The team first reviewed the accreditation standards of 10 accredited health professions and specifically the learning outcomes / competencies / observable behaviors related to interprofessional and team-based care. The team searched the literature for existing tools by extending several well-known literature reviews, three by the Harvard Business School (e.g., Valentine, et al., 2015) and the Canadian Interprofessional Health Collaborative (2012). A total of 99 tools were identified, only 11 of which were objective assessments in work-based settings. Eight themes emerged from analysis of 481 items. After two rounds of Delphi discussions, 18 observable behaviors were identified in three categories: communication, cooperation, and coordination.
The initial version (called iSTAT) was field tested at five sites. Data were collected from n = 132 episodes of teamwork, and n = 108 participating students. The initial scale (observed "rarely," "sometimes," "consistently") was inoperable given that the instrument records a single episode. Other changes based on field test experience was the development of two versions (junior and senior), and an intentional shift from summative to formative assessment.
Factor analysis reduced the 18 behaviorally based items to 15. The internal consistency of this scale was 0.89.
Relation to Other Variables: