Communication & Teamwork

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Teamwork & Communication are skills for working in a group context. This observation tool focusses on group behaviors that contribute to safer working together rather than on a specific task. It has 4 sections adapted and modified from the ANTS model (see link): Coordinating activities, Exchanging information, Using authority and assertiveness, Supporting others. The aim is to provide a basis for discussing 'teamwork' and to give feedback to clinical teams.
  
  

• ANTS Handbook.
  http://www.abdn.ac.uk/iprc/uploads/files/ANTS%20Handbook%202012.pdf

Instructions

• Before the Observation dedicate 5-10 minutes to prime the team:
  1. Elicit the behaviors from the group which describe good and bad teamwork.
  2. Go through each section of the observation tool with the team
  3. Encourage the group to identify areas of focus for feedback which they consider important.

Co-ordinating Activities

• Team members introduce each other and confirm roles and responsibilities

  To Great Extent

  Somewhat

  Very Little

  Not at all

  Cannot Say

• Clear leadership and role allocation is established.

  To Great Extent

  Somewhat

  Very Little

  Not at all

  Cannot Say

• Handovers are well structured and reiterated when new members join the team

  To Great Extent

  Somewhat

  Very Little

  Not at all

  Cannot Say

• All team members are made aware of priorities, key events and updates - e.g. through vocalisation of thoughts, reassessments, relay of information & questioning)

  To Great Extent

  Somewhat

  Very Little

  Not at all

  Cannot Say

Exchanging Information

• Case plan and other relevant information is discussed with appropriate team members

  To Great Extent

  Somewhat

  Very Little

  Not at all

  Cannot Say

• Team leader(s) consistently shares information with others ( including less experienced team members) and provided justification for actions.

  To Great Extent

  Somewhat

  Very Little

  Not at all

  Cannot Say

• Reassessments and requests for reassessment are signposted clearly - e.g. 'Let's reassess now' ; 'Can we reassess?'

  To Great Extent

  Somewhat

  Very Little

  Not at all

  Cannot Say

• The team maintains clear case documentation for continuity of care

  To Great Extent

  Somewhat

  Very Little

  Not at all

  Cannot Say

Supporting Others

• Leader(s) clarify skills sets of staff before allocating roles.

  To Great Extent

  Somewhat

  Very Little

  Not at all

  Cannot Say

• Leader(s) provide support and encouragement to others and make sure everyone is comfortable with their tasks

  To Great Extent

  Somewhat

  Very Little

  Not at all

  Cannot Say

• Leader(s) makes sure people are not overloaded with tasks

  To Great Extent

  Somewhat

  Very Little

  Not at all

  Cannot Say

• Team members anticipate when others will need information or equipment - e.g. Shall I prepare another 500 mls of fluids?

  To Great Extent

  Somewhat

  Very Little

  Not at all

  Cannot Say

Using Authority and Assertiveness

• Leader makes requirements known with necessary level of assertiveness.

  To Great Extent

  Somewhat

  Very Little

  Not at all

  Cannot Say

• Leader encourages team to ask questions, or speak up, if they need to, and heeds concerns.

  To Great Extent

  Somewhat

  Very Little

  Not at all

  Cannot Say

• Team members take over task leadership as required

  To Great Extent

  Somewhat

  Very Little

  Not at all

  Cannot Say

• Leader encourages team members to cross-check instructions and completion of tasks - e.g. using close loop communication.

  To Great Extent

  Somewhat

  Very Little

  Not at all

  Cannot Say

Overall Team Rating

• How do you rate the contributions of the whole team to effective communication and teamwork today?

  V. Good

  Good

  Developing

  Poor

  V. Poor

• If this were YOUR clinical team how satisfied would you feel?

  V. Satisfied

  Satisfied

  Neutral

  Dissatisfied

  V. Dissatisfied

• Add a Comment

Rating Of Observation Tool

• How do you rate the usefulness of this too to open up discussion with teams? [ 1= Not useful at all 5= Neutral 10 = Very Useful]

• Observer(s) Signature(s)

  Sign