First Advisor

Cullen, Patricia L.

Second Advisor

Finn, Cris


Rueckert-Hartman College for Health Professions

Degree Name

Doctor of Nursing Practice


Loretto Heights School of Nursing

Document Type

Thesis - Open Access

Number of Pages

78 pages


Executive Summary
Evaluation of the Impact of TeamSTEPPS Training on Teamwork and Resilience in the Intensive Care Unit (ICU) and Perioperative Units in a Tertiary Care Hospital
The ICU and perioperative areas are stressful work environments. Nurses are a vulnerable population experiencing exposure to workplace stress, verbal and physical aggression, burn-out, moral distress, circadian rhythm disruption and depression. The stressful work environment leads to lower quality of patient care and nursing turnover. Teamwork and collaboration prevents errors and promotes healthy work environments (HWE) (Zaccagnini & White, 2014). To achieve the goals of the Affordable Care Act, it will be essential for professionals to collaborate effectively as multi-disciplinary teams providing the highest quality of patient care at the lowest possible cost to create value. Recent research indicates that resilience is not limited as an inherent personality characteristic, but is a process that can be developed by individuals through their environment and experiences (Chaboyer et al., 2007). It would be beneficial to improve the resilience of multi-disciplinary team members in order to more easily function and remain in the high stress environment of the ICU and perioperative units.
The purpose of the capstone project was to determine if there is a relationship between TeamSTEPPS training on perceptions of teamwork and resilience.
The goal was to provide staff members in stressful work environments with evidence based tools to increase levels of teamwork and resilience. Objectives The short term objective was to analyze the effectiveness of TeamSTEPPS training on individual levels of teamwork and resilience. The long term objective was the creation of HWE’s with increased levels of teamwork, high quality outcomes and retention of nursing staff.
The project involved participation of 144 ICU and perioperative staff members in a four hour TeamSTEPPS training program. A quantitative pre and post-test design was utilized to measure perceptions of teamwork and resilience.
Outcomes and Results
The T-TPQ analysis indicated an increase in the five constructs of teamwork with mutual support having a statistically significant increase in mean from 3.98 to 4.00, p = .04; t = 2.067, CI: -.178 to -.003. The Wagnild Resilience data analysis had a pre-survey composite score of 143.20 and post composite of 144.38 which was not statistically significant. t = -.868, p = .387, CI: -2.87 to 1.12. Implications for practice involve shifting the focus of teamwork impact from individual resilience to mutual support and relational resilience.

Date of Award

Fall 2015

Location (Creation)

Colorado (state); Denver (county); Denver (inhabited place)

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