Leadership: Classroom Slides

TeamSTEPPS Long-Term Care Version: Module 3

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.

Contents


Slide 1: Leadership

Penguin dressed as a doctor.

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Slide 2: Objectives

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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.

[D] Select for Text Description

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Slide 4: Team Leader

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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

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  • 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...

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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).

Core Team LeaderCoordinating Team Leader
  • Information:
    • Resident and family.
    • Plan of care.
    • Facilities.
  • Time.
  • Equipment.
  • Information:
    • Administrative.
    • Facilities.
  • Time.
  • Equipment.
  • Resident flow.
  • Other departments.
Focus: Team & Your UnitFocus: Work Flow

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Slide 8: Delegation

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  • 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

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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

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Instructions:

  1. Begin by selecting a leader and scribe for your group.
  2. 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

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  • 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

Images: At right is photo of a medical team in hallway briefing prior to treating patient. At bottom right is penguin director icon to denote a video link. Text Description is below the image.

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.

'Roll 'Em!' Play Video (icon: penguin film director)
Brief (Flash video, 44 sec.; 8.8 MB (Plugin Software Help)

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Slide 13: Planning Essentials for Teams

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  • 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

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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

Text Description is below the image.

Select the penguin director icon below to access the video.

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.

'Roll 'Em!' Play Video (icon: penguin film director)
Huddle (Flash video, 25 sec.; 5.1 MB) (Plugin Software Help)

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Slide 16: Debrief

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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

Image: A penguin coach describes play on chalkboard for three penguin players in uniform. Text Description is below the image.

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

Images: Medical team in hallway being debriefed. At bottom right is penguin director icon to denote a video link.

Select the penguin director icon below to access the video.

'Roll 'Em!' Play Video (icon: penguin film director)
Debrief (Flash video, 49 sec.; 9.9 MB) (Plugin Software Help)

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Slide 19: Facilitating Conflict Resolution

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  • 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)

Images: Female doctor talking to 4 nurses at station. At bottom right is penguin director icon to denote a video link.

Select a penguin director icon below to access the video.

'Roll 'Em!' Play Video (icon: penguin film director)Team Formation Success - Long Term Care (Flash video, 8:43 minutes; 87 MB) (Plugin Software Help)

Team Formation Success - Sub-Acute Care (Flash video, 5:52 minutes; 62 MB) (Plugin Software Help)'Roll 'Em!' Play Video (icon: penguin film director)

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Slide 21: Leadership

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Barriers

  • Hierarchical Culture.
  • Lack of Resources or Information.
  • Ineffective Communication.
  • Conflict.

Tools and Strategies

  • Brief.
  • Huddle.
  • Debrief.

Outcomes

  • Shared Mental Model.
  • Adaptability.
  • Team Orientation.
  • Mutual Trust.

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Slide 22: Teamwork Actions

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  • 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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Page last reviewed November 2012
Internet Citation: Leadership: Classroom Slides: TeamSTEPPS Long-Term Care Version: Module 3. November 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/longtermcare/module3/slltcleadership.html