Review Article

High-performance team assessment instruments: A scoping review

Abstract

Background & Aim: Assessing team performance is crucial in developing effective management strategies within healthcare. Therefore, identifying reliable tools that accurately measure team competencies is essential. This study aims to review the existing evidence on valid instruments to evaluate high-performance teams in healthcare.
Methods & Materials: A scoping review was conducted according to the methodology proposed by the Joanna Briggs Institute. The study was based on the PCC framework (Population, Concept, and Context), concentrating on healthcare teams (population), tools for evaluating high-performance teams (concept), and all areas of professional practice (context). The literature search included databases such as CINAHL Complete (EBSCO), LILACS (BVS), MEDLINE Complete (PubMed), PsycINFO (EBSCO), and Scopus. Grey literature was searched on WorldCat and ProQuest Dissertations & Theses. Study selection took place in two stages: an initial screening of titles and abstracts to identify relevant studies, followed by a full-text review of the selected articles.
Results: Initially identified 1,104 articles and selected six for inclusion in this review. Four instruments were recognized for assessing high-performance teams in healthcare: the Mayo High Performance Teamwork Scale, the Ottawa Crisis Resource Management Global Rating Scale, the Trust, and the Team Performance Observation Tool.
Conclusion: The primary contribution of this study was the identification of tools that provide constructive feedback to facilitate the ongoing development of high-performance teams. The implementation of systematic, evidence-based strategies supported by these evaluation tools fosters a data-driven approach to clinical decision-making and enhances the overall quality of care.

1. Malinowska-Lipień I, Micek A, Gabryś T, Kózka M, Gajda K, Gniadek A, Brzostek T, Fletcher J, Squires A. Impact of the work environment on patients’ safety as perceived by nurses in Poland: A cross-sectional study. International Journal of Environmental Research and Public Health. 2021 Nov 17;18(22):12057. doi:10.3390/ijerph182212057
2. World Health Organization (WHO). World Patient Safety Day, 17 September 2020. Charter—Health worker safety: a priority for patient safety. Geneva: WHO; 2020.
3. Pereira SCA, Ribeiro OMPL, Fassarella CS, Santos EJF. The impact of nursing practice environments on patient safety culture in primary health care: A scoping review. BJGP Open. 2024;8(1): BJGPO.2023.0062. doi:10.3399/BJGPO.2023.0062
4. Kendrick M, Kendrick K, Morton P, Taylor NF, Leggat SG. Hospital staff report it is not burnout, but a normal stress reaction to an uncongenial work environment: Findings from a qualitative study. International Journal of Environmental Research and Public Health. 2020 Jun;17(11):4107. doi:10.3390/ijerph17114107
5. Ribeiro OM, Perondi AR, Gomes JT, Ventura-Silva JM, Ribeiro MP, Castro SF, Oliveira TD, Trindade LD. Nursing Practice Environments in Hospitals: A Comparative Study between Portugal and Brazil. Nursing Reports. 2024 Oct 9;14(4):2910-22. doi:10.3390/nursrep14040212
6. Aase I, Tjoflåt I, Hjorthaug Urstad K. Using the ‘huddle’to enhance interprofessional teamwork among nursing students through a podcast: A qualitative and exploratory pilot study. BMC Nursing. 2021 Nov 22;20(1):235. doi:10.1186/s12912-021-00747-4
7. Kohanová D, Solgajová A, Lušňáková M, Bartoníčková D. The level of teamwork and associated factors in the selected hospitals from the nurses’ perspective: A cross-sectional study. Nursing Practice Today. 2023;10(4):364-73. doi: 10.18502/npt.v10i4.14082
8. Leggat SG, Bartram T, Stanton P. High performance work systems: the gap between policy and practice in health care reform. Journal of Health Organization and Management. 2011 Jun 21;25(3):281-97. doi:10.1108/14777261111143536
9. Ahluwalia SC, Damberg CL, Silverman M, Motala A, Shekelle PG. What defines a high-performing health care delivery system: A systematic review. The Joint Commission Journal on Quality and Patient Safety. 2017 Sep 1;43(9):450-9. doi: 10.1016/j.jcjq.2017.03.010
10. Katzenbach J, Smith D. The wisdom of teams: creating the high-performance organization. Boston (MA): Harvard Business School Press; 1993.
11. Santos J, Sá Leão N, Durão M. Perceção de eficácia em equipas de alta performance. RECIMA21-Revista Científica Multidisciplinar-ISSN 2675-6218. 2024 Jul 11;5(1):e515435. doi:10.47820/recima21.v5i1.5435
12. Almeida PL, Pimentel D, Marques-Quinteiro P. Equipas de alto desempenho: conceitos, dinâmicas e práticas. Lisboa: Instituto Universitário de Ciências Psicológicas, Sociais e da Vida (ISPA); 2021. Disponível em: https://repositorio.ispa.pt/handle/10400.12/8734
13. Rabkin SW, Frein M. Overcoming obstacles to develop high-performance teams involving physicians in health care organizations. Healthcare (Basel). 2021 Aug 31;9(9):1136. doi: 10.3390/healthcare9091136
14. Gomez LE, Bernet P. Diversity improves performance and outcomes. Journal of the National Medical Association. 2019 Aug 1;111(4):383-92. doi:10.1016/j.jnma.2019.01.006
15. Westover JH. Building and maintaining a high-performing team. Human Capital Leadership Review. 2024;12(3).
doi:10.70175/hclreview.2020.12.3.5
16. Brasier AR, Burnside ES, Rolland B. Competencies supporting high-performance translational teams: A review of the SciTS evidence base. Journal of Clinical and Translational Science. 2023 Jan;7(1):e62. doi:10.1017/cts 2023.17
17. Salas E, DiazGranados D, Klein C, Burke CS, Stagl KC, Goodwin GF, Halpin SM. Does team training improve team performance? A meta-analysis. Human Factors. 2008 Dec;50(6):903-33. doi:10.1518/001872008X375009
18. Buljac-Samardzic M, Doekhie KD, van Wijngaarden JD. Interventions to improve team effectiveness within health care: a systematic review of the past decade. Human Resources for Health. 2020 Jan 8;18(1):2. doi: 10.1186/s12960-019-0411-3
19. Coleman DM, Dossett LA, Dimick JB. Building high-performing teams: Opportunities and challenges of inclusive recruitment practices. Journal of Vascular Surgery. 2021 Aug 1;74(2):86S-92S. doi: 10.1016/j.jvs.2021.03.054
20. Zhang B, Tang F, Sun B, Niu Y, Tang Z, Sun X. High‐performance work systems, multiple commitments, and knowledge exchange and combination among Chinese public hospital nurses. Nursing Open. 2022 Mar;9(2):1445-55. doi: 10.1002/nop2.921
21. Pinto C, Narra A, Merciano S, Bessa D, Pereira AT, Piteira M. Motivação e avaliação de desempenho dos enfermeiros na administração pública portuguesa, durante a pandemia de COVID-19: Ciências da Vida e da Saúde. Revista da UI_IPSantarém. 2022 Dec 29;10(1):e27780. doi: 10.25746/ruiips.v10.i1.27780
22. Peters MD, Godfrey CM, Khalil H, McInerney P, Parker D, Soares CB. Guidance for conducting systematic scoping reviews. JBI Evidence Implementation. 2015 Sep 1;13(3):141-6. doi: 10.1097/XEB.0000000000000050
23. Peters MD, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Scoping reviews. JBI Manual for Evidence Synthesis. 2020 Jan;10:10-46658.
24. Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, Moher D, Peters MD, Horsley T, Weeks L, Hempel S. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Annals of Internal Medicine. 2018 Oct 2;169(7):467-73. doi: 10.7326/M18-0850
25. Oliveira T, Pereira S, Zocche D, Ribeiro O. Instrumentos de Avaliação de Equipas de Alto Desempenho: Protocolo de Scoping Review. RevSALUS - Revista Científica Internacional da Rede Académica das Ciências da Saúde da Lusofonia. 2024;6(Sup):262-4. doi: 10.51126/revsalus.v6iSup
26. Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, editors. JBI Manual for Evidence Synthesis. JBI; 2024. doi:10.46658/JBIMES-24-01
27. Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Systematic Reviews. 2016 Dec 5;5(1):210. doi: 10.1186/s13643-016-0384-4
28. . Bardin L. Content Analysis. 5th ed. Edições 70; 2016
29. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R. The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. 2021 Mar 29;372. doi: 10.1136/bmj.n71
30. Ballangrud R, Persenius M, Hedelin B, Hall-Lord ML. Exploring intensive care nurses’ team performance in a simulation-based emergency situation, expert raters’ assessments versus self-assessments: An explorative study. BMC Nursing. 2014 Dec 17;13(1):47. doi: 10.1186/s12912-014-0047-5
31. Bursiek AA, Hopkins MR, Breitkopf DM, Grubbs PL, Joswiak ME, Klipfel JM, Johnson KM. Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls. Journal of Patient Safety. 2020 Sep 1;16(3):245-50. doi: 10.1097/PTS.0000000000000277
32. Malec JF, Torsher LC, Dunn WF, Wiegmann DA, Arnold JJ, Brown DA, Phatak V. The Mayo high performance teamwork scale: reliability and validity for evaluating key crew resource management skills. Simulation in Healthcare. 2007 Apr 1;2(1):4-10.doi: 10.1097/SIH.0b013e31802b68ee
33. Bultas MW, Hassler M, Ercole PM, Rea G. Effectiveness of high-fidelity simulation for pediatric staff nurse education. Pediatric Nursing. 2014;40(1):27-32, 42. PMID: 24757918.
34. Sifaki-Pistolla D, Melidoniotis E, Dey N, Chatzea VE. How trust affects the performance of interprofessional health-care teams. Journal of Interprofessional Care. 2020 Mar 3;34(2):218-24. doi:10.1080/13561820.2019.1631763
35. Harvey EM, Wright A, Taylor D, Bath J, Collier B. TeamSTEPPS® simulation-based training: An evidence-based strategy to improve trauma team performance. The Journal of Continuing Education in Nursing. 2013 Nov 1;44(11):484-5. doi:10.3928/00220124-20131025-92
36. Soghikian S, Chipman M, Holmes J, Calhoun AW, Mallory LA, Mallory L. Assessing team performance in a longitudinal neonatal resuscitation simulation training program: Comparing validity evidence to select the best tool. Cureus. 2024 Sep 6;16(9). doi:10.7759/cureus 68810
37. Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, Bouter LM, de Vet HC. The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. Journal of Clinical Epidemiology. 2010 Jul 1;63(7):737-45.
doi:10.1016/j.jclinepi.2010.02.006
IssueArticles in Press QRcode
SectionReview Article(s)
Keywords
high performance nursing instrument health

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Ferreira Oliveira T, Abreu Pereira SC de, Alves Pacheco AI, Moreira Sanches DM, Antunes de Azambuja Zocche D, Pimenta Lopes Ribeiro OM. High-performance team assessment instruments: A scoping review. Nurs. pract. today. 2025;:X-X.