Journal Article

Validation of a measurement tool for self-assessment of teamwork in intensive care

J. Weller, B. Shulruf, J. Torrie, R. Frengley, M. Boyd, A. Paul, B. Yee and P. Dzendrowskyj

Edited by P. S. Myles

in BJA: British Journal of Anaesthesia

Published on behalf of the British Journal of Anaesthesia

Volume 111, issue 3, pages 460-467
Published in print September 2013 | ISSN: 0007-0912
Published online April 2013 | e-ISSN: 1471-6771 | DOI:
Validation of a measurement tool for self-assessment of teamwork in intensive care

Show Summary Details



Teamwork is an important contributor to patient safety and a validated teamwork measurement tool could help healthcare teams identify areas for improvement and measure progress. We explored the psychometric properties of a teamwork measurement tool when used for self-assessment. We hypothesized that the tool had a valid factor structure and that scores from participants and external assessors would correlate.


Forty intensive care teams (one doctor, three nurses) participated in four simulated emergencies, and each independently rated their team's performance at the end of each case using the teamwork measurement tool, without prior training in the use of the tool. We used exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), and compared factor structure between participants and external assessors (using previously reported data). Scores from participants and external assessors were compared using Pearson's correlation coefficient.


EFA demonstrated items loaded onto three distinct factors which were supported by the CFA. We found significant correlations between external and participant scores for overall teamwork scores and the three factors. Participants agreed with external assessors on the ranking of overall team performance but scored themselves significantly higher than external assessors.


The teamwork measurement tool has a valid structure when used for self-assessment. Participant and external assessor scores correlated significantly, suggesting that participants could discriminate between different levels of performance, although leniency in self-assessed scores indicated the need for calibration. This tool could help structure reflection on teamwork and potentially facilitate self-directed, workplace-based improvement in teamwork.

Keywords: educational; healthcare team; measurement; reliability and validity; self-assessment; simulation; teamwork

Journal Article.  3856 words.  Illustrated.

Subjects: Anaesthetics

Full text: subscription required

How to subscribe Recommend to my Librarian

Users without a subscription are not able to see the full content. Please, subscribe or login to access all content. subscribe or login to access all content.