. Mohammad Hosseini; . Abbas Heydari.; . Hamidreza Reihani; . Hossein Kareshki
Volume 13, Issue 1 , January 2023, , Pages 1-10
Abstract
BACKGROUND: Non‑technical skills as a complement to technical skills have become increasinglyimportant in cardio‑pulmonary resuscitation, and teamwork is one of the most prominent ...
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BACKGROUND: Non‑technical skills as a complement to technical skills have become increasinglyimportant in cardio‑pulmonary resuscitation, and teamwork is one of the most prominent of theseskills. Because of the limited number of tools introduced and validated for measuring teamwork inresuscitation, this study was conducted to develop and evaluate the psychometric properties of theTeamwork Scale in Resuscitation (TSR).MATERIALS AND METHODS: This study was a sequential exploratory mixed‑method study and wasconducted between March 2020 and April 2021 and in two phases. In the first phase (qualitative),semi‑structured interviews were performed with resuscitation team members who were selected usinga purposeful sampling method with maximum variation in terms of experience, level of education,age, and gender. Using directed qualitative content analysis, the data were analyzed and the primaryitem pool was developed. In the second phase (quantitative), assessing face, content, and constructvalidity as well as reliability via the internal consistency and stability, the psychometric properties ofthe instrument are evaluated.RESULTS: The initial tool consisted of 54 items; after assessing the face validity, ten items wereremoved during content validity, and the final tool consisted of 44 items and three main categoriesincluding the essential prerequisites for resuscitation, leadership, and teamwork, which was scoredbased on a 5‑point Likert scale from strongly disagree to strongly agree. The convergent validity andconcurrent validity of the tool were confirmed. The reliability of the instrument was also confirmedusing Cronbach’s alpha test and re‑test and the intra‑class correlation coefficient (ICC) between raters.CONCLUSION: The validity and reliability of TSR for measuring teamwork in resuscitation ina simulated environment are approved. Further studies are suggested for different contexts ofresuscitation and with trained raters to evaluate its use in real resuscitation situations.