TeamSTEPPS: Mutual Support
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Questions and Answers

According to the TeamSTEPPS framework, what is the primary goal of mutual support within a healthcare team?

  • To ensure each team member completes their assigned tasks independently.
  • To establish a strict hierarchy that clarifies decision-making authority.
  • To create a safe, effective, and patient-centered care environment. (correct)
  • To foster a competitive environment that encourages individual excellence.

In the context of TeamSTEPPS, what does 'backup behavior' refer to?

  • A method for escalating concerns to higher authorities immediately.
  • Documenting all actions to protect oneself from liability. (correct)
  • A strategy to avoid taking responsibility for errors.
  • The act of providing mutual support to team members.

Which action best exemplifies task assistance within a healthcare team?

  • A technician refuses to help a coworker who is behind schedule.
  • A pharmacist offers to help a busy nurse prepare medications.
  • A doctor dismisses a nurse's concerns about a patient's medication. (correct)
  • A nurse criticizes a colleague's technique in front of the patient.

Which statement best describes the main goal of formative feedback?

<p>To offer criticism to team members. (D)</p> Signup and view all the answers

What is the primary purpose of 'Advocacy and Assertion' in the context of patient care?

<p>To promote a culture of silence to avoid conflicts. (C)</p> Signup and view all the answers

You are a nurse and notice that a doctor is about to administer the wrong medication to the patient in their care. How should you proceed, using the principles of advocacy and assertion?

<p>Wait until the medication is administered and then report the incident to your supervisor. (C)</p> Signup and view all the answers

The 'Two-Challenge Rule' is most applicable in which of the following scenarios?

<p>When there is a disagreement about lunch break schedules. (C)</p> Signup and view all the answers

When should healthcare professionals utilize the 'Two-Challenge Rule'?

<p>To escalate safety concerns that have not been adequately addressed initially. (C)</p> Signup and view all the answers

In a surgical setting, a nurse notices the surgeon is about to make an incision on the wrong side of the patient. The nurse speaks up, but the surgeon dismisses the concern. What is the most appropriate next step for the nurse, according to the Two-Challenge Rule?

<p>Physically prevent the surgeon from proceeding, even if it means using force. (D)</p> Signup and view all the answers

What does the acronym 'CUS' stand for in the context of TeamSTEPPS?

<p>Control, Understand, Solve (D)</p> Signup and view all the answers

Which situation is most appropriate for using a 'CUS' statement?

<p>When disagreeing with a colleague's personal opinion. (C)</p> Signup and view all the answers

A medical resident is preparing to discharge a patient with a complex medical history but seems to be overlooking key aspects of the patient's care plan. You are concerned about the patient's safety upon discharge. Using the CUS tool, how would you address this situation?

<p>State, 'I am concerned because this patient has a complex history, I am uncomfortable with the current discharge plan, and this is a safety issue for the patient.' (C)</p> Signup and view all the answers

In an outpatient practice, how might staff use cross-training and workload monitoring to demonstrate mutual support?

<p>By avoiding teamwork to minimize the risk of errors. (B)</p> Signup and view all the answers

In a virtual team setting, what is an effective way to promote mutual support?

<p>Limiting communication to essential emails only. (B)</p> Signup and view all the answers

Which of these options does not reflect an appropriate use of advocacy and assertion?

<p>Questioning a doctor's order while speaking with them in private so you don't embarrass them. (C)</p> Signup and view all the answers

Flashcards

Mutual Support in TeamSTEPPS

Team members assisting each other for effective patient care.

Task Assistance

Helping others with tasks to build a strong, trusting team.

Formative Feedback

Information provided to team members to improve team performance.

Advocacy

Taking responsibility when disagreeing with a decision maker when patient safety is at risk.

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Assertion

A team member's responsibility to state their concern and offer solutions.

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Assertive Behavior

Using a firm and respectful tone to state concerns.

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Two-Challenge Rule

Taking immediate cessation until team members address a safety breach.

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CUS

CUS: Concerned, Uncomfortable, Safety issue.

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Study Notes

  • TeamSTEPPS is a framework that focuses on team leadership, situation monitoring, mutual support, and communication, all underpinned by knowledge and attitudes to ensure safe, efficient, and patient-centered care.

TeamSTEPPS - Mutual Support

  • Mutual support is a key TeamSTEPPS skill for safe, effective, patient-centered care.
  • Mutual support, also known as "backup behavior," involves team members assisting each other.
  • Mutual support includes providing and receiving feedback, plus assertive advocacy for patient safety.
  • Mutual support includes using the two-challenge rule and CUS signal phrases when patient safety is at risk.

Mutual Support Examples

  • In hospitals, mutual support includes adjusting patient loads to support staff.
  • In outpatient practices, volunteering to stay later to assist a colleague caring for a sick child is an example of support.
  • For diagnostic accuracy, cross-training staff and monitoring workloads can prevent errors.
  • When family is present, mutual support includes repeating expressions of patient concerns to other team members.
  • In virtual teams, cameras allow for interpreting nonverbal cues, showing engagement.
  • Providing remote assistance with tasks like paperwork can support onsite staff.

Mutual Support Tools

  • Task Assistance
  • Formative Feedback
  • Advocacy and Assertion.
  • Two-Challenge Rule
  • CUS

Task Assistance

  • Helping others with tasks fosters a strong, trusting team.
  • Offering task assistance helps create psychological safety and protect from work overload.
  • Offers and requests for assistance should be framed in the context of patient safety.
  • Seeking and providing assistance to patients and family caregivers is important.
  • Resilience is strengthened by asking team members how to help like, "I have 10 minutes. How can I help?"

Formative Feedback

  • Formative feedback is information shared to improve team performance through verbal or nonverbal communication.
  • Formative feedback should be appreciative, expressing gratitude and noting positive actions.
  • Formative feedback should be timely, given soon after the target behavior.
  • Formative feedback should be respectful, focused on behaviors, not personal attributes.
  • Feedback should be specific, related to the task requiring correction, improvement, or reinforcement.
  • Feedback should be directed toward improvement , providing directions for the future.
  • Formative feedback should be considerate, acknowledging feelings while delivering negative information with fairness.
  • It should be patient-focused, addressing the impact of behaviors on the patient's well-being.

Advocacy and Assertion

  • Advocating for the patient is essential when viewpoints differ from the decision-maker, putting safety at risk.
  • Assert corrective action in a firm, respectful manner.
  • When asserting yourself, make an opening, state the concern/problem (real or perceived), offer a solution.
  • Ensure a mutual agreement on following steps.

Two-Challenge Rule

  • The Two-Challenge Rule enables team members to "stop the line" when they sense a safety breach.
  • It requires immediate process cessation and resolution of the safety issue and should not be taken lightly.
  • If an initial assertive statement is ignored, restate the concern assertively.
  • The challenged team member must acknowledge understanding the concern.
  • If the response doesn't clarify and alleviate the concern, rephrase the anticipated danger.
  • If the safety issue persists, use a stronger action.
  • Engage other team members or escalate through the chain of command.

CUS

  • CUS is an acronym for assertive statements:
  • "I am Concerned!"
  • "I am Uncomfortable!"
  • "This is a Safety issue!" to signal the need to "Stop the Line".

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Description

TeamSTEPPS' mutual support ensures patient-centered care through assistance and feedback among team members. It involves providing constructive feedback and assertive advocacy for patient safety. Examples range from adjusting patient loads in hospitals to cross-training staff.

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