First Advisor

Alma Jackson


Rueckert-Hartman College for Health Professions

Degree Name

Doctor of Nursing Practice



Document Type

Thesis - Open Access

Number of Pages

53 pages


Despite numerous patient safety and quality programs available and in use in the healthcare environment, adverse events in operating rooms continue to occur. The operating room is a complex and chaotic environment where teamwork is necessary for safe patient care. Team training is a strategy that improves teamwork. TeamSTEPPS is an evidence-based team training program designed to integrate teamwork into clinical practice. This project aims to determine if TeamSTEPPS communication tools and strategies improve the perception of teamwork and efficiency in a pediatric operating room. The outcome objectives for this project are to increase the perception of teamwork and improve efficiencies in a pediatric operating room by using the TeamSTEPPS program. The project design is a quality improvement project using convenience sampling from a voluntary group of multidisciplinary team members. Pre and post-intervention data were obtained using the TeamSTEPPS, T-TPQ tool. Efficiency data were obtained from electronic medical records. Statistically significant results were demonstrated in two teamwork domains; Leadership and Situation Monitoring. The mean difference in efficiencies demonstrated that there was no improvement in efficiency metrics after the implementation of TeamSTEPPS. Implications for practice include the need for continued team training, a plan for sustainability of TeamSTEPPS concepts, and a plan to address team dynamics when unexpected stress or change is introduced into the work environment.

Date of Award

Spring 2021

Location (Creation)

Denver, Colorado