Shiraz E-Medical Journal

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Effect of Training on the Attitude and Knowledge of Teamwork Among Anesthesia and Operating Room Nursing Students: A Quasi-Experimental Study

Zahra Khademian 1 , * , Zahra Pishgar 2 and Camellia Torabizadeh 3
Authors Information
1 Assistant Professor, PhD in Nursing, Community-Based Psychiatric Care Research Center, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
2 MSC in Nursing, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
3 Associate Professor, PhD in Nursing, Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
Article information
  • Shiraz E-Medical Journal: April 2018, 19 (4); e61079
  • Published Online: March 11, 2018
  • Article Type: Research Article
  • Received: August 30, 2017
  • Revised: October 14, 2017
  • Accepted: November 8, 2017
  • DOI: 10.5812/semj.61079

To Cite: Khademian Z, Pishgar Z, Torabizadeh C. Effect of Training on the Attitude and Knowledge of Teamwork Among Anesthesia and Operating Room Nursing Students: A Quasi-Experimental Study, Shiraz E-Med J. 2018 ; 19(4):e61079. doi: 10.5812/semj.61079.

Copyright © 2018, Shiraz E-Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited
1. Background
2. Methods
3. Results
4. Discussion
  • 1. Xyrichis A, Ream E. Teamwork: a concept analysis. J Adv Nurs. 2008;61(2):232-41. doi: 10.1111/j.1365-2648.2007.04496.x. [PubMed: 18186914].
  • 2. Greiner A, Knebel E. The core competencies needed for health care professionals. health professions education: A bridge to quality. 2003. Available from:
  • 3. Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009;53(2):143-51. doi: 10.1111/j.1399-6576.2008.01717.x. [PubMed: 19032571].
  • 4. Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: A review. Surg Neurol Int. 2014;5(Suppl 7):S295-303. doi: 10.4103/2152-7806.139612. [PubMed: 25289149].
  • 5. Parker SH, Yule S, Flin R, McKinley A. Surgeons' leadership in the operating room: an observational study. Am J Surg. 2012;204(3):347-54. doi: 10.1016/j.amjsurg.2011.03.009. [PubMed: 22178486].
  • 6. Armour Forse R, Bramble JD, McQuilan R. Team training can improve operating room performance. Surgery. 2011;150(4):771-8. doi: 10.1016/j.surg.2011.07.076. [PubMed: 22000190].
  • 7. Ugur E, Kara S, Yildirim S, Akbal E. Medical errors and patient safety in the operating room. J Pak Med Assoc. 2016;66(5):593-7. [PubMed: 27183943].
  • 8. Mazzocco K, Petitti DB, Fong KT, Bonacum D, Brookey J, Graham S, et al. Surgical team behaviors and patient outcomes. Am J Surg. 2009;197(5):678-85. doi: 10.1016/j.amjsurg.2008.03.002. [PubMed: 18789425].
  • 9. Shafakhah M, Zarshenas L, Sharif F, Sabet Sarvestani R. Evaluation of nursing students’ communication abilities in clinical courses in hospitals. Glob J Health Sci. 2015;7(4):323-8. doi: 10.5539/gjhs.v7n4p323.
  • 10. Garbee DD, Paige JT, Bonanno LS, Rusnak VV, Barrier KM, Kozmenko LS. Effectiveness of teamwork and communication education using an interprofessional high-fidelity human patient simulation critical care code. J Nurs Educ Pract. 2013;3(3):1.
  • 11. Agency for Healthcare Research and Quality (AHRQ). About TeamSTEPPS®. 2016. Available from:
  • 12. Baker DP, Amodeo AM, Krokos KJ, Slonim A, Herrera H. Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire. Qual Saf Health Care. 2010;19(6). e49. doi: 10.1136/qshc.2009.036129. [PubMed: 20702444].
  • 13. Najafi M, Keshmiri F, Najafi M, Shirazi M. Assessment of validity and reliability of TeamSTEPPS teamwork attitudes questionnaire (T-TAQ) In Iran. J Payavard Salamat. 2014;7(5):389-98.
  • 14. Robertson B, Kaplan B, Atallah H, Higgins M, Lewitt MJ, Ander DS. The use of simulation and a modified TeamSTEPPS curriculum for medical and nursing student team training. Simul Healthc. 2010;5(6):332-7. doi: 10.1097/SIH.0b013e3181f008ad. [PubMed: 21330818].
  • 15. Lisbon D, Allin D, Cleek C, Roop L, Brimacombe M, Downes C, et al. Improved Knowledge, Attitudes, and Behaviors After Implementation of TeamSTEPPS Training in an Academic Emergency Department: A Pilot Report. Am J Med Qual. 2016;31(1):86-90. doi: 10.1177/1062860614545123. [PubMed: 25143410].
  • 16. McCulloch P, Rathbone J, Catchpole K. Interventions to improve teamwork and communications among healthcare staff. Br J Surg. 2011;98(4):469-79. doi: 10.1002/bjs.7434. [PubMed: 21305537].
  • 17. DeVita MA, Schaefer J, Lutz J, Wang H, Dongilli T. Improving medical emergency team (MET) performance using a novel curriculum and a computerized human patient simulator. Qual Saf Health Care. 2005;14(5):326-31. doi: 10.1136/qshc.2004.011148. [PubMed: 16195564].
  • 18. Carolina Amaya-Arias A, Idarraga D, Giraldo V, Gómez LM. Effectiveness of a program for improving teamwork in operanting rooms. Colombiana J Anaesth. 2015;43(1):68-75.
  • 19. Capella J, Smith S, Philp A, Putnam T, Gilbert C, Fry W, et al. Teamwork training improves the clinical care of trauma patients. J Surg Educ. 2010;67(6):439-43. doi: 10.1016/j.jsurg.2010.06.006. [PubMed: 21156305].
  • 20. Khademian Z, Sharif F, Tabei SZ, Bolandparvaz S, Abbaszadeh A, Abbasi HR. Teamwork improvement in emergency trauma departments. Iran J Nurs Midwifery Res. 2013;18(4):333-9. [PubMed: 24403932].
  • 21. Rockville M. Teamwork Attitudes Questionnaire (T-TAQ). Agency for Healthcare Research and Quality. 2014. Available from:
  • 22. Bridges R, Sherwood G, Durham C. Measuring the influence of a mutual support educational intervention within a nursing team. Int J Nurs Sci. 2014;1(1):15-22. doi: 10.1016/j.ijnss.2014.02.013.
  • 23. Cooper H, Spencer-Dawe E, McLean E. Beginning the process of teamwork: design, implementation and evaluation of an inter-professional education intervention for first year undergraduate students. J Interprof Care. 2005;19(5):492-508. doi: 10.1080/13561820500215160. [PubMed: 16308172].

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