwork

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Write down the names (or positions) of the people in your immediate work area or unit who contribute to successful resident care.

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Slide 9: Multi-Team System (MTS) for Resident Care

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Image: Multi-Team System.

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Slide 10: A Core Team is...

Image of Multi-Team System with Core Team enlarged..

A group of care providers who work interdependently to manage a set of assigned residents from point of assessment to discharge.

Core Team members have the closest contact with the resident!

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Slide 11: A Coordinating Team is...

Image of Multi-Team System with Coordinating Team enlarged.

A team comprising those work area members who are responsible for managing the operational environment that supports the Core Team.

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Slide 12: A Contingency Team is...

Image of Multi-Team System with Contingency Team enlarged.

A time-limited team formed for emergent or specific events and composed of members from various teams.

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Slide 13: Ancillary and Support Services Provide...

Image of Multi-Team System with Ancillary and Support Services enlarged.

Ancillary Services provide direct, task-specific, time-limited care to residents.

Support Services provide indirect service-focused tasks that help to facilitate the optimal health care experience for residents and their families.

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Slide 14: The Role of Administration is to...

Image of Multi-Team System with Adminstration enlarged. Text is below the image

  • Establish and communicate vision.
  • Development policies and set expectations for staff related to teamwork.
  • Support and encourage staff during implementation and culture change.
  • Hold teams accountable for team performance.
  • Define the culture of the nursing home.

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Slide 15: Example: A Multi-Team System in a Nursing Home

Image of Multi-Team System showing staff positions in each team.

 

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Slide 16: Exercise: Your Multi-Team System

Exercise: Your Multi-Team System

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Slide 17: Team Member Characteristics

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Image of penguins in various jackets.

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Slide 18: Team Failure Video

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Select a penguin director icon below to access the video.

Opportunity to apply TeamSTEPPS technique to improve outcome in Long-Term Care (Flash video, 3 min., 15 sec.) (Plugin Software Help)'Roll 'Em!' Play Video (icon: penguin film director)

'Roll 'Em!' Play Video (icon: penguin film director)Opportunity to Apply TeamSTEPPS Technique To Improve Outcome in Sub-Acute Care (Flash video, 2 min., 26 sec.) (Plugin Software Help)

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Slide 19: Teamwork Failure Video Analysis

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  • Did the team establish a leader?
  • Did the team members communicate essential information to each other?
  • Did all team members contribute?
  • Did the team members demonstrate mutual respect toward one another.
  • Did the team address issues and concerns?
  • What are some specific actions that could have been taken to improve the outcome?

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Slide 20: What Defines a Team?

Two or more people who interact dynamically, interdependently, and adaptively toward a common and valued goal, have specific roles or functions, and have a time-limited membership.

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Slide 21: Paradigm Shift to Team System Approach

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From (Individual)

Single focus (clinical skills).
Individual performance.
Underinformed decisionmaking.
Loose concept of teamwork.
Unbalanced workload.
Having information.
Self-advocacy.
Self-improvement.
Individual efficiency.

To (Team)

Dual focus (clinical and team skills).
Team performance.
Informed decisionmaking.
Clear understanding of teamwork.
Managed workload.
Sharing information.
Mutual support.
Team improvement.
Team efficiency.
 

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Slide 22: Effective Team Members

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  • Are better able to predict the needs of other team members.
  • Provide quality information and feedback.
  • Engage in higher level decisionmaking.
  • Manage conflict skillfully.
  • Understand their roles and responsibilities.
  • Reduce stress on the team as a whole through better performance.

"Achieve a mutual goal interdependent and adaptive actions."

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Slide 23: Teamwork Actions

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  • Assemble a team.
  • Establish a leader.
  • Identify the team's goals and vision.
  • Assign roles and responsibilities.
  • Hold team members accountable.
  • Actively share information among team members.
  • Provide feedback.

"Individual commitment to a group effort—that is what makes a team work, a company work, a society work, a civilization work."

—Vince Lombardi

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Current as of November 2012
Internet Citation: Team Structure: Classroom Slides: TeamSTEPPS Long-Term Care Version: Module 2. November 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/longtermcare/module2/slltcteamstruct.html