Who is Being Assessed or Evaluated?:
Observer-based (e.g., rubric, rating tool, 360 degree feedback)
Source of Data:
Health care trainees
Health care providers, staff
Notes for Data Sources:
In terms of the simulation, medical students role played the parts of nurse and medicine resident. In addition to 3-4 students in these roles, each team had a chief of medicine who was trained to serve in this role. In study 1 (to assess the tool's internal structure), four trained physician observers were used as raters. In study 2 (to assess the relationship between TAS scores and clinical performance), two physicians and two medical students were used as raters.
Notes for Content:
1. Task-related Collaborative Behaviors
- Information exchange
As a result of factor analysis, the latter two components were combined and the instrument was reduced from 17 to 14 items.
2. Team Adjustment Behaviors had no sub-components.
The three simulation scenarios involved varying degrees of complexity in terms of the amount of information that had to be handled before or within the scenario.
- Scenario 1: unexpected clinical finding (T-wave negativations on ECG) just prior to patient discharge, requiring team meeting and patient discussion
- Scenario 2: patient on fasting restrictions ate breakfast, creating a problem for a scheduled gastrointestinal tract ultrasound, conflict and team problem solving
- Scenario 3: a non-compliant diabetic patient refuses to take medication, requiring team intervention and patient education
14 items; each of the simulation scenarios lasts 5-7 minutes.
Likert-type, 5-point scales with "completely disagree" (1) and "completely agree" (5) as polar anchors.
Simulations were conducted in a university-based simulation center. In study 1, authors described dividing up the class so half of the students performed the simulated role plays while the other half watched. In the Discussion, the authors state that a short, video-based training session can be used to prepare raters to use the TAS.
Item scores and overall average scores can be computed from the TAS. Several items are reverse scored.
Open access (available on this website)
Notes on Access:
Contact the author to confirm permission to use.