Components Of Teamwork Research Articles

Abbreviated in-situ inter-professional debriefing simulation training in peri-operative care environments: Minimizing the impact on clinical care using standardized videos

IntroductionOur facility leadership posed questions to the perioperative leadership team regarding the presence of collaborative communication during the reconciliation of events occurring in several perioperative care areas (operating rooms {OR}, clinic procedure areas, Intensive Care Unit {ICU}). Our team* collaborated to pilot a rapid cycle performance improvement project focused on improving the effectiveness of debriefings and handoffs that could conceivably lead to more effective after-action reviews following events which were complicated by multiple simultaneous unexpected factors. We proposed we could implement standardized abbreviated low-fidelity point of care (in-situ) inter-professional simulation training across the healthcare system with minimal impact on clinical schedules. We believed this would improve the perception of teamwork and collaboration among surgical team members. MethodsInter-professional in-situ simulation training exercises were designed and performed in perioperative care areas systemwide at our three major facilities (Main hospital and two Healthcare Community Centers [HCC]). Multiple iterations of styles of training were conceived and trialed. In the end, preconstructed videos were used to standardize the processes that framed the simulation role-playing of a debriefing after a complex situation. These videos contain the pre-simulation pre-briefings, the clinical situation that preceded the clinical debriefing and the simulation debriefing. Successful reconciliation of the multiple events required team members to exercise closed-loop communication, mutual trust, reengagement, and de-escalation of disengaged team members. Anonymous institutional review board reviewed, and Association of Federal Government Employees (AFGE) approved retrospective pre/post implementation surveys were made available to participants immediately after and sixty to ninety days following simulation exercises. ResultsBetween July 2023 and March 2024, one hundred and six staff in the perioperative care areas participated in twenty-two inter-professional simulation trainings (eleven OR, eight clinic, and three ICU simulations). Fourteen simulation scenarios in seven surgical disciplines were created. Eleven videos were produced covering cases in the O.R., clinic and ICU. Ultimately, the simulations were completed within twenty minutes in the three perioperative care clinical areas. Seventy-nine staff responded to the initial surveys after the simulation training. Eighty percent of the respondents gave favorable assessments regarding the effectiveness of the training in improving components of teamwork and agreed this program should continue. ConclusionsThe pilot program affirmed that we could implement simulations across the healthcare system in a format that minimally impacted the staffs’ clinical schedule. The process was standardized through the creation of multiple specialty specific videos. We proposed that perioperative team leadership could utilize these videos in the future to conduct spontaneously arranged simulations when they identified the presence of members naïve to this training and opportunities in the clinical schedule.*Refer to the acknowledgments for construct of our perioperative leadership simulation advisory team

Improving Patient Safety and Care Quality Through a "Speaking-Up" Climate: The Mediating Role of Situation Monitoring.

In healthcare settings, a climate that encourages speaking up among staff is believed to enhance patient safety and quality of care. However, the specific mechanisms of this relationship remain underexplored. Particularly, there is a need to understand how components of teamwork, such as situation monitoring, can be linked to the impact of a speaking-up climate on relevant outcomes. This study aimed to investigate the direct and indirect effects of a speaking-up climate on patient safety and quality of care using situation monitoring as a potential mediator. This cross-sectional study used survey data from 380 staff nurses who provided direct patient care at three Korean hospitals. Structural equation modeling was utilized to test a hypothesized mediation model using Mplus 7.0. Our data analysis confirmed the partial mediation model. As hypothesized, a speaking-up climate directly improved patient safety (β = 0.384, p < 0.001) and quality of care (β = 0.393, p < 0.001). Also, we found that indirect effects of a speaking-up climate on patient safety (β = 0.224, p < 0.001) and quality of care (β = 0.186, p = 0.005) through situation monitoring were significant. These results indicate that situation monitoring was found to significantly mediate the relationship between a speaking-up climate, patient safety, and quality of care. Our study demonstrates that the positive impact of a speaking-up climate extends beyond improving nurses' speaking up. Further, fostering a speaking-up climate can significantly improve patient safety and quality of care, and situation monitoring has a critical role in this relationship. These findings contribute to understanding how encouraging a speaking-up climate could benefit patient safety and care quality in healthcare organizations.

An exploration of psychological safety and conflict in first‐year engineering student teams

AbstractBackgroundDeveloping teamwork skills is a central objective of engineering education. Psychological safety and conflict management are pivotal components of teamwork, yet despite their significance, research in engineering project‐based learning (PBL) contexts is scant. Understanding students' experiences with psychological safety and its interaction with conflict is crucial to inform PBL pedagogy.PurposeThis study delves into first‐year engineering students' experiences of psychological safety and conflict, including their evolution in a PBL course.MethodsThroughout the semester, we collected data from 82 students via written reflections and focus groups. Employing a thematic analysis underpinned by the team conflict dynamics model, we characterized students' experiences with psychological safety and conflict.FindingsAt the semester's outset, psychological safety was notably lacking. Students often hesitated to share ideas due to apprehensions about peer reactions and fears of negative judgments. As the semester advanced, consistent positive affirmations nurtured psychological safety, increasing students' confidence and readiness to discuss ideas openly and engage in healthy task conflict. Notably, process conflicts arising from absenteeism, poor communication, and procrastination were prevalent across teams. When unresolved, these conflicts eroded psychological safety, intensifying stress, exacerbating frustrations, and provoking relationship conflict.ConclusionsOur study underscores the intertwined nature of psychological safety and conflict in shaping the first‐year design experience in student teams. We urge faculty to recognize their pivotal role in fostering an inclusive culture and highlight pedagogical strategies that can bolster psychological safety at the onset, encourage healthy task conflict, and monitor unhealthy process and relationship conflicts.

Enhancing interprofessional teamwork between youth care professionals using an electronic health record; a mixed methods intervention study

ABSTRACT We aimed to investigate whether using a shared electronic patient record (EPR-Youth) strengthened interprofessional teamwork among professionals in youth care and child healthcare. Using a mixed-methods design, we compared two partly overlapping samples of professionals, who completed questionnaires before the introduction of EPR-Youth (n = 117) and 24 months thereafter (n = 127). Five components of interprofessional teamwork (interdependence, newly created professional activities, flexibility, collective ownership of goals, and reflection on processes) were assessed for this study. Midway through the study period, focus groups were held with 12 professionals to examine how EPR-Youth contributed to interprofessional teamwork. Professionals reported significantly more flexibility after the introduction of EPR-Youth than before. Professionals scored slightly -but not significantly- more positively on the other components of teamwork. Focus group participants reported that using EPR-Youth strengthened their sense of interdependence and collective ownership of goals, and contributed to newly created professional activities. At baseline, levels of interprofessional teamwork differed between organizations. Focus group participants confirmed these differences and attributed them to differences in facilitation of interprofessional teamwork. Our findings suggest that using EPR-Youth can foster interprofessional teamwork. Organizational differences underline that implementing an EPR alone is inadequate: shared definitions of teamwork and organizational facilities are needed to strengthen interprofessional teamwork.

Association of Burnout With Primary Care Clinician Perception of Team-Based Scheduling Support.

Primary care clinician burnout is pervasive and detrimental. How components of teamwork and clinic culture might contribute to burnout remains unsettled. To examine associations between primary care clinician perceptions of specific components of teamwork and of organizational culture, and perceived stress and burnout. Cross-sectional survey study of primary care clinicians from 5 county health system clinics. Measures: Perceptions of teamwork related to coordination of care, and clinic provision of chronic disease self-management support; values alignment and workplace equity; and demographics. Descriptive statistics and Spearman's correlations to examine associations, controlling for clinic and examining response variability by clinic. Of 72 clinicians, 64% were female and 32% non-white. About 56% had worked at least 4 years and half worked 5 to 6 half days/week or more in their clinic. Clinicians who reported having someone on the clinician's care team routinely schedule follow-up appointments for patients with complex chronic illnesses reported lower stress and burnout. Those who perceived greater values alignment with their clinic and greater personal and employee equitable treatment had lower stress and burnout. Teamwork among clinicians and non-clinical staff, a component of teamwork that is not well-considered in current literature, could be an important piece of the puzzle to decrease the persistent and challenging issue of stress and burnout among primary care clinicians.

THE CASE STUDY OF ORGANIZING PROJECT ACTIVITIES OF STUDENTS WITHIN THE “ELECTRONIC AND DIGITAL EDUCATIONAL RESOURCES” COURSE

The given paper describes a pilot project for organizing student project activities at a pedagogical university to create electronic and digital educational resources based on Web technologies. The principles and requirements for project activities are analyzed. A learning model, pedagogical design and contents of the main stages of the individual project activity with components of teamwork have been developed. This approach was tested in the “Electronic and Digital Educational Resources” (EDER) course for the 4th-year undergraduate students of Lipetsk State Pedagogical University. The development of the EDER is iterative in nature, using the tools of brainstorming and reflection, as well as the collective review. Examples of project activities at individual stages are given. The conclusion is made about the positive impact of the project method on the motivation of students to form professional competencies in the context of digitalization of education.

Objective Communication Patterns Associated With Team Member Effectiveness in Real-World Virtual Teams.

We explore the relationships between objective communication patterns displayed during virtual team meetings and established, qualitative measures of team member effectiveness. A key component of teamwork is communication. Automated measures of objective communication patterns are becoming more feasible and offer the ability to measure and monitor communication in a scalable, consistent and continuous manner. However, their validity in reflecting meaningful measures of teamwork processes are not well established, especially in real-world settings. We studied real-world virtual student teams working on semester-long projects. We captured virtual team meetings using the Zoom video conferencing platform throughout the semester and periodic surveys comprising peer ratings of team member effectiveness. Leveraging audio transcripts, we examined relationships between objective measures of speaking time, silence gap duration and vocal turn-taking and peer ratings of team member effectiveness. Speaking time, speaking turn count, degree centrality and (marginally) speaking turn duration, but not silence gap duration, were positively related to individual-level team member effectiveness. Time in dyadic interactions and interaction count, but not interaction length, were positively related to dyad-level team member effectiveness. Our study highlights the relevance of objective measures of speaking time and vocal turn-taking to team member effectiveness in virtual project-based teams, supporting the validity of these objective measures and their use in future research. Our approach offers a scalable, easy-to-use method for measuring communication patterns and team member effectiveness in virtual teams and opens the opportunity to study these patterns in a more continuous and dynamic manner.

Occupational fatigue, workload and nursing teamwork in hospital nurses.

To evaluate the relationships between workload, nursing teamwork and nurse fatigue and the moderating effect of nursing teamwork on the relationship between workload and fatigue. This cross-sectional online survey study used data from 810 United States hospital nurses collected between March and April 2021. Workload, nursing teamwork and fatigue were measured using the Quantitative Workload Inventory, the Nursing Teamwork Survey, and the Occupational Fatigue Exhaustion Recovery scale. Hierarchical multiple linear regression models were used. All the nursing teamwork subscales (i.e. trust, team orientation, backup, shared mental model, team leadership) were significantly negatively related to acute and chronic fatigue. Nursing teamwork components of team orientation, shared mental model and team leadership moderated the relationship between workload and chronic fatigue. The relationships between workload and chronic fatigue were stronger when these components of nursing teamwork were high. No moderating effects were found with acute fatigue. Efforts to increase nursing teamwork may be a promising strategy in managing nurse fatigue. It is equally important to monitor and modify high workload to protect nurses from elevated fatigue. WHAT PROBLEM DID THE STUDY ADDRESS?: Fatigue is negatively associated with the health and safety of hospital nurses and patients. Nursing teamwork has been shown to improve the nursing care of hospitalized patients; yet, it is rarely explored in relation to nurse fatigue. WHAT WERE THE MAIN FINDINGS?: Greater nursing teamwork is significantly associated with lower acute and chronic fatigue. The relationships between workload and chronic fatigue were stronger when nursing teamwork (i.e. team orientation, shared mental model and team leadership) was high than when nursing teamwork was low. WHERE AND ON WHOM WILL THE RESEARCH HAVE AN IMPACT?: Improving nursing teamwork, in addition to monitoring and modifying workloads, can be a promising approach for managing fatigue in healthcare organizations.

Using an Interprofessional Lens to Analyze Serious Adverse Events in a Teaching Hospital: An Analysis with the TeamSTEPPS&amp;lt;sup&amp;gt;&amp;amp;reg;&amp;lt;/sup&amp;gt; Framework

This paper explores the contribution of teamwork skills in serious adverse events, using the TeamSTEPPS® framework. Adverse events are the undesirable events that are not due to the natural course of a disease; they are considered serious when they prolong a hospital stay, lead to a physical disability or to death. Failures in teamwork, particularly with interprofessional teams, can lead to potential risks to patient safety. Using a dataset of de-identified reports of serious adverse events in 2016 in a tertiary teaching hospital, we explored the contribution of teamwork skills according to the TeamSTEPPS® framework to these adverse events. We found that 61% of the 41 analyzed events involved failures in teamwork skills, with 80% of these involving communication, 52% in situation monitoring and team structure, 44% in mutual support and 40% in leadership. Sixty-four percent of the events involved more than one teamwork component. Our findings emphasize the need to improve teamwork training in healthcare, focusing not only on communication, but also on other teamwork skills as they often contribute together in adverse events. Future analyses of serious adverse events should include a focus on teamwork competencies, to guide the development of future quality and safety training programs.

Effect Of Life Skill, Discipline and Motivation Toward Learning Result Pf Sport Subject During Pandemic Covid-19

Learning outcomes are a measure of the success of students in studying the material that has been delivered within a certain period, learning outcomes are used to determine the position of students against predetermined standards. The application of Life Skills, Discipline, and Motivation is expected to help improve or change students to get better physical education learning outcomes. The population of this study was class VIII students of SMPN 4 Karangpawitan Garut. The population was 98 people, with a sample of 30 students in the experimental group A, experimental group B and 30 students in the experimental control group C. Sampling was carried out using purposive sampling. The research method in this study is Quasi Exsperiment with a pre-test post-test control group design. The improvement of life skills is measured using an instrument from Cronin and Allen (2017), namely the Life Skills Scale for Sport (LSSS) which consists of eight components, namely: teamwork, goal setting, time management, emotional skills, communication, social skills, leadership, and problem solving. solving and decision making. And the increase in discipline and motivation was measured to determine the description of student learning implementation on student learning outcomes at a junior high school in Karangpawitan Garut. By using a questionnaire instrument, the results showed that there was a significant increase in life skills, discipline and motivation from each experimental group. The component with the highest improvement is life skills with a teamwork component (teamwork). Keywords: Life Skills, Discipline, Motivation, Physical Education.

Relational Quality of Registered Nurses and Nursing Assistants: Influence on Patient Safety Culture.

Registered nurses (RNs) working within acute care hospitals have an incredible responsibility to provide safe care in a complex environment which requires trust, teamwork, and communication. Nursing assistants (NAs) play a critical role in working with RNs to meet these growing demands of inpatient care. Minimal evidence exists exploring the relational quality between RNs and NAs within hospitals. The aim of this study is to explore RN and NA behaviors and experiences that promote patient safety and teamwork and enhance communication between RNs and NAs within the hospital environment. Qualitative analysis was used, with two focus groups which included six participants within each group (three RNs and three NAs) from two separate inpatient units. Transcripts were reviewed and coded for themes. Collaborative teamwork and two-way communication were commonly reported as behaviors that promote patient safety. Trust between RNs and NAs was identified as a key component of positive relationships between RNs and NAs. Participants identified four common behaviors that build trust, which were accountability, effective conflict resolution, collaborative teamwork, and prioritizing patient needs. Finally, teamwork was identified as a common strategy to increase communication effectiveness between RNs and NAs. High relational quality (RQ) between the RN and NA is an important component of teamwork and patient safety culture.

The Swedish version of the TeamSTEPPS\xae teamwork attitudes questionnaire (T-TAQ): A validation study

BackgroundEffective teamwork is essential for delivering safe health care. It is important to increase patient safety in healthcare by conducting interprofessional team training with both healthcare professionals and undergraduate students. Validated questionnaires that evaluate team training activities contribute to valuable knowledge regarding changes in attitudes toward teamwork. The aim of the study was to test the reliability and structural validity of the Swedish version of the TeamSTEPPS® Teamwork Attitudes Questionnaire (T-TAQ).MethodsThe study had a cross-sectional design. Four hospitals in three health care regions in Sweden participated in the study. In total, 458 healthcare professionals, response rate 39.4%, completed the questionnaire. The T-TAQ, which consists of 30 items and covers five dimensions (Team Structure, Leadership, Situation Monitoring, Mutual Support and Communication), was translated to Swedish. A paper version of the T-TAQ was distributed to healthcare professionals (physicians, registered nurses, midwives, nursing assistants and allied health professionals) from the hospitals. Reliability and validity were tested using Cronbach’s alpha and confirmatory factor analysis.ResultsCronbach’s alpha was 0.70 for the total T-TAQ and ranged from 0.41 to 0.87 for the individual dimensions. The goodness-of-fit indexes in the confirmatory factor analysis (Model 2) revealed a normed chi-square of 2.96, a root mean square error of approximation of 0.068, a Tucker-Lewis index of 0.785 and a comparative fit index of 0.808.ConclusionsThe Swedish version of the T-TAQ has some potential to measure healthcare professionals’ general attitudes toward the core components of teamwork in hospital settings. Further validation studies of the Swedish version of the T-TAQ are required, with samples representing both healthcare professionals and students from various healthcare disciplines and educational levels.

Сетевые инструменты в организации тимбилдинга для обучающихся

The article provides practical recommendations for organizing team building in remote mode for students. As tools for its implementation, network tools are shown, which include accessible Internet applications, in particular, Google services that allow users to work together, which is an integral component of teamwork. The forms of organizing team building for students in the Network are described, options for using specific services depending on their functions are described, and examples of tasks based on them are given. Attention is paid to the role of an interactive itinerary, network presentation material, as well as mind maps in the implementation of team building events.

How Approaches to Animal Swarm Intelligence Can Improve the Study of Collective Intelligence in Human Teams.

Researchers of team behavior have long been interested in the essential components of effective teamwork. Much existing research focuses on examining correlations between team member traits, team processes, and team outcomes, such as collective intelligence or team performance. However, these approaches are insufficient for providing insight into the dynamic, causal mechanisms through which the components of teamwork interact with one another and impact the emergence of team outcomes. Advances in the field of animal behavior have enabled a precise understanding of the behavioral mechanisms that enable groups to perform feats that surpass the capabilities of the individuals that comprise them. In this manuscript, we highlight how studies of animal swarm intelligence can inform research on collective intelligence in human teams. By improving the ability to obtain precise, time-varying measurements of team behaviors and outcomes and building upon approaches used in studies of swarm intelligence to analyze and model individual and group-level behaviors, researchers can gain insight into the mechanisms underlying the emergence of collective intelligence. Such understanding could inspire targeted interventions to improve team effectiveness and support the development of a comparative framework of group-level intelligence in animal and human groups.

Equal Pay for Equal Task: Assessing Heterogeneous Returns to Tasks across Genders

We inspect the heterogeneous association between tasks and wages across genders using individual‐level data on U.S. workers. Our findings suggest that women receive a higher wage premium when engaged in cognitive tasks and experience more contained wage losses when performing manual activities. However, a wage penalty characterizes women engaged in highly social intensive jobs. Further inspection reveals that this result is especially driven by the teamwork component of social activities.

Anesthesia Professionals' Perspectives of Teamwork During Robotic-Assisted Surgery.

Robotic-assisted surgery (RAS) presents unique teamwork challenges for perioperative team members, including anesthesia professionals. The purpose of this study was to explore anesthesiologists' and nurse anesthetists' teamwork experiences during RAS using an exploratory qualitative study design involving individual semistructured interviews. Study participants expressed that teamwork during RAS is both positive and challenging, and the start-up phase is the most demanding phase of RAS in terms of teamwork. Anesthesia professionals believe that both technical and nontechnical skills are necessary to provide excellent patient care and maintain patient safety during RAS. Furthermore, they believe that a more concentrated focus on nontechnical skills than is traditional is an essential component of teamwork.

The Impact of Professional Ethics on Organizational Accountability with Mediating Role of Teamwork

Background and Aim: Given the changing needs of organizations and society, productivity and competition require attention to professional ethics, teamwork and accountability. The purpose of this study was to determine the impact of professional ethics on organizational accountability with mediating role of teamwork. Materials and Methods: In this descriptive-correlational study, the study population was the staff of Ardabil University of Medical Sciences in 2018 According to Cochran formula, 170 people were selected using simple random sampling. Qasemzadeh's Professional ethics (2014), Linchoni's Teamwork (2000) and Bovens's (2005) Public accountability questionnaires were used for data collection. Data were analyzed using SPSS24 and Amos22 statistical softwares. Findings: Professional ethics had a direct and significant effect on teamwork (0.62) and staff accountability (0.58). The direct effect of teamwork on staff accountability was significant (0.43). Also, mediathing role of teamwork in the impact of professional ethics on accountability (0.26) was confirmed. Among the components of professional ethics, empathy (0.95) had the highest and respect for others (0.43) had the lowest factor load. Among the components of teamwork, commitment (0.85) had the highest and the constructive approach (0.49) had the lowest factor load. Among the dimensions of accountability, the dimension of professional accountability (0.90) had the highest and the dimension of legal accountability (0.57) had the lowest factor load. Conclusion: According to the findings, staff training for professional ethics and teamwork skills can provide the ground for unity and teamwork that results in increased organizational accountability. Please cite this article as: Moeinikia M, Kazemi S, Omidvar A, Divband A. The Impact of Professional Ethics on Organizational Accountability with Mediating Role of Teamwork. Bioethics Journal 2019; 9(31): 35-45.

Self-Efficacy of internship nursing students in dealing with Palliative patients

Palliative care is one of the practice areas that is perceived difficult by nurses and nursing students. S tudents tend to avoid seeing patien t s with the deteriorating condition. This research aimed to identify the self-efficacy of internship nursing students in facing palliative patients within communication, management of the patient, and multidisciplinary teamwork components. This study was a descriptive quantitative. Samples were recruited from a population of internship nursing students at Faculty of Nursing Universitas Padjadjaran using a total sampling technique (n=159). Data were collected using Self-Efficacy Palliative Care scale (SEPC). Data were analyzed using mean scores calculated from the total scores of each respondent . The results showed that more than half of the respondents had a low level of self-efficacy. In terms of its component s , students’ self-efficacy in communication , multidisciplinary team collaboration , and patient management had a mean score of 38.24 (SD 10.35), 39.21 (SD 9.44), and 48.18 (SD 9.56) respectively . Based on the results, it is recommended to develop an active learning strategy for internship nursing students, especially in the aspects of communication, patient management, and multidisciplinary team collaboration.

Creative teaching behaviors of health care school teachers in Taiwan: mediating and moderating effects

BackgroundConsiderable attention has been paid to the variables for creative abilities of teachers and the creative climate of the schools in which they teach, as well as the direct relationships between these variables. However, research on the indirect links between these variables concerning creativity in higher education has been limited. Researches on creative teaching behaviors among health care teachers are scant, particularly in Taiwan.MethodsThis study used a cross-sectional descriptive design to investigate potential mediating and moderating effects of Taiwanese health care school teachers’ creative teaching self-efficacy and a school’s creative climate, the relationship between these variables, and the relationship between creative teaching self-efficacy and creative teaching behaviors. Participants were purposively selected from five vocational and technical health care schools in Northern Taiwan representing the departments of nursing, gerontological care and management, and nutrition and health. Data were collected from five self-report questionnaires regarding teaching, the school environment, and creativity. Data were analyzed using Pearson’s correlation coefficient and simple and hierarchical multiple regression models.ResultsA total of 53 teachers completed the questionnaires. Pearson’s correlation analysis showed the teamwork component of school creative climate was correlated with the creative teaching behavior of characteristics and motivations. The mediation model indicated creative teaching self-efficacy fully mediated the effect of teamwork on teachers’ characteristics and motivations. The moderation model indicated that teamwork negatively moderated the effect of teachers’ creative teaching abilities for characteristics and motivations on creative teaching behaviors (β = − 0.01, p < 0.001).ConclusionsOur findings fill a gap in the literature regarding creative teaching behaviors and school climate in Taiwan. School teachers’ creative teaching self-efficacy and creative teaching abilities are crucial mediating and moderating variables on the relationship between school creative climate and creative teaching behaviors, respectively. The empirical data confirm the validity of our proposed mediation and moderation models of creative teaching behaviors. Therefore, our findings may be effective references for health care teachers regarding creative teaching. Improving creative teaching behaviors of teachers responsible for educating students in health care schools could be facilitated by enhancing teachers’ creative self-efficacy and creative abilities.

Validity and reliability of the Teamwork Evaluation of Non-Technical Skills tool

Background: TENTS (Teamwork Evaluation of Non-Technical Skills) is a valuable team performance, 13 item observational assessment tool that has been used in clinical settings, but validity and reliability have not been tested. Objective: This study conducted validity and reliability tests on the TENTS observation tool. Method: This study used a convenience sample of 109 teamwork event observations conducted in an academic medical center in the United States of America (USA). Five different events were observed; new admissions, transfers to and from other units, rapid response team events, morning rounds, and medical procedures. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were conducted and the Cronbach’s alpha coefficients of the inventory were obtained. Result: The EFA results indicated the TENTS tool consisted of three factors; communication, leadership, and crossmonitoring. These three factors accounted for 46.30% of the total variance and their internal consistencies (Cronbach’s α) were .71–.79 (.88 overall). Conclusion: TENTS is a valid and reliable instrument for observing a variety of clinical teamwork events. EFA and CFA demonstrated that the tool is well-aligned with long-standing essential teamwork components described in the literature and in the TeamSTEPPS™ system.