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Developing and Testing TEAM (Team Evaluation and Assessment Measure), a Self-assessment Tool to Improve Cancer Multidisciplinary Teamwork

Taylor, C, Brown, K, Lamb, B, Harris, J, Sevdalis, N and Green, J S A (2012) Developing and Testing TEAM (Team Evaluation and Assessment Measure), a Self-assessment Tool to Improve Cancer Multidisciplinary Teamwork Annals of Surgical Oncology, 19 (13). pp4019-4027.

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Abstract

Background Cancer multidisciplinary teams (MDTs) are well established worldwide and are an expensive resource yet no standardised tools exist to measure performance. We aimed to develop and test an MDT self-assessment tool underpinned by literature review and consensus from over 2000 UK MDT members about the “characteristics of an effective MDT.” Methods Questionnaire items relating to all characteristics of MDTs (particularly Leadership and Chairing; Teamworking and Culture; Patient-centred care; Clinical decision-making process; and Organisation and administration during meetings) were developed by an expert panel. Acceptability, feasibility and psychometric properties were tested by online completion of the questionnaire by 23 MDTs from 4 UK NHS Trusts followed by interviews with 74 team members including members from all teams and nonresponders. 10 of the MDTs also completed questionnaires that directly translated each characteristic to an item (for the five domains above) to test content validity. Results A total of 47 items were created, each rated for agreement on a 5-point scale. A total of 329 (52 %) of 637 team members completed the questionnaire, including representation from medical, nursing and clerical MDT members. Responses correlated well with domain-specific questionnaires (r > 0.67, p = 0.01), most domain-scales had acceptable internal consistency (Cronbach alpha > 0.60), and good item discrimination (majority of items r < 0.20). Team members were positive about its value. Conclusions Self-assessment of team performance using this tool may support MDT development.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Faculty of Health and Medical Sciences
Authors :
NameEmailORCID
Taylor, Ccath.taylor@surrey.ac.uk
Brown, K
Lamb, B
Harris, Jjen.harris@surrey.ac.uk
Sevdalis, N
Green, J S A
Date : 21 July 2012
DOI : 10434-012-2493-1
Copyright Disclaimer : Copyright Society of Surgical Oncology 2012
Uncontrolled Keywords : Team member; Item discrimination; Team assessment; Alpha rating; Cancer team
Depositing User : Diane Maxfield
Date Deposited : 17 Apr 2018 14:34
Last Modified : 02 Aug 2018 13:42
URI: http://epubs.surrey.ac.uk/id/eprint/846247

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