title: Role confusion and self-assessment in interprofessional trauma teams.
abstract: BACKGROUND
  Trauma care requires coordinating an interprofessional team, with formative feedback on teamwork skills. We hypothesized nurses and surgeons have different perceptions regarding roles during resuscitation; that nurses' teamwork self-assessment differs from experts', and that video debriefing might improve accuracy of self-assessment.
  
  
  METHODS
  Trauma nurses and surgeons were surveyed regarding resuscitation responsibilities. Subsequently, nurses joined interprofessional teams in simulated trauma resuscitations. After each resuscitation, nurses and teamwork experts independently scored teamwork (T-NOTECHS). After video debriefing, nurses repeated T-NOTECHS self-assessment.
  
  
  RESULTS
  Nurses and surgeons assumed significantly more responsibility by their own profession for 71% of resuscitation tasks. Nurses' overall T-NOTECHS ratings were slightly higher than experts'. This was evident in all T-NOTECHS subdomains except "leadership," but despite statistical significance the difference was small and clinically irrelevant. Video debriefing did not improve the accuracy of self-assessment.
  
  
  CONCLUSIONS
  Nurses and physicians demonstrated discordant perceptions of responsibilities. Nurses' self-assessment of teamwork was statistically, but not clinically significantly, higher than experts' in all domains except physician leadership.
authors.affiliation: Department of Surgery, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI; Department of Biostatistics and Quantitative Health Sciences, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI. Electronic address: steine@hawaii.edu.
authors.forename: Susan
authors.initials: S
authors.lastname: Steinemann
authors.affiliation: Department of Surgery, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI.
authors.forename: Gene
authors.initials: G
authors.lastname: Kurosawa
authors.affiliation: Department of Surgery, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI.
authors.forename: Alexander
authors.initials: A
authors.lastname: Wei
authors.affiliation: Department of Surgery, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI.
authors.forename: Nina
authors.initials: N
authors.lastname: Ho
authors.affiliation: Department of Biostatistics and Quantitative Health Sciences, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI.
authors.forename: Eunjung
authors.initials: E
authors.lastname: Lim
authors.affiliation: Department of Surgery, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI; The Queen's Medical Center, Punchbowl Street, Honolulu, HI.
authors.forename: Gregory
authors.initials: G
authors.lastname: Suares
authors.affiliation: Department of Surgery, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI; The Queen's Medical Center, Punchbowl Street, Honolulu, HI.
authors.forename: Ajay
authors.initials: A
authors.lastname: Bhatt
authors.affiliation: Department of Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Berg
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D024382:Professional Role; D015203:Reproducibility of Results; D012151:Resuscitation; D012647:Self-Assessment; D014193:Trauma Centers; D014741:Video Recording
keywords: Interprofessional education; Simulation-based training; T-NOTECHS; Teamwork; Trauma