Team emergency assessment measure (TEAM) of non-technical skills: The Brazilian Portuguese version of the TEAM tool

Giugni, Fernando Rabioglio; Dias, Roger Daglius; Rodrigues, Caio Godoy; Pinesi, Henrique Trombini; Scalabrini-Neto, Augusto

doi:10.1016/j.clinsp.2022.100043

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Original articles • Clinics 77 • 2022 • https://doi.org/10.1016/j.clinsp.2022.100043 copy

Team emergency assessment measure (TEAM) of non-technical skills: The Brazilian Portuguese version of the TEAM tool

Authorship SCIMAGO INSTITUTIONS RANKINGS

Highlights

The authors translated and cross-culturally adapted the TEAM tool into Brazilian Portuguese.
The Brazilian Portuguese TEAM version proved to be a consistent and reliable tool.

Abstract

Objectives

The aim of this study was to conduct the translation and cross-cultural adaptation of the original Team Emergency Assessment Measure (TEAM) tool into the Brazilian Portuguese language and investigate the internal consistency, inter-rater reliability, and concurrent validity of this new version (bp-TEAM).

Methods

Independent medical translators performed forward and backward translations of the TEAM tool between English and Portuguese, creating the bp-TEAM. The authors selected 23 videos from final-year medical students during in-situ emergency simulations. Three independent raters assessed all the videos using the bp-TEAM and provided a score for each of the 12 items of the tool. The authors assessed the internal consistency and the inter-rater reliability of the tool.

Results

Raters assessed all 23 videos. Internal consistency was assessed among the 11 items of the bp-TEAM from one rater, yielding a Cronbach's alpha of 0.89. inter-item correlation analysis yielded a mean correlation coefficient rho of 0.46. Inter-rater reliability analysis among the three raters yielded an intraclass correlation coefficient of 0.86 (95% CI 0.83‒0.89), p < 0.001.

Conclusion

The Brazilian Portuguese version of the TEAM tool presented acceptable psychometric properties, similar to the original English version.

Keywords
Teamwork; Leadership; Communication; Education; Simulation

Backward translation	TEAM author's comments
2 ‒ With some frequency	Not quite the same as "about as often as not" ‒ i.e., this measure is rating 50:50
Leadership: it is assumed that a leader was designated, if presented or was who had more experience ‒ if no leader expresses themselves, assign '0′ for questions 1 and 2.	Not quite right ‒ this is not quite what the original means
1. The team leader informed team members what was expected of them through guidance and commands.	Close ‒ but note that "guidance" does not have quite the same implication as "direction"
2. The team leader maintained a wide perspective. For example: supervised clinical procedures and the environment? Stayed away when necessary? Delegated appropriately?	Again close ‒ but "stayed away" is not quite the same as 'hands off'
11. The team followed patterns and approved guidelines: Can some deviation be approved?	Not quite the same ‒ "patterns" is not the same as "standards" and "can some deviation be approved" is not quite the same as "some deviation may be appropriate"
In general,	Not quite the same as "overall"
12. On a scale of 1‒10, give your general score/rating for non-technical team performance.	As above regarding "overall" as opposed to "in general"

Scale Items	Correlation Coefficient (rho)	p-value
Item 1	0.74	< 0.001
Item 2	0.83	< 0.001
Item 3	0.74	< 0.001
Item 4	0.63	0.001
Item 5	0.52	0.010
Item 6	0.59	0.003
Item 7	0.75	< 0.001
Item 8	0.59	0.003
Item 9	0.27	0.221
Item 10	0.82	< 0.001
Item 11	0.57	0.005

Faculdade de Medicina / USP Rua Dr Ovídio Pires de Campos, 225 - 6 and., 05403-010 São Paulo SP - Brazil, Tel.: (55 11) 2661-6235 - São Paulo - SP - Brazil
E-mail: clinics@hc.fm.usp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] ⁎Corresponding author. E-mail address:rdias@bwh.harvard.edu (R.D. Dias).